Coronial

366 results for psychiatric admission assessment

WAmental health

Inquest into the Death of Vincent Tavita Tolai SCHWENKE

24y · Male·complications of ligature compression of the neck (hanging)

…fficult to predict and may occur suddenly even when symptoms appear to be improving; (2) individual risk assessment and balancing dignity with safety is appropriate rather than blanket restrictions; (3) maintaining thera…

psychiatryneurologyescitalopram
VICmental health2013-02-25

Finding into death of Joy Apostolopoulos

41y · Female·Multiple injuries due to impact by train

…ith schizophrenia and depression, died by suicide when struck by a train after absconding from a locked psychiatric ward at Alfred Hospital. She had been on escorted leave, became acutely agitated upon returning home, a…

psychiatryemergency medicinecommunicationsystemclozapine
SAhospital2018-05-23

Coroner's Finding: LA BELLA Claudia

28y · Female·aspiration of gastric contents complicating laxative abuse

…fabricated a terminal cancer diagnosis to conceal anorexia nervosa and factitious disorder. During a RAH admission, a CT scan revealed dozens of tablets in her stomach, but staff accepted her explanation (pain medicatio…

general practicegeneral medicinediagnosticcommunicationbisacodyl
VICcommunity2012-08-17

Finding into death of Jesse Ross Sangster

28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)

…riday 29 January without case manager involvement or family notification; and failure to arrange urgent psychiatric review until 4 February, which never occurred. Post-discharge observations on 2 February showed clear r…

psychiatryparamedicinesystemdelayalcohol
VIChospital2025

Finding into death of Ms NXA

54y · Female·neck compression secondary to hanging

…. The clinicians adopted a narrow formulation attributing her suicidality solely to tinnitus and deemed psychiatric admission unnecessary. She died by hanging the following day. The coroner found multiple missed opportu…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
NSWmental health2018-12-19

Inquest into the death of R R

38y · Female·neck compression (hanging)

… suicide notes at her home to the treating psychiatrist; inadequate formal documentation of suicide risk assessments; reclassification to voluntary status and care level 4 (2-hourly observations) on 15 April without docu…

psychiatryemergency medicinecommunicationsystem
VICcommunity2021-03-10

Finding into death of Jack David watson

26y · Male·Plastic bag asphyxia in the setting of a vitiated atmosphere with inert gases

… long history of mental health issues including ADHD, depression and suicidal ideation. Following acute psychiatric admission to Ballarat Health Services (7-14 July 2016) where he was treated under a Temporary Treatment…

psychiatryemergency medicinecommunicationsystemdextroamphetamine
TAScommunity2023-05-19

Coroner's Finding: Kirkwood, Jordan Thomas

19y · Male·hypoxic brain injury following asphyxia due to hanging

…eturn him to MHHITH after a second suicide attempt on 5 April when a registrar had recommended inpatient admission; (2) Dr G.'s unreasonable acceptance of Mr Kirkwood's claim that a polypharmacy overdose on 27 April was…

psychiatryemergency medicinediagnosticcommunicationfluoxetine
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

… longitudinal history showed likely relapsed psychosis with probable bipolar disorder. After discharge, psychiatric care was fragmented with poor communication between services. Theo presented to emergency twice in Janu…

psychiatrygeneral practicediagnosticcommunicationolanzapine
WAmental health2024-04-08

Inquest into the Death of Paul McLOUGHLIN

59y · Male·incised injuries to the neck

…nvoluntary patient under a treatment order. His mental health appeared to be improving during his 17-day admission, with successful previous day leave periods. The coroner found his death could not have been anticipated…

psychiatryvenlafaxine
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

…after ingesting approximately 150 tablets from a medication drawer beside his bed. Andrew had a complex psychiatric history including schizophrenia, multiple suicide attempts, self-harm, and a severe overdose attempt in…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
VIChospital2014-02-10

Finding into death of Glenn Stewart Hayes

36y · Male·Hypoxic/ischaemic encephalopathy and hanging

…health crisis in patients with polysubstance abuse, untreated depression, and multiple stressors. Early psychiatric assessment and crisis intervention when suicidal intent is expressed could have prevented this tragedy.…

intensive careemergency medicinediagnosticsystemmethamphetamine
TAShospital2023-05-31

Coroner's Finding: Richardson Rebecca Eileen

29y · Female·acute myocardial infarction due to stenotic coronary vessel (left anterior desce…

… pain and vomiting, initially attributed to cannabis use. Her behaviour was disruptive; she refused full assessment and treatment. The coroner found her management at NWRH was reasonable given available guidelines. Howev…

emergency medicinecardiologydiagnosticcommunicationinsulin
VICmental health2017-02-07

Finding into death of Esther Ng Kit Ching

53y · Female·Hypoxic brain injury due to hanging

A 53-year-old woman with severe depression, anxiety, and recent suicide attempt died by hanging in a psychiatric hospital's low-dependency unit. She had received ECT and was on hourly observations. On the day of her …

psychiatrycommunicationdelaymirtazapine
SAmental health2025-03-06

Coroner's Finding: Fowles, Wayne Lincoln

59y · Male·hanging

A 59-year-old man with major depression and psychotic features was lawfully detained under an inpatient treatment order at Noarlunga Hospital's Morier Ward. He was appropriately managed, initially in the high-dependency …

psychiatryemergency medicinelorazepam
WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

…y disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty to arson charges and was remanded pending surety papers. While in court holding cells…

psychiatryforensic medicinecommunicationsystemmethamphetamine
WAmental health2015-12-31

Inquest into the Death of Stephen Colin ROBSON

Unknown·Ruby Nicholls-Diver: ligature compression of neck (hanging); Carly Jean Elliott:…

Five psychiatric patients of Alma Street Centre died between March 2011 and March 2012. Two (Ruby Nicholls-Diver and Ant…

psychiatryemergency medicinediagnosticcommunicationclozapine
VIChospital2015-04-02

Finding into death of Maria Teresa Nigro

53y · Female·hanging

… involuntarily to Werribee Mercy Hospital's Low Dependency Unit (LDU) on 4 February 2009. Despite a risk assessment on 9 February 2009 that scored her with no suicidal ideation, she died by hanging that night using a dre…

psychiatrycommunicationsystemsertraline
QLD2010-10-08

Barker, Jeremy Dylan

27y · Male·Hanging

Jeremy Barker, a 27-year-old man with bipolar disorder, recent suicide attempts, and explicit stated intention to hang himself, was admitted to Arthur Gorrie Correctional Centre's medical unit for observation as an 'at-r…

psychiatrycorrectional healthcommunicationsystemcarbamazepine
SAhospital2007-07-02

Coroner's Finding: VINER Robert John

58y · Male·Hypoxic encephalopathy secondary to cardiac arrest due to cardiomegaly

…e underlying cardiac pathology (cardiomegaly) appears to have been undetected pre-arrest; cardiovascular assessment on admission may have identified this risk.

psychiatryemergency medicineolanzapine
112131419

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.