Coronial

746 results for psychiatric treatment

VIChospital2023-04-27

Finding into death of Gary Ronald Burgess

59y · Male·Massive aspiration in the setting of intubation following complications of sever…

A 59-year-old man with treatment-resistant schizophrenia on long-term clozapine therapy died from massive aspiration following a severe i…

psychiatrygeneral medicinesystemcommunicationclozapine
SAhospital2018-03-29

Coroner's Finding: BUTSON Graham Joseph

81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…

…espite extensive undiagnosed malignancy. A significant procedural concern was identified: the mandatory psychiatric review of his detention order within 24 hours was not conducted, apparently due to weekend rostering. T…

orthopaedic surgerygeneral medicinesystemwarfarin
WAcommunity2024-12-06

Inquest into the death of Jaxon Charles Kinnane

22y · Male·Immersion in water (drowning) in a man with combined drug effect

…nal beliefs (microchip in ear) and was a polysubstance user, particularly methylamphetamine. He received treatment in Casuarina Prison, the Frankland Centre, and St John of God Midland Hospital. While clinicians provide…

psychiatrycorrectional healthcommunicationsystempaliperidone
SAhome2014-06-17

Coroner's Finding: KOLBIG Drew Robin

37y · Male·stab wound to the chest penetrating the heart

…istory of command auditory hallucinations died by self-inflicted stab wound to the chest. Released from psychiatric hospital on 11 April 2011 on voluntary arrangements without a community treatment order despite previou…

psychiatryoccupational therapydiagnosticcommunicationquetiapine
WAhospital2013-02-14

Inquest into the Death of Marshall, Tracy Margaret

54y · Female·unascertainable

…ade an open finding as to cause. Key clinical lessons: early recognition and appropriate pharmacological treatment of psychotic symptoms, need for adequate psychiatric assessment and involuntary admission protocols, and…

psychiatryemergency medicinediagnosticcommunicationdiazepam
TAShome2017-10-12

Coroner's Finding: Allie, Sue Denise

63y · Female·unable to determine; possibly mirtazapine toxicity, cardiac disease, or injectio…

…on mirtazapine. Treating doctors noted she was unconcerned about poison origin, reluctant to comply with treatment, and attempted to deceive nursing staff. The coroner could not determine the immediate cause of death bu…

general practicehaematologydiagnosticbrodifacoum
WAhospital2019-05-24

Inquest into the Death of Melanie Reanna TREGONNING

31y · Female·incised wounds to the neck and arms

…was not effectively communicated to the ED staff. An RMO assessed her but felt unqualified and sought a psychiatric assessment. The on-call psychiatrist spoke to the RMO by phone without seeing the patient, and despite …

emergency medicinepsychiatrycommunicationdiagnosticvenlafaxine
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiat…

psychiatrypsychologysupervisionsystemcitalopram
VIChospital2016-10-04

Finding into death of Damien Marius Van Der Korput

50y · Male·Hypoxic ischaemic brain injury in the context of hanging

…ession, anxiety, and ADHD died by hanging after an acute deterioration in mental state. He had previous psychiatric admission in 2012 for suicidality and was under regular psychiatric care. On the night of death, follow…

psychiatryemergency medicinecommunicationsystemalcohol
QLDmental health2006-11-31

Jeffrey, Helen

38y · Female·Asphyxiation by plastic bag

…tion using a plastic bag in Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal culpability. Key clinical lessons: the …

psychiatryemergency medicinesystemcommunication
WAmental health2015-11-25

Inquest into the Death of Yvonne HENDERSON

Female·Multiple injuries

…lusional disorder who died in a motor vehicle collision on 6 December 2010 while on approved leave from psychiatric hospitalisation. She was an involuntary patient in Albany Hospital's mental health unit. The coroner fo…

emergency medicinegeneral medicinesystemcommunicationrisperidone
WA2019-01-07

Inquest into the Death of Ali JAFFARI

Male·thermal injuries (burns)

…2015) and received extensive mental health support through the Psychological Support Program, including psychiatric review and monitoring. He was diagnosed with adjustment disorder related to prolonged detention, loss o…

psychiatrypsychologysystemolanzapine
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

…o rhabdomyolysis following a crush injury to his left thigh sustained while attempting to escape from a psychiatric hospital. He became trapped hanging upside down on a perimeter fence on 19 January 1997. Initial assess…

emergency medicinepsychiatrydiagnosticadrenaline
VIChome2011-02-21

Finding into death of GARETH THORNTON

48y · Male·Multiple injuries consistent with a jump from a height (14 storeys); broken neck…

…t in Carlton, Melbourne, on 15 December 2007. The coroner found he intentionally jumped during an acute psychiatric relapse. The incident was preceded by increasingly agitated and aggressive behaviour, including disturb…

psychiatryforensic medicinealcohol
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

…et four years earlier and was in rehabilitation when discharged from Caulfield Hospital with inadequate psychiatric assessment and planning. The coroner found his discharge was premature, lacking consideration of his ps…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
SAhome2002-11-06

Coroner's Finding: JERICHO Patricia Susanne

43y · Female·neck compression due to hanging

…d previous suicidal ideation presented to Emergency Department twice within 14 days and was referred to psychiatric services. She had persistently refused antidepressant medication for years due to fixed beliefs about '…

general practicepsychiatrycommunicationsystemaurorix
SAhospital2022-06-17

Coroner's Finding: THREDGOLD, Holly Alexandra

42y · Female·hanging

…be transported there; ED staff failing to enquire whether she had a treating psychiatrist; rejection of psychiatric referral based solely on blood alcohol level (0.39%); and Dr M. conducting only a superficial assessmen…

emergency medicinepsychiatrycommunicationdiagnosticsertraline
VICcommunity2015-03-03

Finding into death of Jahit Elliott Alieff

27y · Male·hanging

A 27-year-old man with schizo-affective disorder died by hanging on 22 April 2009 while on a Community Treatment Order (CTO). He had been discharged from psychiatric hospitalization in December 2008 and managed by an …

psychiatrycommunicationsystemrisperidone
WAprison2017-02-28

Inquest into the Death of Jayden Stafford BENNELL

20y · Male·ligature compression of the neck (hanging)

…by ligature compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric history including drug-induced psychosis, depression, and anxiety, for which he was frequently non-comp…

psychiatrycorrectional healthcommunicationsystemquetiapine
QLD2013-12-11

Woods, Gavin Lyle

46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)

…ncreases suicide risk, particularly when multiple stressors accumulate; the importance of continuity of psychiatric care during employment transfers; and recognition that formal disciplinary processes (even for minor is…

psychiatrygeneral practicecommunicationsystemescitalopram
19101138

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