390 results for “mental health deterioration”
18y · Male·Sodium nitrite toxicity
…ft) and had received psychology referrals, but faced significant waitlist delays (6 months) for specialist mental health services. Clinical lessons include: the importance of timely access to specialist mental health ser…
51y · Male·Sepsis with multi-organ failure; pneumonia (multi-drug resistant Staphylococcus)…
…managing severe sepsis in obese patients with limited mobility, the importance of early recognition of deterioration in detained populations who may be socially isolated, and the need for aggressive infection control an…
84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…
…4 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was placed on a Level 1 Mental Health Act order for post-operative delirium. On 29 December, he aspirated vomit, became hypoxic, and died…
34y · Male·cardiomegaly with contributing aspiration
… and undiagnosed sleep apnoea died from cardiomegaly with contributing aspiration while detained under the Mental Health Act. On 6 March, he presented with shortness of breath, tachycardia, and slurred speech. The duty d…
38y · Female·Multiple injuries sustained when struck by a train
…with management failing to conduct a proper investigation. Her complaints were handled informally at departmental level rather than escalated to HR despite being a multi-person bullying complaint. This mishandling, combi…
19y · Female·The available evidence does not allow for a finding as to the cause of death
…acey, a 19-year-old university student, disappeared on 19 August 1958 after absconding from Broughton Hall mental health facility. She had been referred for urgent psychiatric admission following concerning disclosures o…
28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…
…essed to an open rehabilitation ward and was granted overnight and weekend leave. During weekend leave her mental state deteriorated, but she denied suicidal ideation at her 23 December review and was discharged home on …
36y · Male·Gunshot wound to chest
…bably intended to use her taser but drew her firearm instead. Key contributing factors included inadequate mental health follow-up after psychiatric discharge, failure to escalate when acutely deteriorating (GP visit 16 …
40y · Male·metastatic malignant melanoma
A 40-year-old man with metastatic melanoma died at Queen Elizabeth Hospital on 2 September 2015. He had atypical nevi removed in 2009 and melanoma diagnosed in 2013, initially undergoing surgery with curative intent. How…
50y · Male·Gunshot injury to the head
…ting general practitioner and cardiologist were unaware he held a firearms licence. Key clinical learning: mental health practitioners should proactively inquire about firearm access in at-risk patients and may notify po…
23y · Male·Unknown - missing person, no conclusive evidence of death
…iple psychiatric hospitalizations (2004, 2006, 2007) and was under community treatment order. His treating mental health team noted he had poor insight into his illness, medication non-compliance, and considerable diffic…
75y · Female·Multiple injuries including stab wounds to the chest
…ed aggression toward his mother, and repeated threats to kill her. Family members and friends observed his mental health deterioration in the weeks prior, including delusional thinking and bizarre behavior. Police had at…
50y · Male·plastic bag asphyxia in the setting of ethanol intoxication and blunt force head…
…s mother Erica (who pleaded guilty to murder) perpetrated fatal family violence. Clinical lessons include: mental health and disability support workers failed to adequately respond to disclosures of controlling, psycholo…
36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…
Jasmine Roennfeldt, a 36-year-old woman with schizoaffective disorder being treated at a community mental health clinic, died from stab wounds inflicted by her flatmate Rocky Manu, who had paranoid schizophrenia.…
32y · Male·Gunshot wound to the head (Benjamin Green: homicide by William Markee; William M…
…abel, NSW. Markee shot Green in his sleep, then shot himself. Clinical lesson: Markee had clear, untreated mental health issues characterised by paranoid delusions, obsessive fixation, and suicidal ideation, but never en…
49y · Male·Carbon monoxide toxicity
John Vincent Kearney, 49, with a history of depression and previous suicide attempt presented to Sir Charles Gairdner Hospital ED on 26 March 2010 with suicidal ideation triggered by work stress. Psychiatric clinicians c…
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…
49y · Male·Multiple injuries from a fall from height
…se and alcohol intoxication, presenting with manic relapse. On the day of death, he was seen by his GP and mental health crisis team, both noting deterioration, paranoid delusions, and non-compliance with Olanzapine. Des…
22y · Male·Drowning
…bolic parameters. Initial management appropriately prioritized medical assessment and resuscitation before mental health evaluation. He was sedated and restrained for acute agitation, with restraints removed after 3 hour…
60y · Male·Neck compression secondary to hanging
…explicitly informed of elevated suicide risk, risk assessments must be contemporaneously documented, and a health-led intervention program (complementing police welfare roles) is needed for this high-risk cohort, as appr…
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