301 results for “psychotic disorder”
26y · Male·Ligature compression of the neck (Hanging)
…ions about suicide methods. Although Wilson, a prisoner with psychiatric training, identified concerning psychotic behaviours and recommended reassessment, no mental health professional reviewed him on 4 June 2000. He d…
23y · Male·Neck compression as a result of hanging
…n doses not triggering review, and no mental health clinician contact post-November 2017 despite ongoing psychotic symptoms. Relationship breakdown, stressors about his children, and isolation as a withdrawn inmate went…
21y · Male·Cardiorespiratory arrest associated with butane abuse by inhalation
A 21-year-old detained psychiatric patient died from cardiorespiratory arrest following deliberate butane inhalation in a hospital wardrobe. He was admitted to an open mental health ward following acute psychosis, with d…
32y · Male·Head and neck trauma (train impact)
…d been discharged from Peninsula Health community mental health services to GP care in April 2008 on antipsychotic depot injections, antidepressants, and anticholinergics. Critically, Travis ceased depot injections afte…
21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…
Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that day (5 June) after …
56y · Male·Aspiration of gastric content secondary to combined drug toxicity
A 56-year-old de-registered doctor died from aspiration of gastric content secondary to combined drug toxicity. He had a long history of prescription drug dependency and multiple mental health issues. Two general practit…
41y · Male·Hanging
Franky Houdini, aged 41, died by hanging in his prison cell at Wolston Correctional Centre on 2 June 2015. He was subject to an involuntary treatment order for paranoid schizophrenia and was undergoing dangerous prisoner…
40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…
Christopher John Debnam, 40, died from cardiomyopathy with early pneumonia and obstructive sleep apnoea. He was readmitted to Graylands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensat…
0y · Female·Unascertainable
Shar Rose Benfield, a 7-month-old Aboriginal infant born prematurely to parents with significant psychosocial challenges, died unexpectedly on 24 June 2008 at Kalgoorlie Hospital with an unascertainable cause. The child …
Unknown·Multiple causes: hanging (three cases); exposure in context of organic brain dam…
Four Anangu (Aboriginal) young men died between May 2003 and March 2004 on the Anangu Pitjantjatjara Lands in South Australia. Three deaths were by hanging (ages 19, 25, 27); one by exposure (age 35). Deaths were linked …
48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male
Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant coronary artery disease with left ventricular hypertrophy and old …
20y · Male·head and neck injuries sustained when struck by train
Jordan James Williams, 20, died after being struck by a train following two absconsions from Kalgoorlie Health Campus mental health unit on 24 August 2018. He was involuntarily admitted with first-episode psychosis. Crit…
18y · Male·Ligature compression of the neck (hanging)
…onic suicidal ideation monitoring into acute crisis response, lack of psychiatric assessment despite his psychotic history, and poor continuity of care after counselling services separated from health services.
Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…
This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, multi…
31y · Female·incised wounds to the neck and arms
A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May 2014. She had made a suicide attempt at a beach two days ea…
36y · Male·Multi-organ failure complicating injecting drug use
… of direct communication with his GP regarding medication changes; (3) insufficient documentation of his psychotic content and risk assessment during admission. The patient deteriorated by 1 November 2012, attempted sui…
39y · Male·Effects of fire (self-immolation)
William Gourley, a 39-year-old Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 202…
25y · Female·Chest injuries due to fall from height
Two psychiatric inpatients (SH, 25-year-old female; AW, 24-year-old male) died by suicide by jumping from the Buranda car park across from Princess Alexandra Hospital's Mental Health Unit within a 10-month period despite…
47y · Male·Multiple gunshot wounds; discharged by police officer during enforcement of Comm…
…each enforcement operation in his home. He had severe, treatment-resistant schizophrenia and was acutely psychotic during the incident. Critical failures occurred throughout: inadequate risk assessment and planning by p…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
Brian Duff, a 36-year-old with severe chronic schizophrenia, died from Clozapine toxicity (pulmonary oedema and cardiac arrest) on 14-15 February 1997. He was subject to a Community Treatment Order and under case managem…
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