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WAmental health2014-04-11

Inquest into the Death of Rutherford Sarah

28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…

Sarah Jane Rutherford, a 28-year-old woman with bipolar affective disorder and schizophrenia, died on 27 December 2009 after falling from a pedestrian bridge onto the Mitchell Freeway in Perth. She was an involuntary pat…

psychiatryintensive carerisperidone
WAprison10July 2014

Inquest into the Death of Michael John KING

48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis

A 48-year-old Aboriginal man died of ischaemic heart disease with coronary arteriosclerosis while in prison custody. He had significant pre-existing cardiac disease and was diagnosed with myocardial infarction in 1998, y…

cardiologypsychiatrycardiac medications
WAaged care- 11 April 2014

Inquest into the Death of Bill PORTELLI

64y · Male·bronchopneumonia in a man receiving palliative care for terminal cancer of the r…

Bill Portelli, a 64-year-old man with chronic paranoid schizophrenia and terminal rectum cancer with liver metastases, died of bronchopneumonia (from aspirated vomit) while receiving palliative care at Alma Street Centre…

psychiatrypalliative carefentanyl
WAmental health- 11 April 2014

Inquest into the Death of Robert Kenneth SCOTT

28y · Male·ligature compression of the neck (hanging)

Robert Kenneth Scott, a 28-year-old man with schizophrenia, died by hanging on 22 May 2008 after absconding from Graylands Hospital where he was an involuntary patient. He was last seen at 4:30pm on an open ward with 60-…

psychiatrydelayclozapine
WAprison- 31 January 2014

Inquest into the Death of Amy TINKER

33y · Female·multiple organ failure complicating sepsis in a woman with cirrhosis of the live…

Amy Tinker, a 33-year-old Aboriginal woman with unrecognised cirrhosis from chronic alcohol abuse, died from sepsis-related multi-organ failure while imprisoned. She had been admitted to Royal Perth Hospital in 2004 with…

general practicehepatologycommunicationsystem
WAmental health- 26 May 2014

Inquest into the Death of Marjorie Mary DONE

84y · Female·unascertained; possible causes include cardiac arrhythmia, myocardial infarction…

An 84-year-old woman with a 50-year history of serious mental illness died suddenly at a psychiatric unit while under involuntary Mental Health Act status. She was found unresponsive in the TV lounge approximately 10 min…

psychiatrygeriatric medicineanti-psychotic medications
WA- 23 May 2014

Inquest into the Death of Ayumi KIMOTO

32y · Male·ligature compression of the neck (hanging)

A 32-year-old Japanese-American freelance photographer died by hanging in prison custody while remanded for importing prohibited material. He was comprehensively assessed on admission by experienced prison reception and …

correctional healthpsychiatry
WAhome- 15 May 2014

Inquest into the Death of Helen Barbara MINETT

55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis

A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple dru…

general practicepain medicinediagnosticcommunicationmorphine hydrochloride
WA- 12 September 2014

Inquest into the Death of Peter Philip HUMES

38y · Male·Ligature compression of the neck (hanging)

Peter Philip Humes, a 38-year-old Aboriginal man, died by suicide by hanging in Hakea Prison while on remand. He was assessed by prison officer Trevena and nurse Lee on admission using the MR011 'At-Risk' checklist and d…

general practicecorrectional healthsystemdelaymirtazapine
WAhospital- 11 April 2014

Inquest into the Death of Kevin Maxwell COLLINS

50y · Male·bronchitis (pandemic influenza A/H1N1 2009) in a man with chronic obstructive pu…

Kevin Maxwell Collins, a 50-year-old man with chronic schizophrenia, chronic obstructive pulmonary disease, and morbid obesity, died from bronchitis due to pandemic influenza A/H1N1 2009 while an involuntary patient at G…

psychiatryrespiratory medicineclozapine
WAmental health- 11 April 2014

Inquest into the Death of Luke Isaac FORKIN

28y · Male·ligature compression of the neck (hanging)

Luke Isaac Forkin, a 28-year-old man with a long history of substance abuse and mental health issues, died by suicide while absent without leave from Graylands Hospital. He had been admitted involuntarily due to psychoti…

psychiatrysystemdelayamphetamine
WAmental health- 11 April 2014

Inquest into the Death of Tom FOSKI

51y · Male·congestive cardiac failure in association with ischaemic and hypertensive heart …

Tom Foski, a 51-year-old man with chronic schizophrenia, died from congestive cardiac failure associated with ischaemic and hypertensive heart disease. He had multiple medical comorbidities including diabetes, COPD, prev…

psychiatrycardiologycommunicationdelayantipsychotic medications
WAmental health- 11 April 2014

Inquest into the Death of Amanda Alison GILBERT

47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…

Amanda Gilbert, aged 47, died from bronchopneumonia with background ischaemic heart disease, chronic renal failure, and hypoxic brain injury from a 1985 hanging attempt. She had been an involuntary patient at Graylands H…

psychiatrygeneral medicinesystemdelaylithium
WAmental health- 11 April 2014

Inquest into the Death of Ritchie GORDON

49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…

Ritchie Gordon, a 49-year-old Aboriginal man with chronic schizophrenia, was a long-term involuntary psychiatric patient at Graylands Hospital who died on 12 July 2005 of unascertainable cause. Possible explanations incl…

psychiatryforensic medicineclozapine
WAmental health- 11 April 2014

Inquest into the Death of Gregory Laurence HUNT

53y · Male·ligature compression of the neck (hanging)

Gregory Laurence Hunt, a 53-year-old man with chronic schizophrenia, died by suicide at Graylands Hospital while an involuntary patient. He hanged himself using a shower hose in a bathroom on an open ward. The coroner fo…

psychiatryemergency medicinesystem
WAmental health- 11 April 2014

Inquest into the Death of Aaron Luke PRISGROVE

32y · Male·ligature compression of the neck (hanging)

Aaron Luke Prisgrove, a 32-year-old man with depression, alcohol abuse, and acromegaly, died by hanging on 12 July 2011, shortly after involuntary admission to Graylands Hospital's Smith Ward. He had presented to Tom Pri…

psychiatryemergency medicinecommunicationsystemparacetamol/codeine
WAmental health- 11 April 2014

Inquest into the Death of Antoinette WILLIAMS

19y · Female·combined drug effect and myocarditis

A 19-year-old Aboriginal woman with alcohol and cannabis abuse died at Graylands Hospital from combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Roy…

psychiatryemergency medicinemedicationcommunicationhaloperidol
WAhospital2013-09-05

Inquest into the Death of Fisher, Hayley Bree

27y · Female·opiate toxicity (fentanyl)

Hayley Fisher, a 27-year-old midwife at King Edward Memorial Hospital, died from accidental opiate toxicity after injecting a fatal quantity of fentanyl she obtained from a patient-controlled analgesia device. She had a …

obstetricsanaesthesiasystemfentanyl
WA2013-05-30

Inquest into the Death of Mcdonald, Charles Edward

38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia

A 38-year-old remand prisoner with schizophrenia on clozapine died suddenly in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to prison on 20 Jul…

psychiatrypharmacologycommunicationsystemclozapine
WAhospital2013-02-14

Inquest into the Death of Marshall, Tracy Margaret

54y · Female·unascertainable

Tracy Margaret Marshall was a 54-year-old woman admitted to Nickol Bay Hospital on 20 February 2011 after reporting suicidal ideation and three suicide attempts. She presented with signs of psychotic illness including bi…

psychiatryemergency medicinediagnosticcommunicationdiazepam
110111215

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