475 results for “psychiatric admission”
24y · Male·complications of ligature compression of the neck (hanging)
Vincent Schwenke, a 24-year-old male of Maori descent, developed acute psychotic symptoms after ceasing cannabis use and was admitted to a secure mental health unit as an involuntary patient. Despite initial improvement …
24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway
Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent beha…
54y · Male·Respiratory failure due to aspiration pneumonia and acute autonomic and sensory …
Norman Ebanezer John Smith, aged 54, a long-term psychiatric patient under guardianship, died of respiratory failure due to aspiration pneumonia and acute neuropath…
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 c…
24y · Male·neck compression secondary to hanging
Jamie Knowles, a 24-year-old with schizophrenia, died by suicide on 24 June 2024 while on an inpatient temporary treatment order at Kerferd Unit mental health service in Victoria. He was granted one hour of unescorted le…
55y · Male·toxic effects of quetiapine and clonazepam
…charcoal. He developed aspiration pneumonia, septic shock, and multi-organ failure, dying 32 hours after admission. The coroner found medical treatment was competent and adequate, with no preventable factors identified.…
79y · Male·external neck compression as a result of hanging
… a Victorian Community Treatment Order (CTO) requiring fortnightly antipsychotic injections and regular psychiatric review before transferring to NSW. Once in NSW, critical failures occurred: his CTO was not implemented…
59y · Male·incised injuries to the neck
…nvoluntary patient under a treatment order. His mental health appeared to be improving during his 17-day admission, with successful previous day leave periods. The coroner found his death could not have been anticipated…
38y · Female·neck compression (hanging)
…(2-hourly observations) on 15 April without documented consideration of the new housing information; no psychiatric review in the final 6 days before her death; and confusion about actual observation frequency (staff re…
33y · Male·hanging
…tions. Detention officers showed genuine concern but lacked formal processes to escalate risk after his psychiatric admission. The coroner found the hospital treatment reasonable and discharge appropriate, but identifie…
59y · Male·Multiple injuries
…rth. He had been discharged five days earlier on a Community Treatment Order following a 45-day hospital admission. On the morning of his death, after receiving a phone call about an upcoming CTO review, he visited the …
19y · Male·hypoxic brain injury following asphyxia due to hanging
…eturn him to MHHITH after a second suicide attempt on 5 April when a registrar had recommended inpatient admission; (2) Dr G.'s unreasonable acceptance of Mr Kirkwood's claim that a polypharmacy overdose on 27 April was…
50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…
… by non-compliance, alcohol use during brief absconding episodes, and behavioural disturbance requiring psychiatric detention and restraint. The coroner found his detention lawful and medical treatment entirely appropri…
20y · Female·Ligature compression of the neck
Jessica Mary Dewhurst, aged 20, died by ligature compression of the neck on 27 May 2003 in the secure ward of Swan Adult Mental Health Services. She had a history of depression, psychosis, substance abuse, and prior suic…
23y · Male·Multiple injuries sustained following collision with a train
A 23-year-old man with a history of schizophreniform disorder, depression, and previous suicide attempts absconded from a mental health triage facility after being involuntarily admitted. He had previously absconded in 2…
54y · Female·neck compression secondary to hanging
…. The clinicians adopted a narrow formulation attributing her suicidality solely to tinnitus and deemed psychiatric admission unnecessary. She died by hanging the following day. The coroner found multiple missed opportu…
40y · Female·Complications of WHO Class III Obesity
… Class III obesity, and obstructive sleep apnoea, died of sudden cardiac complications seven days after psychiatric admission. She was sedated with multiple antipsychotic medications to manage severe psychotic symptoms …
49y · Male·Multiple injuries from a fall from height
…anoid delusions, and non-compliance with Olanzapine. Despite being assessed as requiring either hospital admission or supervised community treatment, he chose community-based medication supervision. He was assessed as d…
27y · Female·Hanging
Ms YPM, a 27-year-old woman with a long history of borderline personality traits, depression, anxiety and eating disorder, died by hanging on 17 May 2020. In the preceding two weeks, she presented to Alfred Hospital foll…
27y · Male·compression of the neck due to hanging
… longitudinal history showed likely relapsed psychosis with probable bipolar disorder. After discharge, psychiatric care was fragmented with poor communication between services. Theo presented to emergency twice in Janu…
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