Coronial

475 results for psychiatric admission

SAhospital2005-04-07

Coroner's Finding: HARRIS Margret Lillian

48y · Female·Chronic Obstructive Airway Disease

… psychosis that rendered her unable to self-manage her medical conditions. She was admitted following a psychiatric crisis on 9 July 2002 and placed on a continuing detention order. Her condition progressively deteriora…

psychiatryrespiratory medicinediuretics
VICmental health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

…liar, a 62-year-old man with severe bipolar affective disorder, died from hanging in Frankston Hospital psychiatric ward on 16 November 2012 after an involuntary admission for treatment-resistant depression with suicida…

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
SAhospital2016-09-05

Coroner's Finding: HAZLETT Steven William

63y · Male·respiratory failure due to chronic denervation atrophy due to peripheral neuropa…

…e. He was admitted to hospital with progressive restrictive lung disease and muscle weakness. During his admission, he expressed suicidal ideation, underwent psychiatric assessment, and was managed with appropriate end-…

respiratory medicinepsychiatryhaloperidol
VIChospital2026-05-19

Finding into death of Edward Timothy Peterson

25y · Male·Head injury sustained on impact with a train

Edward Timothy Peterson, aged 25, was involuntarily admitted to Maroondah Hospital's psychiatric unit on 11 February 2021 with first episode psychosis. Clinical care by psychiatrist Dr C. was appropri…

psychiatrysystempaliperidone
VIChospital2025-04-11

Finding into death of QB T

64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…

QBT, a 64-year-old man with complex medical and psychiatric history including schizophrenia, COPD, and hypertension, was admitted to Bendigo Hospital on an Assessm…

psychiatrygeneral medicinediazepam
VIC2012-09-21

Finding into death of Timothy Casey

41y · Male·Hanging

… died by hanging in Port Phillip Prison in March 2008. The coroner identified multiple system failures: psychiatric assessment referrals were not acted upon despite evidence of deteriorating mental state and suicidal id…

psychiatrycorrectional healthdiagnosticcommunication
VIChospital2015-05-28

Finding into death of Naomi Charmaine Mahon

33y · Female·multiple injuries sustained when struck by a train

… had been brought to the ED by police under Mental Health Act section 10 after threatening suicide. The psychiatric team assessed her as not meeting involuntary treatment criteria and admitted her voluntarily to the psy…

psychiatryemergency medicinerisperidone
VICcommunity2012-03-01

Finding into death of K

33y · Male·complications from blunt force trauma to head consequent upon being struck by a …

…CAT) Team assessed him at 5pm and concluded he was not suicidal, diagnosing drug withdrawal rather than psychiatric illness. Later that evening, he deliberately ran into traffic and died from head injuries 9 days later.…

psychiatrygeneral practicediagnosticcommunicationmethadone
NTcommunity2011-10-11

Inquest into the death of Aaron Nathan Stagg

28y · Male·hanging

…d in late 2009, assessment identified paranoid delusional thinking. Dr K. recommended voluntary hospital admission on 2 March 2010, which Mr Stagg initially accepted but declined the next day. Involuntary admission was …

psychiatrypsychologysystemrisperidone
QLD2006-10-31

Ali-Haapala, Anita

20y · Female·injuries received from a fall from the viewing platform at Perriwen Lookout at M…

…ues, presented to Nambour Hospital on 17 May 2005 expressing suicidal ideation. She was admitted to the psychiatric ward with initial diagnosis of adjustment disorder with depressed mood and anxiety. On 20 May 2005, she…

psychiatrydelaysystem
VICmental health2014-11-17

Finding into death of Justin Peter Foster

40y · Male·unascertained

…man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton House) on 3 January 2012. He was admitted involuntarily on 30 December 2011 durin…

psychiatryforensic medicinecommunicationdiazepam
QLDhospital2016-11-23

SPB - Non-inquest findings

36y · Male·hanging

…fter violent behaviour toward his father while intoxicated. Despite police concerns, family requests for admission, and his treating psychiatrist's recommendation for involuntary admission, he was discharged after brief…

psychiatryemergency medicinediagnosticcommunicationdiazepam
VICcommunity2024-12-16

Finding into death of C L

53y · Male·Cervical spine distraction and hanging

…eneral care was reasonable but identified significant deficiencies in discharge planning: PARC step-down admission was inappropriately unavailable due to accommodation funding restrictions; ACIS referral was not arrange…

psychiatryemergency medicinesystemdelaymirtazapine
VICcommunity2021-04-14

Finding into death of JJ

70y · Male·Hanging

…er than depression. Following a serious overdose attempt, he was admitted to psychiatry, improved during admission, and was discharged with antidepressant therapy and community follow-up. However, he ceased taking his p…

psychiatryendocrinologycommunicationsystemvenlafaxine
TAS2025-07-04

Coroner's Finding: de-identified CF

24y · Male·blunt trauma and drowning due to intentional jumping from Tasman Bridge

… Initial ED presentation was appropriate with normal investigations, but he left against medical advice. Admission to mental health unit followed police intervention; he improved on antipsychotic medication but ceased c…

psychiatryemergency medicinedelaycommunicationolanzapine
NTmental health2015-01-21

Inquest into the death of Anthony Faulkner

42y · Male·Sudden cardiac death in the context of schizophrenia

…renia (formerly diagnosed as bipolar disorder), died suddenly on 23 September 2013 while an involuntary psychiatric patient at Cowdy Ward, Royal Darwin Hospital. He had been admitted on 8 August 2013 and was in the proc…

psychiatrygeneral medicinepaliperidone
VICcommunity2017-08-25

Finding into death of Thomas Edward Mackenzie Hall

41y · Male·Injuries sustained in a motor vehicle incident (driver) in a man with coronary a…

…is mother's car unlicensed and at excessive speed into oncoming traffic. He had a documented history of psychiatric illness with multiple involuntary admissions, medication non-compliance, and recent suicidal ideation e…

psychiatryemergency medicinecommunicationsystemrisperidone
SAhospital2004-05-19

Coroner's Finding: WOZNIAKOWSKI Andrzej

83y · Male·inanition with lobar pneumonia

…received comprehensive multidisciplinary care including medical, nursing, dietary, speech pathology and psychiatric input. Despite these efforts, his condition deteriorated rapidly due to advanced cachexia and he develo…

emergency medicinepsychiatry
WAcommunity2020-11-04

Inquest into the Death of Andrew John KEY

49y · Male·incised injury to the neck

…y police. Clinical lessons emerged regarding mental health assessment and crisis response. On 5 August, psychiatric assessment in ED correctly followed the Mental Health Act in declining involuntary admission, though th…

psychiatryemergency medicinecommunicationsystemquetiapine
VICmental health2012-01-31

Finding into death of John Bernard Tuffy

48y · Male·drowning

…s to separate transferring patients. The death highlights gaps in observation protocols for disoriented psychiatric patients awaiting transfer.

psychiatryemergency medicinecommunicationsystemtemazepam
19101124

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