391 results for “psychiatric medication management”
59y · Female·Multiple drug toxicity (propoxyphene, citalopram, oxazepam and others)
…sultant significant disability, chronic pain, and subsequent depression with suicidal ideation. Despite psychiatric involvement and GP care, she remained resistant to supportive interventions and had clearly expressed h…
48y · Female·Combined drug toxicity (predominantly methadone)
…TO) at the time of death. The Intensive Community Outreach Team (ICOT) provided regular reviews and case management over a six-week period. An expert psychiatrist found the treatment "very solid" with nothing that should…
33y · Female·multiple injuries sustained in a train incident
…uicidality died by suicide after stepping in front of a train on 6 October 2009. She was an involuntary psychiatric patient at Northpark Private Hospital despite confusion about her legal status. She left the ward oppor…
Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…
…hile on escorted ground access and was hit by a vehicle. Common failures included: inadequate individual management and risk management plans, poor discharge planning, failure to involve families and carers in decision-m…
55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…
Mr John Threadgold, a 55-year-old man with extensive psychiatric history (schizoaffective disorder, substance dependency), chronic obstructive airways disease, and alco…
31y · Female·plastic bag asphyxia
…n LPG bottle. She was under Community Treatment Order with Eastern Health. The family alleged inadequate medication monitoring, unhelpful medications, insufficient family communication, brief hospital stays, and fragment…
31y · Male·compression of the neck secondary to hanging
…um disorder, and ADHD, died by hanging. He had received mental health treatment since age 17, including psychiatric hospitalization and multiple medication trials. At the time of death, he was under care of a GP and had…
22y · Male·combined mixed drug intoxication
… managing chronic pain, and understanding risks of novel psychoactive substances. Better integration of psychiatric care with pain management, and earlier intervention regarding self-medication attempts, may have preven…
42y · Male·Drowning following chest injuries sustained from jumping from the Tasman Bridge
…cide from the Tasman Bridge. He had been compliant with clozapine therapy for over 20 years, maintained psychiatric stability, and had no prior suicide attempts or documented suicidal ideation. His death was not foresee…
67y · Male·aspiration pneumonia with contributing chronic schizophrenia
…dical comorbidities and repeatedly aspirated due to his resistant behaviour, sedation from antipsychotic medications, and poor eating patterns. Despite clinical staff implementing feeding precautions (sitting upright, te…
71y · Male·acute myocardial infarction due to coronary artery disease
…de, but he declined angiography. Following a schizophrenic relapse, he became non-compliant with cardiac medications. Despite clinical deterioration and a second ambulance call, a joint medical-psychiatric team decided a…
19y · Male·Multiple injuries sustained on a train impact (pedestrian)
…s enrolled in the Headspace Youth Early Psychosis Program and was receiving treatment with antipsychotic medication (aripiprazole depot). Key clinical lessons include: the importance of early identification and treatment…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
…ne) in the presence of advanced emphysema and acute bronchopneumonia. He was admitted to Spencer Clinic psychiatric inpatient unit following an assault on staff at Karingal nursing home. During his 23-hour hospital admi…
15y · Female·neck compression due to hanging
… 2011, CAMHS closed her file. Critical opportunities were missed: Seymour College and later Dr L. urged psychiatric involvement, but communication failures meant Michaela never saw a psychiatrist until too late. By June…
33y · Male·multi-drug toxicity as a result of misadventure
Adam Hayward, a 33-year-old with borderline personality disorder, poly-substance abuse, and a complex psychiatric history including recurrent suicidal ideation and overdoses, died from multi-drug toxicity in October 2…
22y · Male·Immersion in water (drowning) in a man with combined drug effect
Jaxon Charles Kinnane, 22, drowned in the Swan River on 12 October 2020. He had chronic schizophrenia with persistent delusional beliefs (microchip in ear) and was a polysubstance user, particularly methylamphetamine. He…
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
…noid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to a patient with poor denti…
34y · Female·not able to be determined - body not found
…on 22 August 2022. She had been admitted for a psychotic relapse with paranoid delusions related to poor medication compliance. Despite recent improvement during hospitalisation and community mental health follow-up, San…
34y · Female·Hanging with combined effects of ethanol and benzodiazepines
… on 15 December after she threatened hanging; she was transported to Maroondah Hospital and assessed by psychiatric nurse Gary Cox about 4 hours after arrival. Mr Cox did not conduct a formal mental state examination or…
70y · Female·drowning (likely), but ultimately undetermined cause
…h. She had a long history of schizophrenia and depression, managed with antipsychotic and antidepressant medications. For six months prior to her death she had ceased taking these medications, though family noted she app…
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