Coronial

475 results for psychiatric admission

VICmental health2012-04-03

Finding into death of Miles David Colman

21y · Male·Head injury sustained in fall from height

…sustained jumping from a 3-metre hospital courtyard wall on 1 January 2011. He had been admitted to the psychiatric unit 10 days earlier with paranoid delusions and command hallucinations telling him to commit suicide. …

psychiatryintensive carerisperidone
WAhospital2018-09-10

Inquest into the Death of Theodore Herbert Eric JOHANSEN

50y · Male·Drowning

…in. He was appropriately referred to Peel Health Campus for assessment. The ED doctor referred him to a psychiatric liaison nurse, who assessed him as low risk after he denied family history of mental illness and suicid…

psychiatryemergency medicinediagnosticcommunicationamitriptyline
NSW2020-10-23

Inquest into the death of Ye Chiu

67y · Male·Head injuries sustained from a fall from the upstairs landing in Goldsmith G Blo…

… died by suicide in prison on 6 February 2017 after falling head-first from a landing. He had a complex psychiatric history including anxiety, depression, hyponatraemia, and two previous psychiatric admissions. Whilst i…

psychiatryemergency medicinesystemcommunicationparoxetine
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
NTmental health2019-09-13

Inquest into the death of Daniel Alexander Bleaney

37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof

…ttempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatric ward, following assessment in the ED. He was assessed as highest risk for suicide but placed on 15-minu…

psychiatryemergency medicinesystemdiagnosticdiazepam
VIChospital2013-02-22

Finding into death of Domenico Chiodo

33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…

… mental health community treatment order was revoked. He was admitted to the ED rather than a dedicated psychiatric unit due to lack of mental health beds. After initial sedation, he was managed with partial restraint a…

emergency medicinepsychiatrydiagnosticmedicationolanzapine
SA2000-12-04

Coroner's Finding: NOBELS Laurens Adrian Keith

29y · Male·hanging

A 29-year-old man remanded in custody at Adelaide Remand Centre died by hanging on 15 January 2000. At admission, he denied self-harm risk and psychiatric history; no warning signs were identified. He was found hangin…

forensic medicineemergency medicinecommunicationsystem
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiat…

psychiatrypsychologysupervisionsystemcitalopram
VIChospital2022-05-04

Finding into death of Marlene Sako

25y · Female·self-immolation

…reats of self-harm and suicide attempts. Despite a pattern of escalating presentations over months, the psychiatric assessment failed to obtain collateral information from her family, who were present and able to provid…

emergency medicinepsychiatrydiagnosticcommunicationalcohol
VICmental health2019-05-17

Finding into death of Thi Ha Do

42y · Female·Incised injury to the neck

… woman with depression and suicidal ideation died by self-inflicted neck laceration while admitted to a psychiatric inpatient unit. She had been assessed as low risk and placed on 30-minute observations. Clinical manage…

psychiatryforensic medicinesystemcommunicationmirtazapine
TAShospital2020-05-18

Coroner's Finding: Griffin, James Geoffrey

69y · Male·mixed drug toxicity; oxycodone overdose with doxylamine, temazepam, and naloxone

James Geoffrey Griffin, a 69-year-old man facing multiple charges for historic child sexual abuse, died from mixed drug toxicity involving oxycodone, doxylamine, temazepam, and naloxone. He was admitted to Launceston Gen…

emergency medicineintensive careoxycodone
VIChospital2015-10-14

Finding into death of Marc Phillip Vella

39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor

…ified pneumonia, septicaemia, and possible bacterial endocarditis. His mental health deteriorated during admission, necessitating a Mental Health Act order variation to enable medical treatment. Despite appropriate clin…

emergency medicinegeneral medicinemethamphetamine
VICcommunity2013-04-10

Finding into death of RJA

30y · Male·Multiple injuries from impact by train

A 30-year-old man with schizophrenia was admitted to Frankston Hospital in March 2011 after presenting to the Emergency Department. He was discharged after approximately 2.5 weeks to community mental health services. Key…

psychiatryemergency medicinecommunicationsystem
SAhospital2020-11-03

Coroner's Finding: ALLEN Wendy Elizabeth

75y · Female·general inanition and pneumonia on a background of end-stage dementia

…ion and behavioural disturbance related to her dementia. She deteriorated progressively during her final admission, developing aspiration pneumonia. Care was transitioned to palliative measures on 10 October 2017, and s…

psychiatrygeriatric medicinehydromorphone
VICaged care2015-05-14

Finding into death of Philip John Roberts Hewitt

64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …

…homicidal ideation despite documented history. Key failures included inadequate information gathering at admission, lack of mandated mental health training for staff, and normalisation of serious threats over time.

psychiatrygeneral practicediagnosticcommunicationolanzapine
VICcommunity2025-04-16

Finding into death of Jamie Peter Nisbet

47y · Male·Compression of the neck arising from hanging

…iatry registrar Dr D. on 19 September, she concluded his presentation was non-genuine and he was seeking admission to avoid court. He was not admitted. Following a failed telehealth appointment on 20 September where he …

psychiatryemergency medicinecommunicationsystemrisperidone
VIChome2024-08-29

Finding into death of Natalie Wilson

33y · Female·neck compression and hanging

…ultiple suicide attempts. She died by hanging on 2 September 2020 after being offered voluntary hospital admission for high suicide risk but choosing to wait at home. While her GP and psychologist provided exemplary, tr…

psychiatrypsychologysystemescitalopram
NSW2018-05-30

Inquest into the death of Abduelaziz Omerhaj

36y · Male·undetermined (possibly ethylene glycol poisoning; possibly natural cause such as…

A 36-year-old man with acute psychotic illness absconded from Ryde Hospital Emergency Department on 3 August 2013 after refusing oral antipsychotic medication. He evaded police efforts to locate him and was found dead in…

psychiatryemergency medicinecommunicationproceduralolanzapine
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
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

…s (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concerning psychiatric behaviour. He was appropriately assessed in the Short Stay Unit, where blood gas analysis revealed crit…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
113141524

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