366 results for “psychiatric admission assessment”
30y · Male·asphyxia due to hanging (suicide)
…r Ryan's past suicide attempt to the hospital and did not inform treating psychiatrist Dr K. of hospital admission. Nurse Gordon failed to document a recent suicide attempt reported by police. Dr G. prescribed unrestric…
Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…
… several fell below acceptable standards, particularly discharge decisions made hastily without adequate assessment or family consultation.
48y · Male·Drowning
…suicidal intent with specific plans on first presentation, he left after being triaged for mental health assessment. He re-presented within hours, was deemed not to meet Mental Health Act criteria for involuntary treatme…
Male·Multiple injuries due to train over-run (suicide by train)
…read the medical file. Charles Powell (17) was assessed in the ED on 31 July 2006 and discharged without admission despite concerning collateral information from his case manager about psychosis, self-harm, and drug use…
84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…
… managing non-compliant patients with multiple chronic conditions, the importance of attempting physical assessment despite patient refusal, and recognising deterioration in patients with COPD and heart disease.
19y · Female·combined drug effect and myocarditis
…5mg doses) believing they were 5mg each. The error was not clearly communicated to receiving doctors. On admission to Graylands, the psychiatrist misread the dosage as 2.5mg and did not arrange cardiac monitoring despit…
56y · Female·acute pentobarbitone toxicity
…ical lessons include: documentation of discussions with vulnerable patients about substance access; risk assessment in patients with chronic suicidality and recent stressors; examination of medication compliance and side…
41y · Male·Septicaemia secondary to chronic peptic ulcer disease
…s expert evidence indicates that timely medical intervention, proper food/fluid monitoring, appropriate psychiatric hospitalization, or even application of section 24 of the Crimes (Administration of Sentences) Act to a…
47y · Female·Multiple injuries from being struck by a train; death determined to be suicide
…y Treatment Order at the time. Critical clinical lessons include: (1) discharge planning from inpatient psychiatric care was inadequate, with serious miscommunications between Swan Valley Centre and Inner City Community…
64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging
…ness that potential ligatures had not been systematically removed from that area. The coroner found the psychiatric care and decision-making were appropriate, but the search process and documentation were significantly …
35y · Male·Hanging
…hizophrenia, bipolar affective disorder, and PTSD, died by hanging after absconding from an involuntary psychiatric admission. On 10 January 2011, following a clinical review at Broadmeadows In-Patient Unit assessing hi…
66y · Male·carbon monoxide poisoning due to inhalation of exhaust gases from a lawn mower
…up but received inadequate ongoing support. Key clinical lessons include: (1) older males with multiple psychiatric comorbidities, physical health issues, social isolation, and substance abuse require intensive, coordin…
48y · Male·Hypovolaemic shock due to incised wounds to the arms; other significant conditio…
…sue razor blade while in custody at Brisbane Correctional Centre in May 2015. Initial mental health risk assessment on admission was adequate, but critical failures occurred: the psychologist did not access information a…
39y · Male·Ligature Compression of the Neck (Hanging)
…icide risk given the severity and circumstances of his offence and impact on his children, despite staff assessments of improvement. The coroner identified concerns about the balance between objective and subjective suic…
28y · Male·Hanging
Daylon Roeton, 28, died by hanging in a mental health seclusion room using a ligature made from blanket binding. He was admitted involuntarily after expressing suicidal ideation and paracetamol overdose. The coroner foun…
17y · Male·Cerebral ischaemia caused by hanging at Quamby Youth Detention Centre at approxi…
…ed at Quamby Youth Detention Centre. During his second remand in September 1996, after a failed hospital admission, he returned to the same unit where he had attempted hanging days earlier. Despite being on five-minute …
56y · Male·Hanging
…hiatrist on 17 December, found to lack current suicidal ideation and not meeting criteria for compulsory admission, and discharged for community follow-up. Key clinical lessons: collateral information from family was no…
29y · Male·mixed drug toxicity including heroin
…ite its 'no leave' status. The coroner found preventable systems failures in observation protocols, risk assessment following drug discovery, and staff training on overdose recognition, though unable to determine intent.
45y · Female·Multiple blunt force injuries
…g shortly after and died from injuries sustained falling from a height while acutely psychotic. Earlier psychiatric scheduling when risk became apparent, immediate involvement of senior psychiatry staff, and prompt acti…
29y · Female·gunshot wound to the abdomen
… she was appropriately discharged from Sir Charles Gairdner Hospital following involuntary mental health admission for drug-induced psychosis; acute symptoms had resolved. The discharge was clinically sound with communi…
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