346 results for “mental health distress”
85y · Female·Coronary artery disease and heat exposure
…llowing bowel surgery. She was frail, hard of hearing, wore spectacles, and showed signs of confusion and distress about her placement. Staff noted her packing behaviour and stated desire to leave but failed to implement…
13y · Male·asphyxia as a result of hanging
MS, a 13-year-old Year 8 student, died by suicide by hanging on 16 February 2020. In the weeks before his death, MS engaged in self-harm by cutting his arms and expressed suicidal ideation to close friends through online…
14y · Female·Compression of the neck in circumstances of hanging
…r-old girl who died by hanging at home following an argument with a school friend online. She had no prior mental health history or significant stressors. The coroner identified a youth suicide cluster in Geelong in 2009…
59y · Male·Unascertained
…e to secure his next treatment placement (Melbourne Clinic) before discharge; (3) inadequate engagement of mental health services in trauma care; (4) discharge of a vulnerable patient with active suicidality concerns and…
68y · Male·PLASTIC BAG AND NITROGEN GAS ASPHYXIA
…itrogen gas. He sought access to Voluntary Assisted Dying (VAD) through his GP, Dr C., who assessed him as mentally well with full cognitive capacity, though distressed about his terminal condition. VAD was denied becaus…
45y · Male·bronchopneumonia and suppurative bronchitis complicating hypoxic brain damage
… Multiple system failures contributed to his death: he was admitted to prison late at night without proper mental health screening despite clear documentation of depression and suicidality risk; nursing staff failed to c…
58y · Female·Mixed drug toxicity (oxycodone, temazepam, diazepam, oxazepam, citalopram, fluox…
…though IBAC had not contemplated prosecution, this uncertainty persisted and progressively exacerbated her mental health. She had disclosed suicidal ideation to her treating psychologist but was reassured by protective f…
29y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
…rience driving in Australia (accustomed to right-hand traffic in Lebanon). The coroner noted he presented distressed to his migration agent that morning, expressing being overwhelmed by visa issues and personal circumsta…
39y · Female·Septic shock and nosocomial pneumonia secondary to pentobarbital (Nembutal) over…
…l pneumonia. She had been an inpatient at the Mother and Baby Unit (MBU) with involuntary status under the Mental Health Act 1996, then transitioned to voluntary status following a Mental Health Review Board (MHRB) heari…
43y · Male·hanging
…nder extended supervision in the community when his 22-year-old son died in 2021, profoundly affecting his mental health. After breaching his supervision order, he was returned to custody and transferred between two faci…
15y · Female·Hanging
…2019. She had received treatment from a private psychologist from 2017-2018 within the constraints of a GP Mental Health Care Plan (6-10 sessions), which was insufficient for evidence-based eating disorder treatment (16-…
42y · Male·hanging
…017 after rapid downgrading of his suicide risk rating from S1 to S4 over four days. Both had histories of mental health issues and suicide risk. Key clinical lessons: (1) risk assessments are ephemeral and vulnerable to…
63y · Male·asphyxia caused by hanging
Gerard Ernest Stefaniw, a 63-year-old man with cerebral palsy, cognitive impairment, and chronic pain, died by asphyxiation while detained at Roy Fagan Centre. He was unhappy about his guardianship order and detention. A…
32y · Male·Hanging
…with escitalopram. On 31 March 2019, he expressed suicidal intent; Ambulance Victoria provided phone-based mental health assessment and safety planning. Mr W reported feeling safe and declined hospital admission. He was …
23y · Male·Neck compression as a result of hanging
…nia with previous suicide attempts and was un-medicated for months before arrest. Critical failures in his mental health care included: delayed initial psychiatric assessment (3 weeks), inadequate intake screening that f…
34y · Male·Plastic bag asphyxia
…ours before his release on bail. He had disclosed anxiety and depression, made multiple self-referrals for mental health support, and was placed on waiting lists but not seen by a psychiatrist for over 50 days despite po…
36y · Female·Stab wound to the neck
…essons include the importance of recognising homicidal ideation and relationship breakdown risk factors in mental health assessments. Mr Hu presented to his GP on 9 and 11 September 2019 reporting stress, depression and …
28y · Female·compression of the neck and hanging
28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in …
24y · Female·hypoxic brain injury secondary to hanging
…e concerns, and self-harm behaviours. After one week, a psychiatrist recommended admission to a specialist mental health unit (Glenside). Critical failures occurred when a bed became available: a nurse (Peter York) from …
25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia
Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor …
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.