Coronial

273 results for acute mental illness

QLDhome2015-03-19

Press, Connon Kenneth

33y · Male·Gunshot wound to the head

…c range). The coroner found he was likely incapable of forming clear intent due to the combined effects of acute psychosis, drug intoxication, and chronic mental illness. The ambulance service appropriately prioritised …

psychiatryforensic medicinemethamphetamine
VIChome2026-01-13

Finding into death of Filippo Pignataro

52y · Male·Pulmonary thromboembolism

…e. Clinicians should consider VTE risk stratification in immobilised patients recovering from respiratory illness, particularly those with reduced mobility or comorbidities, and document risk-benefit discussions when pa…

general practiceemergency medicineamoxicillin
QLDhome2012-11-14

Galeano, Antonio Carmelo

39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…

… died in police custody on 12 June 2009 after a protracted struggle and multiple taser activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergency. Clinical lessons i…

emergency medicinepsychiatryproceduralcommunicationamphetamine
NT2023-02-24

Inquest into the death of Bernard Hector

31y · Male·self-inflicted hanging

… 2021. He was remanded on serious charges and initially placed 'at risk' following his court appearance. A mental health assessment on 14 July 2021 found no mental illness or acute suicide risk, leading to removal from '…

psychiatrycorrectional healthcommunicationsystem
VICcommunity2012-03-01

Finding into death of K

33y · Male·complications from blunt force trauma to head consequent upon being struck by a …

A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Asses…

psychiatrygeneral practicediagnosticcommunicationmethadone
VICmental health2013-06-12

Finding into death of Naomi Eva-May Hall

37y · Female·head injury sustained in motor vehicle collision (pedestrian)

…licit clinical authorization. The death was ultimately due to the patient's deliberate act while suffering acute psychosis.

psychiatryemergency medicinesystem
WAmental health2015-11-30

Inquest into the Death of Frances May COOPER

48y · Female·Head injury

…ied from head injuries after being struck by a train on 30 October 2011 while on unescorted leave from the mental health unit at Kalgoorlie Regional Hospital. She was an involuntary patient under the Mental Health Act 19…

psychiatryemergency medicineproceduralsystemrisperidone
VICmental health2022-12-12

Finding into death of Scott Adam Brown

50y · Male·Hanging

…kinson's disease died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary to Parkinson's disease and its treatments rather than primary psyc…

psychiatryneurologysystemcommunicationmadopar
SAcommunity2005-03-14

Coroner's Finding: Ryan Kunmanara

Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…

…cue protocols were dangerously delayed (missing person not treated as emergency for 2+ days in 42°C heat); mental health services for Ryan and Cooper were reasonable but discharge planning from psychiatric detention inad…

psychiatryemergency medicinedelaysystempetrol
WA2004-03-02

Inquest into the Death of Natasha Leanne Quartermaine

25y · Female·Ligature Compression of the Neck (Hanging)

…stralia, died by suicide via ligature compression of the neck on 27 August 2001. She had a long history of mental illness, personality disorder, and poly-drug abuse. On the morning of her death, she expressed suicidal id…

psychiatrygeneral practicecommunicationsystemzuclopenthixol
VICaged care2015-05-14

Finding into death of Philip John Roberts Hewitt

64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …

…ntable had staff: (1) taken the specific threat seriously and separated the men, (2) escalated concerns to mental health services, or (3) received training in recognising mental health risks. The facility's care plan for…

psychiatrygeneral practicediagnosticcommunicationolanzapine
NSWmental health2019-11-29

Inquest into the death of Harold EDWARDS (a pseudonym)

49y · Male·Hanging

A 49-year-old man with major depression, suicidality and previous suicide attempts was admitted to the Acute Mental Health Unit at Nepean Hospital under involuntary detention. He died by hanging on 27 May 2017 durin…

psychiatrydiagnosticcommunicationtemazepam
QLDmental health2006-11-31

Jeffrey, Helen

38y · Female·Asphyxiation by plastic bag

…ut highlighted the need for awareness of common suicide aids, mandatory observation documentation, uniform mental health nursing practices, and consideration of technological safety monitoring solutions.

psychiatryemergency medicinesystemcommunication
SA2020-11-26

Coroner's Finding: KEN Kenneth Ngalatji

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…

psychiatrycardiologydiagnosticcommunicationolanzapine
SAhospital2000-11-20

Coroner's Finding: MIDDLETON Geraldine Ruth

45y · Female·haemorrhage due to traumatic rupture of the liver

…r cutting her wrist deeply with a carving knife. The treating casualty officer did not properly document a mental state examination, failed to detect signs of active psychosis (auditory hallucinations), and did not detai…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admit…

psychiatryintensive carediagnosticsystem
QLD2011-10-14

Death of a prisoner

34y · Male·Asphyxia consistent with plastic bag asphyxia

…ater found no signs of psychosis or depression. The coroner found suicide was not foreseeable to prison or mental health staff. Key systemic issues identified: unacceptable 4-month delay in first psychiatric assessment a…

psychiatrycorrectional healthsystemdelayolanzapine
VIChome2023-05-25

Finding into death of Emma Gertrude Weidemann

76y · Female·Effects of fire in a woman with head and neck injuries

Mrs Emma Weidemann, aged 76, died from burns sustained in a fire deliberately set by her husband Rudolf at their home on 11 December 2019. Rudolf had recently been diagnosed with terminal cancer, experienced cognitive de…

oncologypsychiatrydiagnosticcommunicationvenlafaxine
SAhospital2008-06-06

Coroner's Finding: AUSTIN Grant Aaron

29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…

…presented with prolonged refusal to eat and drink from December 2004, initially attributed to psychiatric illness (depression/catatonia) rather than organic causes. An endoscopy showed Helicobacter pylori infection but …

general medicinepsychiatrycommunicationdiagnostictrimethoprim
NSWhome2022-09-13

Inquest into the death of Ian Fackender

47y · Male·Multiple gunshot wounds; discharged by police officer during enforcement of Comm…

…t Order breach enforcement operation in his home. He had severe, treatment-resistant schizophrenia and was acutely psychotic during the incident. Critical failures occurred throughout: inadequate risk assessment and pla…

psychiatryforensic medicinecommunicationsystemaripiprazole

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