391 results for “psychiatric medication management”
38y · Male·Multiple injuries
Damian Kay, aged 38, died from multiple injuries after jumping from the 16th floor of a hotel on 22 September 2010, with a blood alcohol concentration of 0.71%. The death occurred in the context of recent relationship br…
39y · Female·Septic shock and nosocomial pneumonia secondary to pentobarbital (Nembutal) over…
…een respecting patient confidentiality and involving supportive family members in care planning and risk management; (3) the limitations of Community Treatment Orders for patients with severe personality pathology and mi…
22y · Male·Multiple injuries caused when the vehicle he was driving collided with a tree
22-year-old Benjamin Gilligan died in a motor vehicle crash while fleeing psychiatric care, having been recently diagnosed with methylamphetamine-induced psychosis. Key clinical issues iden…
39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor
…essitating a Mental Health Act order variation to enable medical treatment. Despite appropriate clinical management and ICU admission, he died from infective endocarditis caused by Streptococcus anginosus. The coroner fo…
69y · Female·Toxicity to pentobarbitone in circumstances where she intended to end her own li…
Heather Telfer, a 69-year-old woman with longstanding asthma, chronic health anxiety, and significant social isolation, died from pentobarbitone toxicity. She had a prior suicide attempt 12 years earlier and expressed su…
19y · Female·neck compression due to hanging
… hanging at her home on 26 September 2009, nine hours after being granted day leave from the Cowdy Ward psychiatric ward where she was a voluntary patient. She had been admitted following acute suicidal ideation and rec…
42y · Male·incised wound to the neck
…ed that access to prior clinical histories would have enhanced their assessments and potentially altered management. The coroner emphasised that suicide, whilst sometimes unpredictable, reflects a system failing to provi…
37y · Male·Respiratory arrest in association with medication drug effect and alcohol intoxi…
…ophrenia, died on 15 July 2007 at Port Hedland Regional Hospital from respiratory arrest associated with medication effect and alcohol intoxication. He arrived at the ED heavily agitated after threatening his neighbour w…
31y · Male·hanging (self-inflicted)
… diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on 1 June after displaying agitation and aggressive behaviour during a blood sugar check. …
44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…
…D was worsening despite repeated admissions. She presented drowsy on 4 July 2017 after ingesting unknown medications at home, was treated for suspected overdose, and placed on an Inpatient Treatment Order for psychiatric…
60y · Female·undetermined
…sion, and consideration of more intensive intervention when suicidal ideation emerges despite outpatient management.
37y · Male·self-inflicted stab wound to the chest
…s. No systemic failures in mental health care were identified, though distance and access to specialist psychiatric services in rural Tasmania presented challenges.
Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…
…sconded while involuntary (Stephen Robson). Common failures included: inadequate individualised and risk management plans; poor integration of care; insufficient communication with families despite no confidentiality bar…
26y · Male·.357 magnum gunshot wounds to the chest and abdomen
…oms to others, and instead advised the parents to withdraw support—advice described as 'poor' by expert psychiatric testimony. The GP had prescribed benzodiazepines which may have disinhibited behavior when combined wit…
41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…
…r, 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 of antipsychoti…
39y · Male·Ligature compression of the neck (hanging)
…nuary 2003. He had been admitted to custody in December 2002 following stabbing an ex-girlfriend. Prior psychiatric assessment at Graylands Hospital (Frankland Centre) identified him as an ongoing suicide risk with chro…
38y · Male·metastatic poorly differentiated carcinoma on a background of delirium and schiz…
…ed assessment and cooperation with investigations. The coroner found no criticism of the initial medical management, noting that early diagnosis would unlikely have changed the outcome given the advanced cancer stage. Th…
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…
28y · Male·neck compression subsequent upon hanging
Matthew Spalding, a 28-year-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 Apr…
34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…
…ld Aboriginal man with post-traumatic epilepsy, organic brain damage from head injuries, alcoholism and psychiatric illness, died from aspiration pneumonia following a seizure. The death was preceded by discharge planni…
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