Coronial

167 results for acute mental health deterioration

SAhospital2000-09-22

Coroner's Finding: FISHER Judith Mary

62y · Female·ventricular fibrillation associated with congestive cardiomyopathy

A 62-year-old woman detained under the Mental Health Act for acute psychiatric deterioration (psychosis, confusion, paranoia) secondary to anxiety follo…

psychiatrycardiology
VICaged care2010-09-08

Finding into death of Nina Solyk

87y · Female·Sepsis

…art failure, and cerebrovascular disease died of sepsis on an aged psychiatry unit. She was admitted under mental health legislation following behavioural deterioration. On 11 March, she was diagnosed with urinary tract …

geriatric medicineinfectious diseases
NSWcommunity2025-08-08

Inquest into the death of Stephen Douglas

62y · Male·Multiple sharp force injuries intentionally inflicted by client during home visi…

Stephen James Douglas, a 62-year-old community mental health nurse, was killed on 28 November 2019 by his client Peter Kemball during a home visit. Kemball had …

psychiatrygeneral practicediagnosticsystempaliperidone
SAhospital2020-05-08

Coroner's Finding: HALL Bryan Robert

71y · Male·general inanition on a background of end-stage mixed pattern dementia and acute …

Bryan Robert Hall, age 71, died from general inanition secondary to end-stage mixed dementia and acute renal failure while under a Level 2 Inpatient Treatment Order at Repatriation General Hospital. He had a c…

geriatric medicinepsychiatry
SAhospital2012-09-19

Coroner's Finding: STEAD Kenneth Alfred

79y · Male·delirium due to aspiration pneumonia complicating advanced metastatic non-small …

…lung cancer suffered multiple strokes causing confusion and behavioural disturbance. He was detained under Mental Health Act. On the night shift, nursing staff found him unresponsive and pulseless but failed to call a Co…

oncologygeriatric medicinecommunicationsystem
VICcommunity2023-12-08

Finding into death of Ricky James Broughton

47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…

…ed for involuntary psychiatric assessment. After moving from Geelong to Ballarat in February 2017, Ricky's mental health and housing needs were not adequately coordinated across services. His placement at boarding house …

psychiatrygeneral practicecommunicationsystemquetiapine
VICmental health2020-03-17

Finding into death of Paul Peterson

54y · Male·Neck compression (hanging)

…al ideation, and opioid dependence. On 1 July 2014, despite being on hourly observations and deteriorating mental state that evening (agitation, tremors after ceasing medication for ECT), he was allowed accompanied leave…

psychiatrysystemcommunicationcitalopram
NSWhome2023-07-05

Inquest into the death of JY

5y · Male·multiple stab wounds

A 5-year-old boy died from multiple stab wounds inflicted by his father during an acute psychotic episode. The father, diagnosed with schizophrenia in 2003, was admitted to Hornsby Hospital in A…

psychiatrygeneral practicecommunicationsystemrisperidone
WAhome2018-03-22

Inquest into the Death of Aileen Helen QUARTERMAINE

60y · Female·effects of fire in a woman with alcohol effect

…schizophrenia died in a domestic fire on 26 July 2014. The day before, her son sought help from police and mental health services after noticing signs of mental health deterioration. Police attended but failed to identif…

psychiatryemergency medicinecommunicationdiagnosticpaliperidone
VICmental health2025-09-17

Finding into death of Thi Thu Nguyen

61y · Female·Complications of pulmonary thromboembolism secondary to deep vein thrombosis

…and was placed on an Assessment Order due to ongoing suicidal behaviour. During her 5-day admission to the mental health unit, her physical health appeared stable though she exhibited suicidal ideation and hallucinations…

psychiatryemergency medicine
WAcommunity2022-06-09

Inquest into the Death of Desmond Edward JACK

33y · Male·Gunshot injury to the anterior trunk (chest and upper abdomen)

…Harrison on 28 March 2019. Jack had deteriorated significantly over preceding days despite engagement with mental health services; he had refused voluntary hospital admission despite his mother's concerns. When police at…

psychiatryemergency medicinesystemmirtazapine
SAhospital2002-05-17

Coroner's Finding: MITTA Wilhelmina

88y · Female·sepsis of unknown origin

An 88-year-old woman with multi-infarct dementia and behavioural disturbance was detained under the Mental Health Act following assault of her GP. She presented with abdominal symptoms and deteriorating vital sign…

geriatric medicinepsychiatrydiagnosticanti-psychotic medication
VICcommunity2016

Finding into death of XY

58y · Male·Combined drug toxicity (eucalyptus oil, alcohol, venlafaxine, quetiapine, propra…

…ing to ED with suicidal ideation and overdose. Discharged the following day despite refusal to engage with mental health services, he absconded from his supported residential service and was found deceased. The coroner f…

psychiatryemergency medicinediagnosticcommunicationeucalyptus oil
NSWcommunity2018-10-24

Inquest into the death of Michael Joyce

28y · Male·Multiple injuries sustained from fall from cliff

… Joyce, 28, died after stumbling and falling from a cliff at Dunningham Reserve, Coogee while experiencing mental disturbance. He had a history of insomnia-related mental health issues (previous psychosis, hospitalisatio…

emergency medicinepsychiatrytemazepam
VIChome2011-09-13

Finding into death of Rosa Sinapi

47y · Female·risperidone toxicity

…d her risperidone dose from 3mg to 6mg daily without medical advice. On 16 October 2009, her GP recognised acute deterioration and attempted urgent referral to mental health services but encountered significant system b…

psychiatrygeneral practicesystemdelayrisperidone
ACTmental health2015-06-15

AN INQUEST INTO THE DEATH OF PETER ZOVAK

46y · Male·asphyxia by hanging

Peter Zovak, a 46-year-old with substance use history, presented to mental health services in November 2013 with first-episode psychosis. After initial hospital assessment and two C…

psychiatryemergency medicinediagnosticcommunicationcannabis
TASmental health2017-11-17

Coroner's Finding: Smith, Molly Jessie

75y · Female·pyelonephritis and pneumonia

Molly Jessie Smith, a 75-year-old woman with longstanding severe mental illness, died of pyelonephritis and pneumonia on 16 August 2009. She had been in state psychiatric care co…

psychiatrygeneral practicediagnosticdelaycefalexin
VICmental health2020-07-30

Finding into death of William Thomas Flanagan

57y · Male·Multiple injuries sustained by being struck by a freight train

…ld man with 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive psychiatric management including r…

psychiatrycardiologysystemvenlafaxine
TAScommunity2021-04-20

Coroner's Finding: Young, Jeremy Dean

45y · Male·drowning and intoxication with methamphetamine and other substances

…d male with long-standing substance use disorder, depression, and anxiety died from drowning combined with acute methamphetamine intoxication. In the weeks before death, he displayed escalating paranoia and delusions, a…

pathologyaddiction medicinemethamphetamine
WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

…tion detention centre on 8 November 2015. He had spent 1,477 days in detention and experienced progressive mental health deterioration characterised by depression, anxiety, and psychotic-like symptoms attributed primaril…

psychiatrygeneral practicesystemcommunicationmirtazapine
1239

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