366 results for “psychiatric admission assessment”
21y · Male·Head injury sustained in fall from height
…sustained jumping from a 3-metre hospital courtyard wall on 1 January 2011. He had been admitted to the psychiatric unit 10 days earlier with paranoid delusions and command hallucinations telling him to commit suicide. …
49y · Male·Hanging
…Expert review found that while the team provided conscientious care with adequate monitoring, a hospital admission would have been prudent given the persistent suicidal ideation, continuing symptoms despite treatment, a…
36y · Female·Hanging
…abuse (2+ bottles wine daily); inadequate coordination with her private psychiatrist; no documented risk assessment before discharge; failure to involve her father despite his concerns; and unclear follow-up arrangements…
23y · Male·Multiple injuries sustained following collision with a train
…ly 1 hour 51 minutes later. Clinical lessons include: urgently reviewing paramedic records during triage assessment; maintaining continuous security presence; immediate police notification with complete risk information …
33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…
… mental health community treatment order was revoked. He was admitted to the ED rather than a dedicated psychiatric unit due to lack of mental health beds. After initial sedation, he was managed with partial restraint a…
47y · Male·abnormal heart rhythm (arrhythmia) induced by atherosclerosis, occurring in the …
…boptimal; and a previously recommended CPAP device was not provided. Better coordination of cardiac and psychiatric care, closer monitoring of vital signs and physical examination findings, and judicious medication sele…
24y · Male·Hypoxic brain injury secondary to hanging
…oid schizophrenia, substance abuse disorder, and anti-social personality disorder, died by hanging in a psychiatric unit after a suicide attempt. He was admitted on 4 January 2016 with suicidal ideation and assessed as …
60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression
Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit ba…
24y · Male·neck compression secondary to hanging
…iate. However, a serious adverse patient safety event review identified system improvements needed: risk assessment tools inadequately captured suicide risk, family engagement in care planning was inconsistent, leave app…
26y · Female·Asphyxiation due to Ligature Compression of Neck
…dead at 8.10pm. The coroner found death by suicide. Key clinical issues included: no formal suicide risk assessment form completed; no 'no suicide contract' obtained (unlike previous admission); no search of belongings f…
54y · Male·carbon monoxide asphyxia
… December 2017 with suicidal ideation while intoxicated. Although appropriately triaged and assessed by psychiatric staff, he waited several hours without cubicle availability before being discharged voluntarily with co…
29y · Male·hanging
Paul Skinner, a 29-year-old with depression and recent suicide attempt, was admitted to a psychiatric inpatient unit on involuntary status. Despite being prescribed 15-minute observations by his treating p…
22y · Male·Hanging
…lth hospital to police custody following an alleged assault of another patient. Within a month of prison admission, he died by hanging, having accessed razor blades and exploited an obvious hanging point. Clinical lesso…
62y · Female·Hypoxic brain injury complicating mixed drug toxicity
…July. The coroner found her suicide risk was assessed as moderate and she was discharged with follow-up psychiatric appointment the next day. Critical clinical lessons: suicide risk assessment should weight objective fa…
47y · Female·Multiple injuries from being struck by a train
A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiat…
24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway
Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent beha…
50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…
…on. The coroner found he should have been under continuous rather than close observations, and that key psychiatric warnings (paranoid comments, thought-disordered writings) were not adequately communicated to treating …
43y · Male·Pneumonia
…hizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medications including methadone (commenced 3 days prior…
49y · Male·Multiple injuries from a fall from height
…anoid delusions, and non-compliance with Olanzapine. Despite being assessed as requiring either hospital admission or supervised community treatment, he chose community-based medication supervision. He was assessed as d…
48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…
…th depression, anxiety, and bipolar disorder died from mixed drug toxicity while on voluntary inpatient psychiatric admission. She had undisclosed significant illicit drug use, which was not identified during initial as…
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