212 results for “involuntary psychiatric admission”
23y · Male·self-inflicted hanging
…gered by cannabis use, complicated by apparent genetic predisposition to schizophrenia. Despite multiple admissions and medication management, he remained symptomatic with ongoing command hallucinations. He was transfer…
32y · Female·combined drug toxicity, mainly heroin
Natasha Calleja, 32 years old, died from combined drug toxicity (mainly heroin) while an involuntary inpatient at Swanston Centre psychiatric unit after her de facto partner supplied heroin during an unsu…
49y · Male·Obstructive sleep apnoea, contributed to by the sedating effects of therapeutic …
David Muckan, a 49-year-old man with schizophrenia, was admitted to a psychiatric unit in April 1998 with suspected obstructive sleep apnoea (OSA). He was sedated with benzodiazepines (…
24y · Male·neck compression secondary to hanging
Jamie Knowles, a 24-year-old with schizophrenia, died by suicide on 24 June 2024 while on an inpatient temporary treatment order at Kerferd Unit mental health service in Victoria. He was granted one hour of unescorted le…
22y · Male·Hanging
…lth hospital to police custody following an alleged assault of another patient. Within a month of prison admission, he died by hanging, having accessed razor blades and exploited an obvious hanging point. Clinical lesso…
39y · Male·respiratory failure and cardiac arrest
…s (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concerning psychiatric behaviour. He was appropriately assessed in the Short Stay Unit, where blood gas analysis revealed crit…
37y · Female·Hypoxic brain injury consequent upon hanging
…cumentation of clinical reasoning and team communication. An independent review found medication and pre-admission management appropriate, but highlighted systemic failures in risk assessment processes, family engagemen…
25y · Male·Multiple injuries sustained in a fall from a height
…o contact him or his family. At Royal Melbourne Hospital on 12 June, he was assessed, accepted voluntary admission, but left the Emergency Department while escorted for fresh air by a psychiatric nurse. Key lessons: men…
25y · Male·drowning
Matthew Leary, 25, died by suicide at Watsons Bay on 28 November 2014 after three psychiatric admissions in one month. Key clinical lessons: mental health clinicians at Prince of Wales Hospital and…
20y · Male·head and neck injuries sustained when struck by train
…ble; nursing staff were unaware he had been found near railway tracks; and security guards (not trained psychiatric nurses) provided supervision due to staffing shortages. Staff shortages on the unit prevented allocatio…
25y · Male·hanging
A 25-year-old university student with a complex history of schizoaffective disorder and substance misuse died by hanging during family leave from a mental health ward. He had been stable on depot antipsychotic medication…
84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …
Patricia O'Connor, 84-year-old woman with bipolar disorder, was admitted involuntarily to Sunshine Aged Persons Mental Health Unit on 15 August 2017 during a manic relapse. On 25 August, she fell and fractured her right …
21y · Male·multiple injuries from fall from water tower
A 21-year-old man with acute psychosis was admitted involuntarily to a psychiatric ward after being found climbing a power pole. After 8 days, despite being assessed at moderate suicide …
53y · Female·Hypoxic brain injury due to hanging
A 53-year-old woman with severe depression, anxiety, and recent suicide attempt died by hanging in a psychiatric hospital's low-dependency unit. She had received ECT and was on hourly observations. On the day of her …
38y · Female·neck compression (hanging)
…(2-hourly observations) on 15 April without documented consideration of the new housing information; no psychiatric review in the final 6 days before her death; and confusion about actual observation frequency (staff re…
28y · Male·Hanging
Daylon Roeton, 28, died by hanging in a mental health seclusion room using a ligature made from blanket binding. He was admitted involuntarily after expressing suicidal ideation and paracetamol overdose. The coroner foun…
33y · Female·Immersion (drowning) by suicide
Elizabeth Ann Studd, a 33-year-old woman with longstanding borderline personality disorder, died by drowning in the Swan River on 28 August 1999. She had a severely traumatic childhood characterised by emotional neglect,…
54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…
…ially with language barriers; (2) mental health deterioration with aggressive behaviour warrants urgent psychiatric assessment despite current calm presentation; (3) clinicians prescribing these drug combinations should…
31y · Male·Hypoxic ischaemic encephalopathy following out of hospital cardiac arrest in a m…
…r (attempting to light himself on fire), was assessed by psychiatry and deemed not to meet criteria for involuntary admission, then was arrested for outstanding theft matters. In police custody at Melbourne West, he tie…
24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…
…after ingesting approximately 150 tablets from a medication drawer beside his bed. Andrew had a complex psychiatric history including schizophrenia, multiple suicide attempts, self-harm, and a severe overdose attempt in…
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