West, Ian Leslie
26y · Male·bronchopneumonia following severe head injury
Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony o…
301 results for “psychotic disorder”
26y · Male·bronchopneumonia following severe head injury
Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony o…
23y · Male·Injuries sustained when struck by train
…e psychiatric management and good clinical care, he experienced medication side-effects and intermittent psychotic symptoms. On 10 February 2018, while on approved escorted leave with his father, he was left alone to bu…
40y · Male·Ligature compression of the neck in circumstances of being hanged
Adam Omerovic, a 40-year-old man with a long history of depression, substance abuse, and prior suicide attempts, died by hanging in a Melbourne Assessment Prison cell on 23 March 2010. He had been remanded on armed robbe…
24y · Male·Massive blood loss caused by incised wounds of left upper extremity
A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He calle…
49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…
Phillip Veltman, 49, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on…
36y · Female·Stab wound to the right chest
…rris multiple times, set fire to the home, and was arrested. Two forensic psychiatrists concluded he was psychotic at the time. The coroner found the GP's prescribing of high-dose tramadol over 22 months without special…
41y · Female·neck compression
Kim Lynch, 41, died from neck compression between 12-14 February 2016. She was in a relationship with LM, who had paranoid schizophrenia, substance abuse issues, and a history of violence. Following a family violence inc…
61y · Male·Undetermined
Gerard Guy Vaz, a 61-year-old man with bipolar disorder, obstructive sleep apnoea, and renal impairment, was admitted to Maroondah Hospital on 2 April 2015 with …
31y · Male·hanging (self-inflicted)
Darryl Walker, a 31-year-old Aboriginal man with chronic schizophrenia and diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on 1 June after …
30y · Male·Gunshot wounds to the chest
Gabriel Messo, a 30-year-old man with bipolar affective disorder, died from gunshot wounds inflicted by Victoria Police on 16 July 2020 after violently assaulting his mot…
35y · Male·cardiac arrhythmia with amisulpride toxicity, and myocarditis being contributory…
35-year-old Mohamed Warwar died in custody at Metropolitan Remand & Reception Centre from cardiac arrhythmia with amisulpride toxicity and myocarditis. He was admitted to custody with a history of mental health issues an…
36y · Male·hanging
…family and treating psychiatrist should guide assessment alongside patient's presentation; patients with psychotic illnesses may minimise symptoms; junior clinicians managing complex psychiatric presentations should con…
41y · Male·Ligature compression of the neck (hanging) and penetrating sharp force injury (s…
Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…
38y · Female·Asphyxiation by plastic bag
Helen Jeffery, aged 38, died by asphyxiation using a plastic bag in Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal …
25y · Male·Ligature compression of the neck (hanging)
…n 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, paranoia, and psychotic symptoms. A triage nurse (Marcelle Rust) attempted to assist but lacked legal authority to detain him. T…
34y · Male·Gunshot injuries to chest and left shoulder
…dicated, he was not placed on a Community Treatment Order (CTO) and did not receive prescribed depot antipsychotic medication following releases from prison in March and July 2021. After his mother reported severe paran…
19y · Female·neck compression due to hanging
Emma Jane Claridge, 19, died by hanging at her home on 26 September 2009, nine hours after being granted day leave from the Cowdy Ward psychiatric ward where she was a voluntary patient. She had been admitted following a…
30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…
…ed under Mental Health Act detention for acute psychosis. Critical clinical lessons include: (1) her antipsychotic medication was inadequate despite florid psychosis; (2) she required one-to-one nursing observation but …
39y · Male·multiple injuries from motor vehicle collision
…der died by suicide in a head-on motor vehicle collision. He had been appropriately managed on depot antipsychotic medication with generally good psychiatric care. However, a critical gap occurred when his GP (Dr C.), l…
80y · Male·Drowning
An 80-year-old man with severe depression, suicidal ideation, and probable vascular dementia died by drowning after leaving a psychiatric ward. He was appropriately treated with ECT, medication, and placed on an ITO. How…
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