Coronial

366 results for psychiatric admission assessment

WAhospital2024-04-08

Inquest into the Death of Child SK (Name Subject to Suppression Order)

13y · Female·complications of a head injury sustained when she deliberately stepped in front …

…ith mental health clinicians. In the final 6 weeks before death, she had 8 ED attendances and 6 hospital admissions to the mental health unit. Critical gaps were identified: the Department of Communities failed to adequ…

psychiatryemergency medicinesystemdelaysertraline
VICcommunity2021-02-23

Finding into death of Daniel Patrick Frawley

56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) on a rural road. The coroner found he intentionally took his o…

psychiatryforensic medicinedesvenlafaxine
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

… mental health screening tools for cancer patients; and that metoclopramide carries rare but recognised psychiatric risks that warrant explicit risk-benefit consideration in patients with depression, though no causal li…

psychiatryhaematologycommunicationdelaymetoclopramide
NSWaged care2020-03-03

Inquest into the death of Hazel BROCKETT

86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…

…er to safer accommodation. The coroner found systemic failures in coordination, documentation, behaviour assessment, and escalation procedures that could have triggered intervention.

geriatric medicinegeneral practicecommunicationdiagnosticbuprenorphine
WAcommunity2024-06-26

Inquest into the Death of Peter James WILSON

41y · Male·complications in association with effects of fire, with terminal palliative care

…ity Treatment Order. Wilson was discharged from Graylands Hospital on 29 October 2021 following a 12-day admission for management of psychosis and recent suicidal behaviour (drain cleaner ingestion). Key deficiencies in…

psychiatryintensive carecommunicationsystempaliperidone
WAmental health2024-05-17

Inquest into the Death of Richard Anthony BOROS

50y · Male·upper airway obstruction (choking) from tissue paper

…on (asphyxiation) after intentionally swallowing a dense ball of tissue paper while in the mental health assessment unit at Fiona Stanley Hospital. He was an involuntary patient under the Mental Health Act. Although the …

psychiatryemergency medicinecommunicationsystemolanzapine

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