346 results for “mental health distress”
31y · Male·hanging
…enting stress, and had made previous suicide threats. Police officers conducting the removal observed him distressed and intoxicated but did not assess his mental health or consider welfare supports. No officer considere…
20y · Male·Ligature compression of the neck (hanging)
Allan Kevin Hudson, a 20-year-old male with a history of depression, suicidality, substance abuse and previous sexual trauma, died by hanging on 13 August 2006 at Sir Charles Gairdner Hospital's psychiatric ward D20. He …
22y · Male·Ligature Compression of the Neck (Hanging)
…eview. On 31 May 1998, he requested sleep medication but was appropriately declined and showed no obvious distress. A prison psychologist who saw him daily reported him coping well. He died by hanging using a sheet tied …
41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…
…Good, Faraz Tahir, and Pikria Darchia. Cauchi was shot and killed by police. The inquest examined Cauchi's mental health management in Queensland before the attack. Key clinical failures identified: (1) gradual cessation…
15y · Male·Hypoxic ischaemic brain injury, due to hanging
A 15-year-old boy died from hypoxic-ischaemic brain injury following a hanging attempt on 10 November 2004. The death occurred hours after his parents were informed by the school that he had been absent for seven consecu…
60y · Female·hanging
Margaret McCall, a 60-year-old woman with chronic regional pain syndrome and longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pain management, with cessation of fentanyl …
Male·Pulmonary thromboembolism and bronchopneumonia secondary to deep vein thrombosis
…and bronchopneumonia. He received palliative care at home provided by his partner PJN, who had undisclosed mental health issues and a history of violence. Multiple healthcare workers documented concerns about PJN's capac…
60y · Male·single gunshot wound to the head, self-inflicted
A 60-year-old man with bipolar disorder, depression, and recent bereavement made a 000 call stating suicidal intent with a firearm. A PoliceLink telephonist (Mr Tant) engaged him for 17 minutes in skilled de facto negoti…
39y · Male·Ligature Compression of the Neck (Hanging)
… depression and suicidal risk which was managed through restrictive environments initially. By 21-22 June, health professionals assessed him as improved, removed him from suicide precautions, and moved him to less restri…
24y · Male·plastic bag asphyxiation
…d into the general population after an aborted self-harm attempt on 11 August. He experienced significant distress when his de facto wife failed to visit him as planned on 20 August. Despite having communicated suicidal …
31y · Female·organ failure due to anorexia nervosa
…agreement between RPH (who accepted her wish to die) and JHC (who made her involuntary) caused additional distress. The system failed through chronic underfunding of eating disorders services, lack of specialist expertis…
33y · Female·hanging, self-inflicted with intention of taking her own life
…l following suicidal ideation after medication changes (moclobemide to citalopram). Dr L. diagnosed acute distress from serotonergic effects of medication on a BPD background and discharged her after 2 days with instruct…
24y · Male·diffuse hypoxic ischaemic encephalopathy due to hanging
Colin Craig Sansbury, 24-year-old Aboriginal man, died by hanging while in police custody at Elizabeth Police Station. Critical failures in care included: (1) Inadequate psychiatric assessment at Lyell McEwin Hospital—he…
33y · Male·Self-inflicted hanging
…of his girlfriend's letters and photographs. A relationship breakdown with his girlfriend triggered acute distress. However, this critical information from fellow prisoners was not communicated to custodial staff. Medica…
28y · Male·Ligature compression of the neck (hanging)
… Management Team occurred after court dates on 6 and 16 February. On the evening of his death, Slater was distressed following a visit from one partner (Ms Mackay) and an inability to contact the other (Ms Narrier) befor…
26y · Male·hanging, intentionally self-inflicted
… discharge planning from RIT with no documented follow-up conditions; lack of coordination between Justice Health and Corrections staff; failure to notify his mother of his serious self-harm attempt; insufficient cultura…
48y · Male·Hanging
…utic openness with security; timely reporting of missing compulsory patients to police is critical (Alfred Health subsequently implemented a 30-minute reporting requirement); and police investigations require rigorous do…
Unknown·Ruby Nicholls-Diver: ligature compression of neck (hanging); Carly Jean Elliott:…
Five psychiatric patients of Alma Street Centre died between March 2011 and March 2012. Two (Ruby Nicholls-Diver and Anthony Edwards) died within 24 hours of discharge; two (Carly Elliott and Michael Thomas) died shortly…
40y · Female·hypoxic ischaemic encephalopathy due to ligature compression of the neck
Wendy McCabe, a 40-year-old woman with a history of depression, anxiety, substance use and previous self-harm, died of asphyxiation from ligature compression after fashioning a noose from a standard blanket in her police…
60y · Female·sepsis due to community acquired pneumonia
Lynne Patricia Fisher, 60, presented to Mount Barker Hospital ED on 26 September 2018 with bilateral community-acquired pneumonia and was discharged after 6.5 hours despite clinical deterioration. She collapsed at home w…
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