Coronial

273 results for acute mental illness

VIC2013-11-25

Finding into death of Rahul Prasad

28y · Male·Global cerebral ischaemic injury due to hanging

… remanded prisoner with a serious psychotic condition and documented suicide risk, was discharged from the Acute Assessment Unit on 7 May 2010 with an S3 (potential) risk rating after psychiatric assessment. Despite sub…

psychiatryintensive carediagnosticcommunication
TAScommunity2025-06-30

Coroner's Finding: de-identified XA

41y · Male·head and chest injuries from fall from height

…phrenia died by suicide, jumping from the Tasman Bridge on Christmas Eve 2022. He had a 15-year history of mental illness with multiple suicide attempts, previously managed with antipsychotic injections and antidepressan…

psychiatrygeneral practicesystemdelaypaliperidone
SAhospital2004-07-15

Coroner's Finding: JOVANOVIC Katica

46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis

…tary psychiatric admission. She was severely withdrawn, refusing food, fluids, and mobilisation due to her acute psychotic illness. Staff recognised DVT risks and encouraged mobilisation, but comprehensive physical exam…

psychiatrygeneral medicinediagnosticcommunicationzuclopenthixol
VIC2014-09-11

Finding into death of Lloyd Felman

58y · Male·Amitriptyline toxicity

…rists at both Monash and Alfred Hospitals assessed him as not meeting involuntary admission criteria under Mental Health Act, as he denied suicidal ideation, showed no acute psychiatric symptoms, and lacked clear mental

psychiatryemergency medicineamitriptyline
NTmental health2019-09-27

Inquest into the death of Jordan Allen

34y · Male·self-inflicted hanging

34-year-old Jordan Allen died by suicide on 1 February 2018 after absconding from Alice Springs Mental Health Unit during supervised cigarette leave. He was acutely psychotic with persecutory delusions related…

psychiatryemergency medicineclinicalcommunicationdexamphetamine sulfate
NSWhome2024-04-05

Inquest into the death of Todd McKenzie

40y · Male·gunshot wounds

…enia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. Todd became acutely psychotic, waving a knife and expressing paranoid delusions about people entering his home and police we…

psychiatryforensic medicinediagnosticcommunication
TAShome2018-05-07

Coroner's Finding: Daniels, Scott Allen

44y · Male·Positional asphyxia

…ous risk; combination of alcohol with clozapine and cannabis caused profound CNS depression; patients with mental illness and substance abuse require coordinated monitoring and safe medication management. The coroner not…

psychiatryforensic medicinemedicationsystemalcohol
VICmental health2025-05-19

Finding into death of Anna Lee

70y · Female·Asphyxia due to airway obstruction

…0-year-old retired psychiatric nurse, died from asphyxia due to airway obstruction while an inpatient in a mental health unit. She was admitted with first-episode mania with psychotic features, triggered by financial sca…

psychiatrygeriatric medicinesystemolanzapine
QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

…sented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaemia, metabolic acidosis). The locum doctor and nurses failed t…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

…entre. Despite a history of depression with previous suicidal ideation, SJ was assessed as low-risk by his mental health team and appeared clinically stable and engaged with staff on the morning of his death. The coroner…

psychiatryhaematologycommunicationdelaymetoclopramide
NSWhospital2012-11-01

Michelle Mcilquham Findings

28y · Female·acute streptococcus pneumonia meningitis with left-sided otitis media as anteced…

Michelle McIlquham, 28 years old, died from undiagnosed acute bacterial meningitis (streptococcus pneumonia) that developed from a middle ear infection. She presented t…

emergency medicinediagnosticcommunication
ACThospital2023-03-08

Inquest into the death of Brontë Haskins

23y · Female·Hypoxic-ischaemic brain damage due to self-inflicted hanging with intention of t…

…S assessment (scheduled one week post-release despite known drug use and suicide risk), failure to arrange mental health bail conditions despite documented suicidality in custody, and loss of opportunity when Access Ment…

psychiatryemergency medicinesystemdelayheroin
VIC2026-02-03

Finding into death of Jacqueline Courtenay Hunter Pringle

23y · Female·Injuries sustained in a fall from a height

…s with untreated mood disorders, and the need for comprehensive risk assessment when patients present with acute changes in affect or presentation despite reported denial of suicidal thoughts.

psychiatrypsychologycommunicationdiagnosticalcohol
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

…Queensland in 2008. JE's death was impulsive, occurring after paint sniffing and alcohol use combined with acute anger from assault by his sister. JJ's death followed deliberate ideation, with multiple documented suicid…

psychiatryemergency medicinediagnosticcommunicationalcohol
VIChospital2019-02-07

Finding into death of JP

39y · Male·septicaemia following self-administered intravenous injection of faeces

… substance dependence died from septicaemia after self-injecting faeces into his vein while an involuntary mental health patient. He obtained a syringe from a sharps container during escorted leave. Clinical lessons incl…

psychiatryinfectious diseasessystemdelaypaliperidone
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

… and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute cardiac arrhythmia while in mental health involuntary care. He was admitted to the High Dependency Unit af…

psychiatryemergency medicinedelaysystemrisperidone depot
WAhospital2011-11-22

Inquest into the Death of Ashdown

27y · Male·cardiac arrhythmia during restraint; mechanism involved hypoxia and asphyxiation…

…raining, procedural safety, and inadequate monitoring of access to alcohol and drugs that precipitated his acute deterioration.

psychiatryintensive careproceduralsystemhaloperidol
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

…nal visual loss was suspected. He developed major depression with suicidal ideation and was admitted to an acute mental health unit. On 7 August, he fell backwards, hitting his head, but was assessed as orientated with …

neurologyophthalmologysystemrivaroxaban
VIChome2021-08-31

Finding into death of Brendon Crippen

27y · Male·Effects of fire

…ffective disorder. Following abscondment on 13 April 2018, he returned to Victoria but received inadequate mental health follow-up despite being acutely unwell, medication-free, and still subject to a treatment order. Th…

psychiatrycommunicationsystem
NSW2016-03-14

Inquest into the death of Michael David John Nolan

30y · Male·Exsanguination due to an incision in the radial vein of his right wrist

…ied in prison from exsanguination following a self-inflicted laceration to his radial vein. He had complex mental health needs including schizophrenia, acquired brain injury, developmental delay, and substance abuse hist…

psychiatrycorrectional healthmethadone
110111214

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.