Coronial

475 results for psychiatric admission

VICmental health2016-12-08

Finding into death of Joseph Pezzimenti

60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression

Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit ba…

psychiatryintensive carediagnosticcommunication
SAmental health2009-12-04

Coroner's Finding: BLUNDEN Peter Ross

54y · Male·hanging by ligature

…anging in the shower room of Cramond Clinic open ward. He had expressed suicidal ideation throughout his admission, particularly after learning of imminent extended detention via Guardianship Board application. Critical…

psychiatryemergency medicinecommunicationsystemoxazepam
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

…rioration, she was admitted to Busselton District Hospital on 18 August 2003 and transferred to Bentley Psychiatric Hospital on 21 August. Although assessed as a voluntary patient with protective factors (family support…

general practicepsychiatrycommunicationsystemmirtazapine
VIChospital2013-04-22

Finding into death of Evelyn Wright

62y · Female·Hypoxic brain injury complicating mixed drug toxicity

…July. The coroner found her suicide risk was assessed as moderate and she was discharged with follow-up psychiatric appointment the next day. Critical clinical lessons: suicide risk assessment should weight objective fa…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
VICmental health2024-08-09

Finding into death of Con Kostantinou

63y · Male·Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic …

…high risk and managed under Mental Health Act orders. Despite reasonable and appropriate care including psychiatric reviews, a CT brain scan, and septic screen, he suffered unexplained cardiac arrest on 29 March 2024 wh…

psychiatrygeneral medicinediazepam
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

…March 1998 at Graylands Hospital from acute cardiac dysrhythmia of uncertain aetiology. During his final admission in February 1998, he developed severe behavioural disturbance resistant to anti-psychotic medication, pr…

psychiatryintensive caremedicationflupenthixol decanoate
VIChospital2014-02-10

Finding into death of Glenn Stewart Hayes

36y · Male·Hypoxic/ischaemic encephalopathy and hanging

…health crisis in patients with polysubstance abuse, untreated depression, and multiple stressors. Early psychiatric assessment and crisis intervention when suicidal intent is expressed could have prevented this tragedy.…

intensive careemergency medicinediagnosticsystemmethamphetamine
VIChospital2015-08-28

Finding into death of Moufid Sawan

61y · Male·Complications of cutaneous burns

…and extensive history of arson, suicide attempts and self-harm was admitted as a voluntary patient to a psychiatric inpatient unit and later made involuntary. Despite clinical concerns about his mental state, he was pro…

psychiatryemergency medicinecommunicationdiagnosticrisperidone
NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

…drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP Dr H. for 17 years. Critical clinic…

general practicepsychiatrymedicationdiagnosticmethadone
WAmental health2015-12-31

Inquest into the Death of Stephen Colin ROBSON

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 Ant…

psychiatryemergency medicinediagnosticcommunicationclozapine
NThospital2011-07-29

Inquest into the death of Nicholas Edward Spring

25y · Male·hanging

A 25-year-old university student with a complex history of schizoaffective disorder and substance misuse died by hanging during family leave from a mental health ward. He had been stable on depot antipsychotic medication…

psychiatryemergency medicinecommunicationsystemzuclopenthixol decanoate
VICmental health2017-02-07

Finding into death of Esther Ng Kit Ching

53y · Female·Hypoxic brain injury due to hanging

A 53-year-old woman with severe depression, anxiety, and recent suicide attempt died by hanging in a psychiatric hospital's low-dependency unit. She had received ECT and was on hourly observations. On the day of her …

psychiatrycommunicationdelaymirtazapine
WAmental health- 11 April 2014

Inquest into the Death of Amanda Alison GILBERT

47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…

… clinical care decisions were appropriate, the larger system failed to provide adequate alternatives to psychiatric hospitalisation for her complex needs.

psychiatrygeneral medicinesystemdelaylithium
TAS2021-03-19

Coroner's Finding: Hyatt, Saxon George

55y · Male·exsanguination resulting from self-inflicted wounds to left brachial artery and …

…r medication compliance and heavy alcohol use. Prison health assessments were conducted appropriately on admission. After an assault by another inmate, Hyatt declined medical attention and appeared settled. Later that e…

psychiatrycorrectional healthduloxetine
VIChospital2015-04-02

Finding into death of Maria Teresa Nigro

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 February 2009. Despite a risk assessment on 9 Februa…

psychiatrycommunicationsystemsertraline
TAShospital2023-05-31

Coroner's Finding: Richardson Rebecca Eileen

29y · Female·acute myocardial infarction due to stenotic coronary vessel (left anterior desce…

…tailed management plan existed at LGH (dated 18 months later) that prioritised medical stabilisation and admission rather than discharge. The critical learning is that when management plans differ between hospitals, the…

emergency medicinecardiologydiagnosticcommunicationinsulin
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

…after ingesting approximately 150 tablets from a medication drawer beside his bed. Andrew had a complex psychiatric history including schizophrenia, multiple suicide attempts, self-harm, and a severe overdose attempt in…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
VICmental health2017-04-07

Finding into death of Natasha Calleja

32y · Female·combined drug toxicity, mainly heroin

…old, died from combined drug toxicity (mainly heroin) while an involuntary inpatient at Swanston Centre psychiatric unit after her de facto partner supplied heroin during an unsupervised visit. She had been admitted fol…

psychiatryemergency medicinecommunicationsystemheroin
WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

…y disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty to arson charges and was remanded pending surety papers. While in court holding cells…

psychiatryforensic medicinecommunicationsystemmethamphetamine
VICmental health2020-03-13

Finding into death of PATIENT A

35y · Female·mixed drug toxicity (fentanyl, morphine, clozapine and aripiprazole)

A 35-year-old woman with schizoaffective disorder, opiate use disorder, and amphetamine use disorder died from mixed drug toxicity (fentanyl, morphine, clozapine, and aripiprazole) after absconding from an inpatient ment…

psychiatryfentanyl
117181924

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