346 results for “mental health distress”
45y · Female·Neck compression secondary to hanging
… symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (borderline personality disorder, schizoaffective disorder, complex PTSD) and a history o…
Unknown·Self-inflicted gunshot wound; suicide
…s: Richard Roberts (57, PSO), Samantha Baglin (44), and Dominic Coleman (52, ASO). All three had untreated mental health conditions and avoided disclosure through the required Change of Health Notification Form (COHNF). …
52y · Female·Plastic bag asphyxia and asphyxia in the setting of an irrespirable environment
…c suicidal ideation, died by argon gas inhalation in June 2017. She had been under care of North West Area Mental Health Service with a Community Treatment Order and was receiving multidisciplinary support including psyc…
20y · Male·Ligature Compression of the Neck (Hanging)
…igma, and paranoid fears. The coroner recommended cultural awareness training for nursing staff and environmental improvements to reduce hanging points and create a less intimidating ward atmosphere for Aboriginal patien…
16y · Female·mixed drug toxicity (oxycodone, citalopram, fluoxetine and quetiapine)
…sonality disorder, reactive attachment disorder, and suicidal ideation. Following escalating behaviour and mental health deterioration, she was placed in residential care (MacKillop) on 17 October 2013, with a Placement …
28y · Male·ligature compression of the neck (hanging)
…conding patients, ensuring staff training on absconding policies, and balancing autonomy for transitioning mental health patients against security risks.
57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…
A 57-year-old woman with complex medical and mental health conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. S…
55y · Female·Plastic bag suffocation
…ate high-care residential placement for a disabled person under 65 years old. Despite intensive efforts by mental health services and family, Disability Services Queensland (DSQ) had significant delays in assessment (3-4…
34y · Male·Neck compression by hanging
…nsufficient consideration of contextual stressors, and systemic failures in maintaining appropriate environmental safeguards. The death was preventable through proper closure of identified hanging points and continuous s…
20y · Male·Multiple injuries from fall from height
…o-ordinator and interference from senior correctional officers; there was inadequate documentation of his distress on cell intercoms; family contact attempts were blocked; and the escort officers failed to maintain prope…
82y · Female·Acute bronchopneumonia
…th, and that the nursing decision to hospitalise was appropriately timed given the absence of respiratory distress or signs of critical deterioration. No preventable errors were identified.
41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…
…elirious state due to sepsis-induced acute organic brain syndrome. He was appropriately detained under the Mental Health Act to ensure treatment, re-admitted to RAH, and underwent emergency aortic and pulmonary valve rep…
29y · Male·Shotgun wound to the head
Robert James Lawrence, a 29-year-old man with complex mental health needs including ADHD, depression, anxiety, Tourette's syndrome, and borderline personality traits, …
23y · Male·Injuries sustained when struck by train
…d leave from psychiatric inpatient care. He had been admitted to The Alfred Hospital in January 2018 under Mental Health Act compulsion with treatment-resistant schizophrenia. Despite comprehensive psychiatric management…
29y · Male·acute neck compression due to hanging
…ide Remand Centre while in custody awaiting trial for domestic violence assault. He had been increasingly distressed about separation from his children and made multiple phone calls expressing suicidal ideation. The pris…
43y · Male·Pneumonia
Jeffrey John Hartwig, a 43-year-old with chronic schizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medic…
57y · Male·Multiple injuries sustained by being struck by a freight train
A 57-year-old man with 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive psychiatric management i…
82y · Male·Self-inflicted partial contact shotgun wound of the head
…icted shotgun wound. He had undergone intensive chemotherapy causing significant deterioration in physical health, mental state, and independence. Six weeks before death, he required tooth extraction due to treatment tox…
20y · Male·Multiple injuries from fall from height
…plified systemic failures: the psychologist conducted an incomplete risk assessment without accessing full mental health records or contacting his supportive mother; the RIT coordinator lacked required training; and Bail…
Female·Hanging
…cal conditions including bilateral micropthalmia (blindness), adrenal insufficiency, hypotonia, and developmental delay. TC became severely depressed following SN's birth, experiencing persistent suicidal and homicidal i…
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