273 results for “acute mental illness”
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
…medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple drug toxicity following a morphine o…
33y · Male·hanging
…after hospital discharge despite clinical recommendation). After hospital discharge, he wasn't reviewed by mental health clinicians, contrary to best practice expectations. Detention officers showed genuine concern but l…
41y · Male·Septicaemia secondary to chronic peptic ulcer disease
… at MRRC from August 2021, his medical history was not reviewed on intake. Although he was identified as a mentally ill person on 3 September 2021 and ordered transferred to Long Bay Forensic Hospital, no bed became avai…
30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …
…es), and his underlying heart disease. Critical failures included: no ambulance called early despite known mental health crisis; inadequate police supervision and communication; failure to monitor breathing during prone …
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
…e sub-optimal care deficiencies: inadequate urine output monitoring (no urinary catheter despite critical illness and acute kidney injury); delayed and sub-optimal antibiotic dosing and timing; failure to place arterial…
Male·Transection of the aorta with exsanguination caused by gunshot wounds to the mid…
Warren I'Anson died from gunshot wounds to the mid-back on 17 November 1995 during a police response to a mental health crisis. He had schizophrenia, recently experienced grief from his wife and friend's deaths, and was…
33y · Male·Extensive burns sustained when former partner deliberately splashed petrol on hi…
…and systems abuse; explicit assessment of risk to receiving parent when children transition care; need for mental health specialist involvement in safety planning; importance of multi-agency information sharing to preven…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairn…
60y · Male·asphyxia sequential to hanging due to depression
…une 2006, he was discharged from Cairns Base Hospital Emergency Department with a plan to attend community mental health the following morning. However, he died by hanging on 28 June 2006. Key clinical lessons include: t…
65y · Male·hypoxic ischaemic encephalopathy complicating hanging
James Nicholson, aged 65, died from hypoxic ischaemic encephalopathy following a suicide attempt by hanging while an inpatient at Noarlunga Hospital on 18 August 2015. He had undergone extensive facial cancer surgery in …
Unknown·Multiple causes including neck compression due to hanging (Ward, Ryan, Cooper) a…
This inquest into four deaths on the Anangu Pitjantjatjara Lands involved multiple causes including hanging (three cases) and exposure with complications. Kunmanara Ward died by hanging while intoxicated with petrol; Kun…
40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…
…zures, medication non-compliance, 72-hour sleep deprivation); (2) inappropriate application of a community mental health management plan to a custodial setting, which recommended avoiding detention despite manifestations…
60y · Female·neck compression by ligature strangulation
Martina Morgan, aged 60, died from ligature strangulation by her own leggings while in police custody at Sturt Police Station in March 2015. She was significantly intoxicated (BAC 0.23%) and taking benzodiazepines when a…
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