Coronial

273 results for acute mental illness

QLDhospital2007-09-03

Henderson, Robert Joseph

31y · Male·mixed drug toxicity

…ment documentation must be completed accurately to inform clinical decisions about observation levels; and mental health services require rapid access to complete medical records across community and inpatient settings. …

psychiatryemergency medicinediagnosticdelaymorphine
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that d…

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
VICcommunity2009-10-23

Finding into death of Gregory Ram Biggs

27y · Male·external blood loss due to laceration of right axillary artery from single gunsh…

…emphasised that containment was the appropriate response. Implications for clinicians include: recognizing acute behavioural changes as potential indicators of drug use or mental health crisis requiring prompt assessmen…

emergency medicineforensic medicinecommunicationsystemMDMA
VIChome2019

Finding into death of Rachel Naomi Mihail

36y · Female·Nicotine toxicity

…, depression, anxiety, and agoraphobia, ingested liquid nicotine at home on 22 November 2017 after calling mental health triage expressing suicidal intent. The clinical lessons relate to the response to acute suicide ris…

psychiatrygeneral practicecommunicationsystemnicotine
WAcommunity

Inquest into the Death of Dean Anthony POLLARD

41y · Male·unknown

… His last recorded contact was 17 May 2010 at Swan District Hospital where psychiatric assessment found no acute risks despite chronic substance use and aggression. He had poor medication compliance, escalating drug dep…

psychiatryemergency medicinesystemcommunicationmethamphetamine
TAScommunity2015

Coroner's Finding: Youth Suicide

suicide by hanging or other means

Six young people aged 12-17 years died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identi…

psychiatrypaediatricssystemcommunicationlamotrigine
NSW2019-07-04

Inquest into the death of RP and DJ

Male·RP: fatal pressure to the neck; DJ: neck compression

…inmates died in separate incidents at the Metropolitan Remand and Reception Centre after being placed with mentally ill cellmates exhibiting acute psychosis. RP died in 2010 from injuries inflicted by cellmate MA, who wa…

psychiatrydiagnosticcommunicationquetiapine
VICmental health2013-06-21

Finding into death of Heather Jane Kinder

59y · Female·Toxicity to quetiapine

59-year-old woman with long-standing psychiatric illness, chronic suicidal ideation, and dependent personality disorder was admitted involuntarily to a low-depend…

psychiatryforensic medicinesystemquetiapine
VIChome2024-08-28

Finding into death of Ryley Ann Cox

Unknown·Sodium nitrite toxicity

…importance of intervening when suicide is explicitly mentioned to friends, engaging isolated patients with mental health conditions, and recognising when chronic conditions and psychiatric comorbidity create acute suicid…

psychiatrypsychologysodium nitrite
WAhospital2014-10-17

Inquest into the Death of Gillian Hanson

62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …

…c admission, even when patient cooperation is poor, are important; (4) symptoms attributed to psychiatric illness may actually indicate metabolic derangement. The coroner found no fault with care but recommended elevate…

psychiatrygeneral practicediagnosticescitalopram
VICcommunity2022-08-01

Finding into death of X Y

53y · Male·Multiple gunshot injuries

…d man with longstanding unresolved childhood trauma, affected by COVID-19 pandemic restrictions, developed acute paranoia and anxiety. Believed people were hacking his devices and tracking him. When school welfare staff…

psychiatryemergency medicinecommunicationsystem
WA2023-12-21

Inquest into the Death of Shane Nathan ROBERTS

41y · Male·Ligature compression of the neck (hanging)

…9. He had pre-existing depression and anxiety treated with citalopram. A prison doctor referred him to the Mental Health Team (MHT) on 7 May 2019 when his anxiety markedly worsened; however, severe understaffing prevente…

correctional healthgeneral practicesystemdelaycitalopram
SAcommunity2004-09-10

Coroner's Finding: CORNISH Peter Henry

43y · Male·aspiration of vegetable matter with occlusion of the upper airway

…tric assessment, he was discharged without admission. A critical failure occurred on 24 September when the mental health team's decision to 'await recontact' rather than assertively intervene, despite clear family concer…

psychiatryemergency medicinediagnosticsystemcannabis
VIChospital2012-12-13

Finding into death of William Andrew Poskitt

31y · Male·Injuries sustained in a fall from height

…stress (racing thoughts, insomnia, dark thoughts, bizarre behaviour, anxiety), he did not receive a formal mental state assessment. The treating team referred him to HIV Psychiatry Liaison on day 1, but when he declined …

infectious diseasespsychiatrycommunicationdiagnostictrimethoprim
NSW2022-08-26

Inquest into the death of LAK

19y · Male·Hanging

LAK, a 19-year-old Aboriginal man, died by suicide at a community rehabilitation facility after a complex mental health journey involving forensic orders and psychosis. Key clinical lessons include: recognising vulnerab…

psychiatryaddiction medicinecommunicationsystem
VIChospital2014-09-12

Finding into death of Nola Margaret Moxon

77y · Female·Venlafaxine toxicity in a woman with severe renal impairment and depression

…proper handover of clinical concerns. No pre-ECT anaesthetic assessment identified the concurrent medical illness.

psychiatrygeriatric medicinecommunicationsystemvenlafaxine
SAhospital2017-05-11

Coroner's Finding: SCOLERI Daniel Peter

31y · Male·acute neck compression due to hanging

…ent on 23 July 2014. He expressed suicidal ideation and was appropriately detained under section 56 of the Mental Health Act 2009 for psychiatric assessment. An emergency physician (Dr H.) and her supervised intern made …

emergency medicinepsychiatrycommunicationoxazepam
VICmental health2011-03-31

Finding into death of Diane Young

72y · Female·Bronchopneumonia

…wallowing assessment implementation in patients with dysphagia risk factors and rapid response to signs of acute illness in vulnerable elderly residents.

geriatric medicinepsychiatry
VIChospital2019-02-05

Finding into death of Eliza Gill

18y · Female·Colchicine toxicity

…r-old female died from colchicine toxicity after intentional overdose of her father's medications during a mental health crisis. She ingested approximately 10-15g of colchicine (dose 0.25mg/kg), below the guideline thres…

emergency medicineintensive carediagnosticsystemcolchicine
WAhome2013

Inquest into the Death of Deniro, Alen

28y · Male·Gunshot wound to the head

Alen Deniro died by suicide on 5 May 2011 after learning of his de facto partner's death from terminal lung cancer. Psychiatrists appropriately assessed him as high suicide risk and initiated involuntary detention proced…

psychiatrygeneral medicinecommunication
19101114

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