52 results for “acute psychiatric distress”
62y · Female·general inanition on a background of end-stage dementia
…and anxiety. The coroner found no deficiencies in care. Clinicians should note the importance of timely psychiatric assessment in dementia patients with acute behavioural deterioration, appropriate use of mental health …
74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest. Hassan Khalif Shire Ali: gunshot wo…
On 9 November 2018, Hassan Khalif Shire Ali committed a premeditated ISIS-inspired terrorist attack in Bourke Street, Melbourne, using an improvised explosive device in his vehicle followed by a knife assault. He fatally…
36y · Female·Nicotine toxicity
Rachel Mihail, a 36-year-old with a complex psychiatric history including PTSD, depression, anxiety, and agoraphobia, ingested liquid nicotine at home on 22 No…
31y · Male·undetermined
…eath remains undetermined despite thorough pathological investigation. Mr Elmas was in seclusion following acute psychotic relapse and violent behaviour. Critical clinical lessons include: (1) vital signs monitoring dur…
29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath
…Louis was attempting to rebuild his life through education at Edith Cowan University. He was in emotional distress, struggling with systemic distrust, financial difficulties, and family issues. Two weeks before death, he…
70y · Female·Asphyxia due to airway obstruction
Anna Lee, a 70-year-old retired psychiatric nurse, died from asphyxia due to airway obstruction while an inpatient in a mental health unit. She was…
33y · Male·Self-inflicted hanging
…uction of his girlfriend's letters and photographs. A relationship breakdown with his girlfriend triggered acute distress. However, this critical information from fellow prisoners was not communicated to custodial staff…
41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…
…to RAH. He absconded after 24 hours, returning to the community in a delirious state due to sepsis-induced acute organic brain syndrome. He was appropriately detained under the Mental Health Act to ensure treatment, re-…
45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…
…oncluded his death arose from natural causes, most likely sudden arrhythmia secondary to extreme physical distress from tardive dyskinesia.
37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof
Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was resc…
29y · Female·Multiple injuries due to fall from height
… symptoms. The ATODS assessment at 3pm correctly identified psychosis but the patient was not seen by a psychiatric registrar or medical officer. When the patient's sister requested staff assistance as the patient was o…
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…
24y · Male·Gunshot wound to the head
…rms licence by his treating psychiatrist following only two post-attempt appointments, despite documented distress about licence suspension and preoccupation with reinstatement. Risk reduction strategies discussed (secur…
42y · Male·hanging
… Key clinical lessons: (1) risk assessments are ephemeral and vulnerable to manipulation; (2) cancelled psychiatric appointments were not reliably rescheduled; (3) rapid de-escalation of observation status in high-risk …
20y · Male·Ligature Compression of the Neck (Hanging)
…Hospital on 13 November 1998. He was admitted involuntarily after assaulting his brother and father whilst acutely psychotic. Despite appropriate antipsychotic medication and close observation during his 3-day admission…
18y · Male·Ligature compression of the neck (hanging)
…The coroner expressed concerns about the inability to transition chronic suicidal ideation monitoring into acute crisis response, lack of psychiatric assessment despite his psychotic history, and poor continuity of care…
64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging
A 64-year-old woman with a history of childhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, s…
24y · Female·hypoxic brain injury secondary to hanging
…bed coordinator. York then independently informed Chrystal she would be discharged the next day—triggering acute distress in a patient with borderline personality traits and fear of abandonment. Within hours, Chrystal h…
30y · Female·Mixed drug toxicity (propranolol, duloxetine and codeine)
…ngaged with Crisis Assessment and Treatment Team (CATT) following referral by her private psychiatrist for acute suicidal ideation. Key clinical lessons include: BPD patients may not disclose suicide plans despite appea…
56y · Female·acute pentobarbitone toxicity
56-year-old woman died from acute pentobarbitone toxicity in her Sydney apartment on 27-28 May 2016. She had a long history of mental health…
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