391 results for “psychiatric medication management”
54y · Male·Multiple injuries due to motor vehicle collision with retaining wall caused by d…
…phrenia, died by suicide following a motor vehicle collision with a retaining wall. He was subject to a psychiatric treatment order and had 33 different case managers since 2000, receiving care from AMHU, community ment…
40y · Male·Gunshot wound to neck
…amphetamine by psychiatrist Dr F., continuing under GP Dr S.'s care. His mother expressed concerns about medication-related behavioural changes in March 2019, prompting referral to a specialist who was unavailable. Dr S.…
19y · Female·multiple injuries sustained in a train incident
…ossible first-episode psychosis who died by suicide after jumping in front of a train. She had multiple psychiatric admissions and was under care of St Vincent's Hospital Mental Health Service (SVHM) in the week before …
60y · Male·sepsis/leg cellulitis with peripheral oedema and congestive cardiac failure in t…
…dema and congestive cardiac failure. Admitted to hospital on 17 November 2021, he exhibited significant psychiatric symptoms including delusions and poor insight. Despite appropriate clinical management by hospital staf…
19y · Female·self-inflicted hanging
…ub-therapeutic Efexor 37.5mg (minimum recommended dose 75mg), leading to deterioration attributed to the medication. When Sabrina stopped the drug, neither GP escalated to psychiatry or the Mental Health Service despite …
gunshot wounds; multiple deaths during police interventions with mentally ill in…
…: inadequate assessment procedures disregarding family concerns, inappropriate discharge decisions, poor medication compliance monitoring, lack of continuity of care (especially for released prisoners), and insufficient …
15y · Male·compression of the neck consistent with hanging
…(1) Lack of proper multidisciplinary team approach; Jason was seen primarily by a social worker despite psychiatric concerns being identified, and referral to psychiatrist Dr S. only occurred in August when the social w…
53y · Female·hanging
Maria Nigro, a 53-year-old woman with depression and recent medication overdose, was admitted involuntarily to Werribee Mercy Hospital's Low Dependency Unit (LDU) on 4 Februar…
29y · Male·Mixed drug toxicity (heroin and methamphetamine)
…aged with psychological and drug and alcohol counselling services, and maintained on methadone with good medication compliance, he died from an unintentional overdose at home. The coroner identified systemic issues with …
24y · Female·hypoxic brain damage due to cardiac arrest due to hanging
…r psychology staff, inadequate observation protocols (2-hourly rather than more frequent), insufficient psychiatric resources, and poor retention of experienced psychologists. The coroner found that while resuscitation …
52y · Male·Complications of chronic cardiac failure in the setting of ischaemic heart disea…
Sacha Timothee Louis Lefebvre, aged 52, died from complications of chronic cardiac failure with ischaemic heart disease and chronic anaemia whilst sleeping rough at Hawthorn Library. He had multiple chronic conditions in…
49y · Female·Hanging
…sment at that time. The case highlights challenges in predicting suicide risk, the importance of timely psychiatric review in custody, and the limitations of risk assessment in newly incarcerated first-time offenders un…
52y · Male·Unascertained
…after absconding from a mental health inpatient unit on 2 December 2015. He was admitted voluntarily for management of a suspected manic relapse, assessed at low risk initially, and allowed leave to go outside despite gu…
49y · Male·Hanging
…sation and expressing concerns about deterioration, the team decided to manage him in the community with medication adjustments and close monitoring. The patient died by suicide on 6 December 2009. Expert review found th…
20y · Unknown·Traumatic brain damage complicating gunshot wound to the head
…girlfriend Cheree Dinsdale. Klingner had paranoid schizophrenia with antisocial personality traits, poor medication compliance, amphetamine abuse, and morbid jealousy directed at Ms Dinsdale. Despite intensive mental hea…
75y · Male·Multiorgan failure complicating mixed drug toxicity
…s contributed to death or that it was administered by another person. The deceased received appropriate psychiatric and medical assessment and treatment. His detention was lawful and played no role in his death. No clin…
34y · Male·hanging
…al health issues, died by hanging on 3 March 2017. Six days prior, he had voluntarily discharged from a psychiatric inpatient unit. On the day of death, he presented to the ED reporting suicidal ideation, then attended …
34y · Male·head and neck trauma (train impact)
…dality, died by stepping in front of a train on 15 December 2008. He had been discharged from inpatient psychiatric care on 12 November 2008 after refusing to return from overnight leave. Critical communication failures…
84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …
…urgery on 27 August but her acute mania, severe agitation, and challenging behaviour made post-operative management extremely difficult. Staff could not administer necessary blood transfusion due to inability to obtain v…
Female·Five separate deaths: Ruby Nicholls-Diver—ligature compression of neck (hanging)…
Five former psychiatric patients of Alma Street Centre (part of Fremantle Hospital) died between March 2011 and March 2012. Two…
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