366 results for “psychiatric admission assessment”
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
… at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during transitions between healthcare systems—FJ lost access to private psychiatry when leaving im…
64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …
…homicidal ideation despite documented history. Key failures included inadequate information gathering at admission, lack of mandated mental health training for staff, and normalisation of serious threats over time.
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…
30y · Male·Multiple injuries from impact by train
… there was poor adherence to the service's Family Sensitive Practice guideline. While the patient's risk assessment prior to discharge appropriately rated him as low risk and detention would have been inappropriate for a…
37y · Male·Hanging, self-inflicted with intention of taking own life
…ld man with schizophrenia and a history of medication non-compliance died by suicide while subject to a Psychiatric Treatment Order. He was last seen alive on 14 February 2010 and found hanging on City Hill on 15 Februa…
72y · Male·Cranial fracture and intracranial haemorrhage from self-inflicted fall
…and intracranial haemorrhage sustained when he deliberately threw himself backwards onto the floor of a psychiatric ward. He was an involuntary patient in the High Dependency Unit experiencing acute psychotic relapse wi…
28y · Male·heroin toxicity
…nt, then returned home and died from heroin toxicity. The coroner found the clinical management and risk assessment appropriate and reasonable, with no basis to suggest the leave plan was unsafe or that clinicians should…
36y · Male·Multi-organ failure complicating injecting drug use
…ear-old man with a 13-year history of schizophrenia and substance abuse was admitted involuntarily to a psychiatric unit on 15 September 2012 after community deterioration. He improved over several weeks and was transit…
39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor
…ravenous drug use, presented to St Vincent's Hospital with respiratory symptoms and chest pain. Clinical assessment identified pneumonia, septicaemia, and possible bacterial endocarditis. His mental health deteriorated d…
24y · Male·self-inflicted hanging
Linden Alan Kunoth, a 24-year-old Aboriginal man, died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and comma…
69y · Female·Toxicity to pentobarbitone in circumstances where she intended to end her own li…
…uted to anxiety rather than asthma. Clinical lessons include recognising the importance of mental health assessment in patients with health anxiety and social isolation, addressing unrealistic health expectations, and co…
34y · Female·Multiple injuries due to impact with a train
…ah Simpson, a 34-year-old woman with bipolar affective disorder, died by suicide after exiting a locked psychiatric unit. She was admitted involuntarily on 30 January 2012 after expressing suicidal ideation and was disc…
57y · Male·partially suspended hanging
…ol use disorder, anxiety, and recent-onset suicidal ideation died by hanging in hospital after a 108-day admission for orthopaedic injuries sustained from intentional jumping. He had complex neurocognitive impairment (d…
25y · Male·Multiple injuries sustained in a fall from a height
…ting mental health symptoms. At St Vincent's Hospital on 11 June he was triaged as category 3 (requiring assessment within 30 minutes) for mental health concerns but left without being seen by any mental health clinician…
54y · Male·Neck compression (hanging)
Paul Peterson, 54, died by hanging after leaving a private psychiatric hospital on unapproved leave while on close observations. He was admitted with major depression, suicid…
26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …
…stifiable. Clinical lessons include: recognising acute mental health deterioration requiring involuntary admission; ensuring rapid psychiatric assessment when police attend mental health emergencies; and documenting whe…
37y · Female·Hypoxic brain injury consequent upon hanging
…cal environment with readily detachable cords in a high-risk patient's room; (4) inadequate suicide risk assessment, as high-risk designation carried only 60-minute observation intervals rather than constant observation;…
28y · Male·Hanging
…tation—including drug-induced psychosis, prior violence toward his girlfriend, and explicit requests for admission—he was discharged home with inadequate safety planning. Clinicians did not fully explore Dylan's drug us…
38y · Male·electrical injury
…ion at home on 17 November 2022 while on a Community Treatment Order (CTO). He had experienced multiple psychiatric relapses requiring hospitalization, with the most recent admission ending 4 October 2022. Despite regul…
15y · Male·asphyxiation by hanging
…services including Child Protection, Youth Justice, and the Adolescent Forensic Health Service. Despite psychiatric assessments identifying depression, anger issues, and trauma, psychiatrists recommended involuntary adm…
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