Coronial

42 results for acute psychiatric disturbance

NSWhospital2024-01-30

Inquest into the death of Subash Subedi

26y · Male·Not able to be determined - skeletalised remains

…torway between February 2018 and April 2019. He presented to Westmead Hospital ED on 14 February 2018 with acute mental health symptoms, including disorientation and dehydration following cannabis use and a period of er…

emergency medicinepsychiatrycommunicationsystemolanzapine
SAhospital2001-05-16

Coroner's Finding: HAMPTON Ronald Allen

77y · Male·respiratory failure caused by severe pneumonia

… while detained under the Mental Health Act at Glenside Hospital. He had been admitted with behavioural disturbances related to dementia. When pneumonia developed, he was transferred to the Royal Adelaide Hospital where…

psychiatrygeneral medicineantibiotics
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

…prescribed thioridazine (Mellaril) for approximately 39 years from early childhood to manage behavioral disturbance. In September 2000, his GP discontinued Mellaril due to its well-documented severe long-term side effec…

general practicepsychiatrythioridazine
QLDhospital2025-12-04

Inquest into the death of Dylan James Bell

28y · Male·Hanging

Dylan Bell, 28, died by hanging following discharge from Redland Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a …

psychiatryemergency medicinediagnosticcommunicationLSD
SAmental health2016-06-09

Coroner's Finding: FALLON Peter John William

40y · Male·Unascertained; likely cardiac arrhythmia secondary to cardiomegaly and morbid ob…

Peter John William Fallon, aged 40, died in the psychiatric intensive care unit at Queen Elizabeth Hospital on 2 February 2013 of unascertained cause. He had bipol…

psychiatryintensive carecommunicationsystemrisperdal consta
SA2000-03-02

Coroner's Finding: GRAETZ Anthony Roy

28y · Male·Traumatic brain damage complicating contact .22 calibre gunshot wound to the mid…

…individual who had no prior mental health contact and made no meaningful communication possible. Expert psychiatric evidence concluded that even with hindsight, the serious mental state and tragic outcome could not have…

forensic medicinepsychiatry
SAhospital2019-04-15

Coroner's Finding: CURTIN Roger

63y · Male·metastatic non-small cell lung carcinoma with chronic obstructive lung disease

…m natural causes. The case illustrates managing delirium in terminal cancer complicated by pre-existing psychiatric illness and the appropriate use of sedation in end-of-life care when behaviour becomes unmanageable des…

palliative carepsychiatryolanzapine
NTmental health2005-08-26

Inquest into the death of Dale Vincent

27y · Male·multiple injuries after a fall from a height

…tient under a 7-day detention order. He had been admitted following an assault charge and was experiencing acute psychiatric symptoms. He was found dead on 11 October 2004 at the base of a power pole with fatal injuries…

psychiatryemergency medicinesystem
WAmental health2015-02-26

Inquest into the Death of Tracy Margaret MARSHALL

47y · Female·Ligature compression of the neck (suicide by hanging)

Tracy Margaret Marshall, a 47-year-old woman admitted to Nickol Bay Hospital as a voluntary patient due to deteriorating mental state and suicidal ideation, left the hospital on 21 February 2011. She drove to a remote lo…

psychiatrysystemdelay
VIC2020-10-29

Finding into death of Bo Zhao

31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)

…ssments in 2017-2018 identified depression, anxiety, and despair but he did not engage with recommended psychiatric treatment or counselling. He had cancelled a scheduled psychological consultation on the day of his dea…

psychiatrygeneral practicedelayamitriptyline
VIChospital2017-06-07

Finding into death of Samer Rony Damouni

21y · Male·Compression of the neck consequent upon hanging

…aggressive behaviour; inadequate communication between emergency and mental health teams; and insufficient acute psychiatric beds leading to prolonged ED stay. The coroner recommended implementing a dedicated behavioura…

psychiatryemergency medicinecommunicationsystemmethamphetamine
VICmental health2022-12-12

Finding into death of Scott Adam Brown

50y · Male·Hanging

A 50-year-old man with Parkinson's disease died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary…

psychiatryneurologysystemcommunicationmadopar
WAhome2005-07

Inquest into the Death of taylor

29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath

Louis Bernard Taylor, a 29-year-old Aboriginal male, died from a penetrating wound to the neck inflicted by himself on 23 August 2002. Recently released from prison after four years incarceration, Louis was attempting to…

psychiatrygeneral practicecannabis
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

…he next morning, diagnosing steroid withdrawal instead. The medical team then planned discharge without psychiatric review. Critical failures included: misdiagnosis of the underlying steroid-induced syndrome, failure to…

oncologypsychiatrydiagnosticcommunicationdexamethasone
VICmental health2023-09-15

Finding into death of Daylon John Roeton

28y · Male·Hanging

Daylon Roeton, 28, died by hanging in a mental health seclusion room using a ligature made from blanket binding. He was admitted involuntarily after expressing suicidal ideation and paracetamol overdose. The coroner foun…

psychiatryemergency medicinesystemproceduralolanzapam
VICcommunity

Tylercassidypart2 554208

Male·Multiple gunshot wounds from police shooting

…ing as at December 2008. Police had received inadequate training in recognizing vulnerable young people in acute psychiatric crisis, conducting effective risk assessment, or using evidence-based de-escalation techniques…

psychiatrycommunicationsystemalcohol
NT2011-11-25

Inquest into the death of Bird

46y · Male·Acute hypoxic brain damage resulting from intentional self-inflicted hanging

A 46-year-old male prisoner died from acute hypoxic brain damage following self-inflicted hanging in custody. He had a history of physical health issu…

psychiatrypsychology
WA2013-05-30

Inquest into the Death of Mcdonald, Charles Edward

38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia

A 38-year-old remand prisoner with schizophrenia on clozapine died suddenly in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to…

psychiatrypharmacologycommunicationsystemclozapine
QLDmental health2004-09-30

Cif Lee Ja 20040930

23y · Male·compression of the neck, secondary to coronary arteriosclerosis

…l authorization, placed prone on the floor, and subjected to physical pressure on his back. Intravenous psychiatric medications were administered. The autopsy found fatal internal injuries to the neck from broad applica…

psychiatryemergency medicineproceduralcommunicationdroperidol
NSWcommunity2022-02-18

Inquest into the death of SP

36y · Male·hanging

A 36-year-old man died by hanging on 10 July 2018 after leaving his home in Blacktown, NSW. His partner called Triple Zero after 30 minutes, reporting concern for his welfare and that he was acting strangely, restless, a…

emergency medicineparamedicinecommunicationsystem

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