391 results for “psychiatric medication management”
79y · Male·Head and neck injuries from blunt force trauma
Mr Risto Pedevski, a 79-year-old man, was fatally assaulted by his son George in November 2014 during a dispute over a gas hot water system. George had a long-standing diagnosis of schizophreniform disorder and paranoid …
23y · Male·combined drug toxicity (oxymorphone, benzodiazepines, codeine, and morphine) in …
… and anxiety disorder, treated with benzodiazepines and antidepressants by multiple clinicians. Despite psychiatric and addiction medicine assessment recommending specialist management, he continued polysubstance use an…
60y · Female·hanging
… longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pain management, with cessation of fentanyl during her July 2012 hospital admission. Pain recurred within 5 weeks of the…
49y · Male·complications of non-small cell carcinoma of the lung
…ity. Symptoms including severe vomiting, diarrhoea, pain, and weight loss were inadequately managed. No psychiatric assessment occurred despite known mental health issues. The death was natural and likely not preventabl…
57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…
…c pain following abdominal surgeries, opioid addiction managed with methadone, depression, and multiple psychiatric conditions. On the evening of her death, she consumed alcohol while taking prescribed medications inclu…
33y · Female·Immersion (drowning) by suicide
…She died by suicide by entering the river where she had previously walked. The coroner found no clinical management failures but highlighted the significant cumulative impact of childhood trauma, inadequate family acknow…
38y · Male·asphyxiation by ligature
…erns with prison clinicians, being prescribed antidepressants and antipsychotics. The coroner found his psychiatric and psychological care appropriate overall, though documentation was brief. Key failures included: no m…
30y · Male·methadone toxicity
…ith schizoaffective disorder, narcolepsy, and obesity died from methadone toxicity while an involuntary psychiatric patient. He was prescribed multiple sedating medications including methadone, benzodiazepines, and anti…
46y · Male·self-inflicted hanging
… and weekend leave. The coroner determined the death was not preventable, finding that his treatment and medication were appropriate. However, systemic issues were identified: inadequate nursing staff qualifications and …
39y · Male·respiratory failure and cardiac arrest
…s (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concerning psychiatric behaviour. He was appropriately assessed in the Short Stay Unit, where blood gas analysis revealed crit…
Female·Miranda Howard: aspiration pneumonia complicating overdose of prescription medic…
…. Critical failures included: lack of early BPD diagnosis, inadequate specialist clinicians, reliance on medication and hospitalisation rather than evidence-based psychotherapy (DBT/MBT), poor therapeutic boundaries (par…
51y · Male·hypoxic-ischemic encephalopathy due to hanging
Darren Brandon died by hanging in prison on 10 June 2018, two days after arriving at Melbourne Assessment Prison. He was a 51-year-old man with acquired brain injury from a 2003 motorcycle accident, depression, and histo…
28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)
…riday 29 January without case manager involvement or family notification; and failure to arrange urgent psychiatric review until 4 February, which never occurred. Post-discharge observations on 2 February showed clear r…
48y · Male·undetermined
… the hospital, he received multiple doses of benzodiazepines and antipsychotics for sedation/behavioural management. He experienced respiratory depression from midazolam which was reversed with flumazenil. Later, after h…
48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…
…th depression, anxiety, and bipolar disorder died from mixed drug toxicity while on voluntary inpatient psychiatric admission. She had undisclosed significant illicit drug use, which was not identified during initial as…
18y · Female·Multiple injuries due to impact by train
KJ was an 18-year-old girl who died by suicide by train on 30 November 2012, six months after a suicide attempt. She had a complex trauma history, including childhood sexual abuse aged 6, and subsequently developed depre…
31y · Male·undetermined
…he 'Red Zone' requiring medical emergency. The coroner found no suspicious circumstances and appropriate medications were used. Forensicare subsequently implemented significant improvements including standardised physica…
Male·Suicide: hanging (Al-Akabi, Saunders); diving from balcony (Rauluni)
Three immigration detainees died by suicide at Villawood Detention Centre in Sydney within three months in 2010. Josefa Rauluni (Fijian) jumped from a balcony on 20 September after being informed of imminent removal desp…
Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…
…vere PTSD from cumulative trauma exposure. The coroner identified failures in welfare protocols, fatigue management policies, early PTSD detection, and the handling of officers during professional standards investigation…
32y · Male·ligature compression of the neck (hanging)
Aaron Luke Prisgrove, a 32-year-old man with depression, alcohol abuse, and acromegaly, died by hanging on 12 July 2011, shortly after involuntary admission to Graylands Hospital's Smith Ward. He had presented to Tom Pri…
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