366 results for “psychiatric admission assessment”
18y · Male·neck compression due to hanging
…ural and mental health crises from adolescence. Despite multiple emergency department presentations and psychiatric admissions, he was repeatedly discharged with inadequate community follow-up. A critical gap existed in…
73y · Male·Neck compression in the circumstances of hanging
A 73-year-old man with severe depression and suicidal ideation died by hanging at a private psychiatric facility on 9 February 2019 during voluntary admission. He was assessed as low risk despite recent suic…
53y · Male·Burns to 75% of body surface area and severe lower airway inhalation injury
Barry Michael Daly, 53, died from severe burns (75% BSA) and inhalation injury sustained in a deliberately-set house fire on 20 April 2008. He had been detained at Glenside Hospital on 10 April 2008 under the Mental Heal…
83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…
…ptly recognized as such. (3) Fractures from falls were not identified radiologically until late hospital admission, delaying pain management. (4) Poor handover between facilities prevented essential clinical information…
40y · Male·metastatic malignant melanoma
… clinic appointments. In June 2015, he presented to the ED three times over two weeks with pain; initial assessments were inadequate and did not identify metastatic disease until the third presentation. Brain metastases …
66y · Male·Complications of chronic obstructive pulmonary disease. A significant contributi…
…ctions were implemented. Nursing staff noted worsening dyspnea on the day of death and arranged a health assessment, but he collapsed while being escorted to the appointment. The coroner found medical care was appropriat…
34y · Male·unascertained; most likely immersion after swimming at City Beach
…ng behavioural changes as potential warning signs, and assessing suicide risk in patients with comorbid psychiatric illness and substance misuse.
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…
51y · Male·undetermined natural causes
Chris Prasad, a 51-year-old involuntary psychiatric inpatient with schizoaffective disorder, diabetes type 2, hypertension, and obesity (BMI 30.8), was gra…
50y · Female·Cyanide toxicity
A 50-year-old woman with complex mental illness including depression, anxiety, and borderline personality disorder died from cyanide toxicity after ingesting potassium cyanide obtained from Sigma-Aldrich. She made four a…
53y · Male·severe burns
Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threate…
42y · Male·Incised injury to the neck resulting in exsanguination and air embolism
…vere psychotic symptoms and dual P1/S3 risk ratings, died by self-inflicted neck laceration in Melbourne Assessment Prison on 8 June 2016. Despite two prior self-harm incidents with razor blades in April and May 2016, an…
17y · Male·Suicide by self-inflicted hanging
…. Critical clinical lessons emerged: failure to inform his mother about mental health deterioration and psychiatric hospitalizations; poor communication between school and mental health services despite recognizing high…
35y · Male·Gunshot wound to the head (self-inflicted)
…ound during a police siege. He had a history of substance-induced psychosis from ice use, with multiple psychiatric admissions in 2015-2016. Following discharge, he declined mental health follow-up and community treatme…
28y · Male·neck compression subsequent upon hanging
Matthew Spalding, a 28-year-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 Apr…
51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …
…as assessed by two psychiatrists (Dr G. and Dr S.) who found him mentally ill. However, Dr S.' discharge assessment on 18 March was premature and inadequately documented. The coroner found insufficient consideration was …
40y · Male·compression of the neck due to hanging
…antidepressant medication. Key clinical lessons: (1) COVID-19 quarantine protocols compromised reception assessments conducted through cell trap doors with face masks, limiting clinical evaluation quality; (2) Critical c…
50y · Female·hanging
…ecognition; unclear information-sharing between health and detention staff; and inadequate ligature risk assessment. The coroner rejected proposals for invasive outreach medication administration, instead recommending in…
24y · Male·Multiple gunshot wounds
…ntact—communication occurred primarily through case managers rather than the treating psychiatrist. Risk assessment tools were completed via copy-paste function without clinical review, potentially missing deterioration …
71y · Male·Organ failure in an elderly man receiving palliative medical care for renal fail…
…ultiple comorbidities including COPD, early gastric carcinoma (treated with gastrectomy), diabetes, and psychiatric illness. His complex medical and mental health needs were managed through prison medical staff and exte…
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