240 results for “acute mental health crisis”
44y · Male·Cardiomegaly
Lionel Perry, a 44-year-old Aboriginal man with schizoaffective disorder and polysubstance abuse history, died from cardiomegaly (enlarged heart due to concentric ventricular hypertrophy) while an involuntary psychiatric…
24y · Male·Gunshot wound to the head
…nes or structured risk assessment framework exists for determining fitness to hold firearms in people with mental health diagnoses or suicide history. Medical practitioners must rely on unstructured professional judgment…
27y · Male·Hanging
…ng using a bed sheet attached to exposed window bars in the toilet. Critical failures included: housing an acutely suicidal patient in an area with accessible hanging points despite prior staff warnings about this risk;…
68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…
…old Aboriginal man died by hanging in his cell at Yatala Labour Prison on 16 April 2015 while experiencing acute myocardial infarction. He was transferred to Yatala for urgent psychiatric assessment following two self-h…
49y · Female·Hanging
…urder. She had been hospitalised two weeks prior with suicidal ideation but discharged with improved mood. Mental health assessments at the correctional centre noted anxiety but assessed her as low risk following her den…
34y · Female·Multiple injuries from pedestrian motor vehicle collision; suicide by stepping i…
…y suicide on 2 October 2007 after stepping into the path of a truck. She had been reviewed and assessed by mental health workers on 2 October evening and deemed not to be at imminent risk. However, later that night follo…
23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…
A 23-year-old man with bipolar disorder, polysubstance dependence, and chronic self-harm died by jumping from the Tasman Bridge hours after psychiatric discharge. Despite two suicide attempts within 48 hours preceding as…
17y · Female·Self-inflicted hanging in the context of known complex mental health and behavio…
Didbala, a 17-year-old Aboriginal girl with complex mental health conditions including psychosis, bipolar disorder and suspected FASD, died by hanging at a CASPA res…
43y · Male·Hanging
Brett Andrew Pollini, a 43-year-old fire station officer with bipolar affective disorder, died by suicide following a distressing telephone call with the Child Support Agency (CSA) regarding a substantial increase in chi…
30y · Male·Electrocution and multiple injuries from contact with high voltage arcing electr…
AC, a 30-year-old man, died from electrocution and traumatic injuries after climbing a high-voltage transmission tower during a police traffic stop in Wagga Wagga. He was speeding and became extremely distressed when adv…
21y · Male·undetermined causes, in the course of being restrained by members of the NSW Pol…
…; avoiding multiple Taser applications to handcuffed persons; and implementing communication protocols for mental health presentations to police.
49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …
…uded: inadequate verification of Mr Lowe-Brock's suitability as a supervisor (he later revealed unreported mental health issues), lack of written communication between hospital psychiatrists and her long-term private GP …
54y · Male·quetiapine toxicity in a man with ischaemic heart disease
…medications on 29 June 2021. He had experienced a recent relationship breakdown and presented to Grampians Health (GH) with multiple suicide attempts within 72 hours. The Coroner found several key deficiencies in his men…
55y · Male·Hanging
Peter Tully, 55, died by hanging 4 days after discharge from his first psychiatric admission for major depressive disorder with suicidality. He had made 3 suicide attempts in the week before admission. During hospitalisa…
18y · Male·Ligature compression of the neck (hanging)
…ldren and partner. Although initially placed on the Disturbed and Vulnerable list with recommendations for mental health monitoring and psychological follow-up, these recommendations were not implemented. A prior alleged…
41y · Male·ligature compression of the neck (hanging)
Owen Weazel, a 41-year-old Wakka Wakka man with chronic mental health issues, substance use disorder and previous suicide attempts, was found hanging in his cell at Alba…
17y · Female·Neck compression by hanging (suicide)
…n. Critical failures included: inadequate cultural connection and support, poor case management focused on crisis response rather than relational practice, failure to facilitate family contact despite court orders, insuf…
Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…
…hild protection services; severe truancy (59% of Kimberley students attend infrequently); and insufficient mental health infrastructure (no secure psychiatric facility in the Kimberley). Twenty-seven recommendations addr…
60y · Male·asphyxia sequential to hanging due to depression
…une 2006, he was discharged from Cairns Base Hospital Emergency Department with a plan to attend community mental health the following morning. However, he died by hanging on 28 June 2006. Key clinical lessons include: t…
Unknown·Ruby Nicholls-Diver: ligature compression of neck (hanging); Carly Jean Elliott:…
Five psychiatric patients of Alma Street Centre died between March 2011 and March 2012. Two (Ruby Nicholls-Diver and Anthony Edwards) died within 24 hours of discharge; two (Carly Elliott and Michael Thomas) died shortly…
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