Coronial

746 results for psychiatric treatment

ACTcommunity2019-10-14

Inquest into the death of Adrian Pitman

54y · Male·Multiple injuries due to motor vehicle collision with retaining wall caused by d…

Adrian Pitman, a 54-year-old man with treatment-resistant schizophrenia, died by suicide following a motor vehicle collision with a retaining wall. He w…

psychiatrycommunicationsystemolanzapine
NTmental health2019-09-27

Inquest into the death of Linden Kunoth

24y · Male·self-inflicted hanging

Linden Alan Kunoth, a 24-year-old Aboriginal man, died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and comma…

psychiatrydiagnosticsystemaripiprazole
VICmental health2011-04-20

Finding into death of Nigel Delaney

51y · Male·unascertained

…of cardiac complications from antipsychotic use. The case highlights challenges in managing involuntary psychiatric patients with poor medication compliance and the limitations of forensic pathology in some sudden death…

psychiatryforensic medicineolanzapine
SAhospital2020-05-28

Coroner's Finding: FRANKLIN Murray Lenard

78y · Male·general inanition on a background of end-stage dementia

Murray Franklin, aged 78, died of general inanition from end-stage dementia whilst under involuntary psychiatric detention. He had advanced mixed dementia with severe behavioural disturbance and aggression requiring …

psychiatrygeriatric medicine
VIChospital2022-12-16

Finding into death of Arthur Peter Andrianakis

51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…

…y embolism. During ICU admission he developed unexplained severe hyperthermia (43°C) despite appropriate treatment including active cooling and dantrolene. The coroner found the hospital care reasonable and appropriate.…

emergency medicineintensive caresalbutamol
SAmental health2007-02-22

Coroner's Finding: CULO John

44y · Male·multiple injuries sustained when struck by a semi-trailer as a result of suicide

… bipolar disorder and severe depression died by suicide while detained under the Mental Health Act at a psychiatric hospital. He was hit by a semi-trailer after absconding from an open ward. The coroner found his treatm…

psychiatrychlorpromazine
VIChome2025-01-20

Finding into death of Kim Marie Bartolo

47y · Female·Mixed drug toxicity (venlafaxine, duloxetine, mirtazapine, oxycodone, tapentadol…

…on medications. She was admitted to Brunswick Private Hospital in October 2021 with a fractured hip and psychiatric review introduced a cross-titration medication regime (replacing venlafaxine with duloxetine, diazepam …

psychiatryorthopaedic surgerycommunicationmedicationvenlafaxine
SAhospital2020-07-09

Coroner's Finding: DUNSTAN Carole Ann (Redacted)

70y · Female·end stage dementia

… of natural causes at Repatriation General Hospital on 17 June 2017 while subject to a Level 3 Inpatient Treatment Order. She had been admitted following a suicide attempt with a knife at home in February 2017. Initiall…

psychiatrygeriatric medicinerisperidone
VICcommunity2022-07-13

Finding into death of Dane Warren Simpson

52y · Male·Hanging

…eating clinicians but recommended that professional colleges (RACGP, RANZCP, APS) review guidance on OCD treatment, emphasising the utility of involving family members and gathering collateral information, particularly …

general practicepsychiatrycommunicationfluoxetine
NSWhospital2017-08-22

Inquest into the death of Tyson MATTHEWS

30y · Male·external neck compression due to hanging

…, antisocial personality disorder) and substance abuse, died by hanging four days after presenting to a psychiatric emergency centre with self-inflicted wrist lacerations and expressing suicidal intent. A psychiatric re…

psychiatryemergency medicinepaliperidone
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discon…

psychiatryaddiction medicinediagnosticmedicationmethadone
VIC2016-08-22

Finding into death of Helen

68y · Female·Multiple injuries sustained in a fall

…suicide attempts died by jumping from a car park rooftop on 14 April 2015. She had been discharged from psychiatric inpatient care to aged care on 2 March 2015 after a protracted admission. On 2 April 2015, she presente…

psychiatryemergency medicinesystemmirtazapine
NSW2011-08-19

Coroner's Finding: Terry Griffiths

21y · Male·Suicide by hanging

…mental health care. Recommendations focused on expanding mental health resources, implementing Community Treatment Orders in correctional settings, and improving coordination between health and security services.

psychiatrydiagnosticmedicationresperidone
SAhome2004-01-29

Coroner's Finding: ARANY Eva and Jeno

Eva Arany: gunshot wound to the neck; Jeno Arany: traumatic brain damage complic…

An elderly man with severe depression, suicidal ideation, and ongoing psychiatric risk was hospitalised twice in 2000 and discharged on antidepressant medication. Despite staff identify…

psychiatrygeriatric medicinecommunicationsystemparoxetine
QLDmental health2007-06-20

Eady, Graeme William Julian

25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia

… on 11 October 2003, where he was placed under a 15-minute observation protocol following an involuntary treatment order. On 15 October, he was found with a plastic bag over his head in the bathroom and could not be res…

psychiatryemergency medicinesystemproceduralsertraline
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitt…

psychiatryemergency medicinemedicationcommunicationhaloperidol
VICprison2024-12-11

Finding into death of Jayke Michael Aleckson

24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging

… indication—a significant departure from reasonable care standards; (2) Failure to reschedule or rebook psychiatric appointments upon prison transfers, breaking continuity of mental health care; (3) Inadequate risk asse…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
TAShome2020-03-23

Coroner's Finding: Szemes, Kim Leonie Maree

59y · Female·Unable to determine - body too decomposed at autopsy

…ical findings suggestive of acute mental status change, the paramedics did not assess capacity to refuse treatment and departed when Mrs Szemes asked them to leave. No one saw her alive thereafter. The clinical lesson i…

paramedicinepsychiatrycommunicationsystem
VIChospital2022-10-11

Finding into death of Mr H

73y · Male·Infectious Exacerbation of Chronic Obstructive Airways Disease with the Contribu…

…tructive airways disease and Lewy body dementia, was admitted to hospital on 6 January 2021 following a psychiatric incident and was found to have pneumonia and severe infection. He died the following day. Clinical less…

geriatric medicinepsychiatrydelay
VIChospital2023-12-13

Finding into death of RW C

43y · Male·exsanguination from incised wounds to the arms - self inflicted

…d from exsanguination following self-inflicted incised wounds to both arms. He had been discharged from psychiatric inpatient care on 1 February 2020 after a 14-day admission for a previous suicide attempt, placed on a …

psychiatryemergency medicinecommunicationdelayrisperidone
111121338

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