391 results for “psychiatric medication management”
44y · Male·Subarachnoid haemorrhage due to ruptured anterior communicating artery aneurysm
…d pre-existing hypertension, depression, anxiety, and chronic pain. While at the remand centre, his pain medication (Lyrica/pregabalin) was appropriately weaned due to misuse history, though this caused him distress. His…
45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…
…m side effects (tardive dyskinesia), and switched him to newer atypical antipsychotics. Despite multiple medication adjustments by both his GP and a consulting psychiatrist, his behavior and abnormal movements deteriorat…
25y · Male·hanging
Logan Brown, a 25-year-old man on home detention bail, died by hanging. He had a complex psychiatric history including borderline personality disorder, polysubstance use disorder, and chronic suicidal ide…
36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…
…old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was transferre…
30y · Male·hanging
…d man remanded in custody, died by hanging in Yatala Labour Prison on 13 January 2005. He had a complex psychiatric history including borderline personality disorder, chronic depression, polysubstance abuse, and multipl…
42y · Male·Incised injury to the neck resulting in exsanguination and air embolism
… was housed in a mainstream unit with unrestricted access to razor blades. The coroner found that while psychiatric care followed policy, the system failed operationally: the acute assessment unit had inadequate capacit…
24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…
… finding and was subject to strict conditions including mental health treatment, drug testing, and anger management. Critical failures included: minimal compliance with urinalysis testing (7 of ~90 expected tests), inade…
61y · Male·asphyxial death due to hanging
Paul Stephen Scott, aged 61, died by hanging while on leave from psychiatric inpatient care. He had been admitted to Spencer Clinic on 11 January 2018 with suicidal ideation and co…
27y · Female·opiate toxicity (fentanyl)
… history of depression, anxiety, and substance misuse following her mother's death, and was on multiple psychiatric medications. The coroner found no evidence of suicidal intent and determined the death was accidental. …
24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)
…y, Dr W. likely had access to a February 2003 FMC discharge summary documenting Temazepam overdose with psychiatric assessment, which would have revealed a pattern of impulsive self-harm. Dr W.'s assessment failed to ap…
23y · Male·Neck compression as a result of hanging
…dicated for months before arrest. Critical failures in his mental health care included: delayed initial psychiatric assessment (3 weeks), inadequate intake screening that failed to establish rapport or document symptoms…
44y · Male·bronchopneumonia in the setting of combined drug effect
…ely managed on a Community Treatment Order with fortnightly depot antipsychotic injections, regular case management, and psychiatric review. The coroner found his care was of good standard despite challenging behaviour. …
23y · Male·self-inflicted hanging
…is use, complicated by apparent genetic predisposition to schizophrenia. Despite multiple admissions and medication management, he remained symptomatic with ongoing command hallucinations. He was transferred from the sec…
53y · Male·Neck compression in the circumstances of hanging
…linical improvement, inadequate handover to his general practitioner lacking essential information about medication duration, dosing history, monitoring requirements, and escalation pathways, and lack of consultant psych…
69y · Male·plastic bag asphyxia and mixed drug toxicity (oxycodone and pentobarbitone)
…lex medical history including chronic obstructive airways disease, chronic pain, depression, and recent psychiatric assessment revealing paranoid psychosis and neurocognitive decline. Despite appropriate specialist refe…
29y · Male·acquired methaemoglobinaemia in association with sodium nitrite toxicity
…espite resuscitation efforts at Armadale Kelmscott District Memorial Hospital, died on 21 May 2019. His psychiatric management was appropriate; he had been clinically stable on depot antipsychotic medication with no doc…
35y · Male·Not determined
…oxicity or fatal arrhythmia were likely. He had been assaulted in custody and was on multiple prescribed medications (mirtazapine, escitalopram, diazepam, pregabalin, baclofen) but also accessed non-prescribed medication…
34y · Male·Multiple injuries sustained when the car he was driving collided with a tree
…g them, and crashed his car within one minute. The coroner found no fault with police conduct or medical management. Clinical lessons include: early reassessment of suicide risk after initial presentation, consideration …
36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…
Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He wa…
25y · Male·multiple injuries sustained in aircraft crash
… training. Despite a well-documented delusional obsession with flying to God, multiple abscondings from psychiatric care, previous attempts to access aircraft in Darwin, and explicit warnings provided by Mental Health S…
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