391 results for “psychiatric medication management”
38y · Male·multiple injuries
…nder the Mental Health Act when he went over the wall. A case conference three weeks prior had discussed management of his anticipated reaction to the dog's death, with the family preferring home monitoring rather than p…
37y · Male·Combined effects of presumed heavy metal poisoning from an unknown material and …
…nia when he went missing. Clinical lessons include: the critical importance of not ceasing antipsychotic medication in chronic schizophrenia without structured risk management; psychiatrists should not 'reverse' long-sta…
29y · Male·Unascertained
…vels difficult to interpret. No errors were identified in prescription, dispensing, or administration of medications. Care and supervision appeared appropriate. The coroner concluded the cause was unascertained. Key clin…
33y · Male·hanging
…and and Reception Centre on 23 September 2020. He had been remanded in custody for three weeks. Despite psychiatric assessment on 15 September identifying psychotic symptoms and thought disorder, he was commenced on ant…
24y · Male·Neck compression in the circumstances of hanging
…trict Aboriginal Services (MDAS), which provided appropriate community-based care including counselling, medication, and practical support. However, documented suicide risk assessments were not evident in his clinical re…
42y · Female·Ligature compression of the neck (hanging)
…rioration, she was admitted to Busselton District Hospital on 18 August 2003 and transferred to Bentley Psychiatric Hospital on 21 August. Although assessed as a voluntary patient with protective factors (family support…
49y · Female·hypoxic ischaemic encephalopathy complicating cardiac arrest due to pulmonary th…
A 49-year-old woman with morbid obesity, obstructive sleep apnoea, and psychiatric history was admitted following deliberate medication overdose. She was intubated, managed in ICU, then …
23y · Male·Plastic bag asphyxia in setting of irrespirable atmosphere induced by nitrogen g…
…der care of various mental health services. On 9 September 2024, he consulted with Dr G. who changed his medication from aripiprazole/olanzapine to mirtazapine/brexpiprazole with oxazepam. Mr Clifford reported being non-…
61y · Female·Drowning due to asphyxia from saltwater ingestion
…rlier intervention would have enhanced resuscitation prospects. Medical care by her GPs was appropriate; medication changes supported her recovery. Dissociative episodes and medical conditions were unlikely contributing …
36y · Male·Combined effects of trihexyphenidyl (benzhexol) toxicity, amphetamine-type stimu…
…amine-type stimulants, and dehydration with renal impairment. He was on a community treatment order for psychiatric care. Key failures: the deceased's GP did not adequately engage with the community mental health team d…
40y · Male·UNDETERMINED - natural causes (most probably natural disease; starvation could n…
…ined undetermined at autopsy despite natural causes being confirmed. While Monash Health's mental health management was comprehensive and appropriate, the coroner identified inadequacies in the police missing person inve…
35y · Male·hyponatraemia due to excessive consumption of water, against a background of psy…
…d psychogenic polydipsia, died in custody from hyponatraemia following excessive water consumption. His psychiatric care by Dr R. was judged adequate within prison constraints, with appropriate sodium monitoring, fluid …
58y · Male·Gastrointestinal haemorrhage due to erosive gastritis
… due to erosive gastritis at Sir Charles Gairdner Hospital on 19 April 2004. He had been an involuntary psychiatric patient at Graylands Hospital since 1992, following a severe head injury sustained in a motor vehicle a…
70y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis
…rmal care plan documentation would have better ensured systematic follow-up of his cardiac status, lipid management, and medication compliance after psychiatric medications were ceased.
42y · Male·acute methadone intoxication
Paul William Lowe, a 42-year-old man with treatment-resistant epilepsy, schizophrenia, and long-standing opioid dependence, died from acute methadone intoxication on 12-13 August 2018. Evidence strongly indicates he inje…
63y · Male·Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic …
…as admitted involuntarily to Northern Hospital on 24 March 2024 after exhibiting delirium and mania with medication non-compliance. He was assessed as high risk and managed under Mental Health Act orders. Despite reasona…
51y · Male·unascertained; presumed sudden cardiac arrhythmia
…51-year-old man with schizoaffective disorder, died from an unascertained cause while under involuntary psychiatric care. He presented with acute behavioural changes including excessive drinking, unusual fluid/milk cons…
20y · Male·Ligature compression of the neck (hanging)
…m risk; and (3) cell checks not conducted according to protocol, with the evening check occurring during medication rounds, reducing effectiveness. The coroner found the death was suicide and made recommendations to urge…
33y · Female·hanging
…e coroner found that discharge was inappropriate and would likely have been prevented by admission. The psychiatric medical officer failed to adequately consider the patient's longitudinal history of depression, anxiety…
Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…
Five psychiatric patients from Alma Street Centre (Fremantle Hospital) died by suicide within 12 months (March 2011-Marc…
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