Coronial

746 results for psychiatric treatment

NSWhome2022-03-30

Inquest into the deaths of Stacey DOCHERTY and Seth DOCHERTY

38 and 3y · Female and male·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…

…the homicide-suicide could not have been predicted, earlier multidisciplinary coordination, more robust psychiatric oversight including consideration of specialist referral, and better child protection engagement might …

psychiatrygeneral practicemedicationcommunicationalprazolam
VICcommunity2015-04-09

Finding into death of Tomislav Brekalo

29y · Male·Injuries sustained in a fall from a height

…renia died from injuries sustained after jumping from the EJ Whitten Bridge. He had a 5-year history of psychiatric illness with recurrent psychotic episodes despite treatment with antipsychotic medications including ol…

psychiatrygeneral practicecommunicationsystemolanzapine
VIChospital2025

Finding into death of Ms NXA

54y · Female·neck compression secondary to hanging

…life upon discharge, she was discharged on 10 August 2021 with minimal safety planning, no mental health treatment arranged, and without a local GP. The clinicians adopted a narrow formulation attributing her suicidalit…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
VICmental health2015-10-15

Finding into death of Helen Maria Bryce

54y · Female·Hanging

…ession and anxiety in early 2011. After two suicide attempts, she was admitted to Austin Health's Acute Psychiatric Unit involuntarily. After 11 days of treatment and progressive day leave, she was approved for two nigh…

psychiatrygeneral practicecommunicationsystemcitalopram
SAhospital2011-12-22

Coroner's Finding: SWAVLEY Matthew Tyson

39y · Male·cardiomegaly

Matthew Tyson Swavley, aged 39, died suddenly from cardiomegaly while detained under the Mental Health Act at Lyell McEwin Health Service. He had chronic schizophrenia managed with antipsychotics and was morbidly obese (…

psychiatryemergency medicineolanzapine
TAShome2018-02-28

Coroner's Finding: Evans, Jillian and John

62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …

…is to severe anxiety disorder and prescribed only 25mg quetiapine nocturnally—insufficient for psychosis treatment. The coroner found all treating clinicians acted reasonably given information available, though document…

psychiatrygeneral practicediagnosticcommunicationrisperidone
SAcommunity2003-05-27

Coroner's Finding: GILLIES Wayne John

45y · Male·Bullet wound to the head - self-inflicted

…, the firearm would have been removed. This case highlights the duty to assess and act on deteriorating psychiatric risk and the need for clear medical education regarding firearms reporting obligations that differ from…

psychiatrygeneral practicecommunicationsystemvenlafaxine
WAhospital- 11 April 2014

Inquest into the Death of Kevin Maxwell COLLINS

50y · Male·bronchitis (pandemic influenza A/H1N1 2009) in a man with chronic obstructive pu…

…voluntary patient at Graylands Hospital. He had recently been started on clozapine on 26 August 2010 for treatment-resistant psychosis. On 30 August, he developed a low-grade fever (38.2°C) which responded to paracetamo…

psychiatryrespiratory medicineclozapine
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
QLDmental health2005-11-09

Community Mental Health Patient

20y · Male·hanging

A 20-year-old male with major depressive disorder and melancholic features was admitted to psychiatric hospital on 4 June 2003 under an indefinite involuntary treatment order by consultant psychiatrist Dr P…

psychiatrygeneral practicediagnosticcommunicationsertraline
NSWmental health2024-12-03

Inquest into the death of Cyril Levitsky

37y · Male·unascertained

Cyril Levitsky disappeared from Callan Park Hospital in 1970 while under treatment for schizophrenia. He was never found, though an unidentified male body discovered nearby in December 19…

psychiatrysystemdelay
TAS2025-07-04

Coroner's Finding: de-identified CF

24y · Male·blunt trauma and drowning due to intentional jumping from Tasman Bridge

…linical lessons: psychotic relapse occurred after medication non-compliance; inadequate follow-up after psychiatric discharge (single GP visit); no documented safety planning or crisis contact details; international stu…

psychiatryemergency medicinedelaycommunicationolanzapine
VICcommunity2011-10-26

Finding into death of Redae Berhane

23y · Male·Unknown - missing person, no conclusive evidence of death

…went missing on 6 August 2007 and has not been located despite extensive investigation. He had multiple psychiatric hospitalizations (2004, 2006, 2007) and was under community treatment order. His treating mental health…

psychiatrycommunicationsystemrisperidone consta
VICmental health2018-03-13

Finding into death of Elizabeth Anne Palmer

39y · Female·Hypovolaemic shock due to incised injury to the wrist

… with a history of mental health issues and previous suicide attempts was admitted to a high-dependency psychiatric unit following a suicide attempt involving razor blades and medications. She was placed on a Temporary …

psychiatryemergency medicineproceduralcommunication
QLDmental health2006-09-08

Robinson, Terence James

54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus

… he developed profound sedation and neurological deterioration. Critical issues included: lack of daily psychiatric review in the Special Care Unit (he was not seen on day 3 post-sedation); delayed recognition of seriou…

psychiatryneurologydiagnosticcommunicationparoxetine
NSWmental health2011-09-02

Ang 2011 09 21 13 31 50 906

29y · Male·acute bronchopneumonia complicated by multi-drug toxicity

…chizoaffective disorder, died from acute bronchopneumonia complicated by multi-drug toxicity while in a psychiatric unit. Admitted 12 August 2005, he was on clozapine, valproic acid, and clonazepam. After sustaining the…

psychiatrygeneral medicinemedicationcommunicationclozapine
VICmental health2018-02-01

Finding into death of Joy Maree Guppy

59y · Female·Hypoxic ischaemic brain injury secondary to compression of the neck in the circu…

…h major depression died by hanging using her dressing gown tie while a voluntary inpatient at a private psychiatric clinic. She was assessed as low-risk and had no restriction on ligature access. Despite recent suicidal…

psychiatryemergency medicinesystemdiagnosticquetiapine
WAhospital2022-10-07

Inquest into the Death of Justine PAINTER

51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…

…ned jumping from a multi-storey carpark while an inpatient at Royal Perth Hospital (RPH). She had severe treatment-resistant schizoaffective disorder, command hallucinations, liver cirrhosis, and required secure residen…

gastroenterologypsychiatrycommunicationsystempaliperidone
NSWcommunity2019-04-11

Inquest into the death of Karl MELO-RICHARDS

25y · Male·The available evidence does not allow for any finding to be made as to the cause…

…ween 1:45pm and 4:30pm on 2 September 2016. Karl had made previous suicide attempts, multiple visits to psychiatric facilities, and was receiving ongoing mental health treatment. Clinical lessons include the importance …

psychiatrypsychologytemazepam
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

Alexander Cameron, a 40-year-old man with complex neurodevelopmental, neurological and psychiatric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspi…

intensive caregeneral surgeryclozapine
114151638

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