264 results for “conduct disorder”
32y · Female·Hypoxic-ischaemic encephalopathy due to hanging
Chloe Jane Campbell, aged 32, died by suicide while an involuntary inpatient with borderline personality disorder, complex PTSD, and chronic suicidal ideation. She was admitted 18-30 April 2019 after ceasing medications…
33y · Male·COMPLICATIONS OF HYPOTHERMIA
Matthew Fitzpatrick, 33 years old with bipolar disorder and inconsistent medication adherence, died of complications of hypothermia on Mount Stirling in November…
54y · Male·Neck compression (hanging)
Paul Peterson, 54, died by hanging after leaving a private psychiatric hospital on unapproved leave while on close observations. He was admitted with major depression, suicidal ideation, and opioid dependence. On 1 July …
0y · Male·Trisomy 21 with complex cardiac anomalies complicated by pulmonary hypertension,…
…ervices; refer to Down Syndrome Association peer support; secure housing; progress AOD rehabilitation; or conduct proper safety planning. Provisional Protection was enacted with a direction that parents leave the hospit…
27y · Female·hanging
A 27-year-old woman with borderline personality disorder and adjustment disorder died by hanging while voluntarily admitted to a psychiatric inpatient unit. She h…
46y · Male·head injury complicated by bronchopneumonia, with palliation
A 46-year-old remand prisoner died from traumatic brain injury sustained during a severe prison assault. Critical failures in responding to cell call alarms preceded the attack. Prison officers answered multiple distress…
81y · Male·cardiac arrest following neck compression due to hanging
… completed. Critical issues included: inadequate documentation of psychiatric assessments (the consultant conducted no documented comprehensive assessment); failure to clarify the patient's legal situation and restraini…
32y · Male·Hanging
Mr W, a 32-year-old man with lifelong anxiety, previous suicide attempts, and childhood trauma, died by hanging on 5 April 2019. He had been receiving care from a psychologist (Dr C.) and GP (Dr S.) since December 2018, …
32y · Male·Multiple injuries sustained in a fall from a height
Adam Laufer, a 32-year-old man with longstanding bipolar disorder, died by suicide on 24 November 2016 when he jumped from the LaTrobe Street overpass in Melbourne. In the…
24y · Male·Gunshot wounds to the chest
… actions directly precipitated their death. Key clinical lessons include: Luke had documented alcohol use disorder, antisocial personality disorder, and previous suicidal ideation with self-harm scarring. He presented to…
62y · Male·Septic arthritis complicating left knee joint prosthesis in the setting of statu…
A 62-year-old man with autism spectrum disorder, cerebral palsy, and epilepsy died from septic arthritis of a prosthetic left knee joint. He presented wi…
64y · Female·Combined toxicity to alcohol and baclofen
…l and baclofen on 30 April 2020. She had a 40+ year history of alcohol dependency, borderline personality disorder, depression, and multiple suicide attempts. Baclofen was prescribed off-label for alcohol craving managem…
37y · Male·Single gunshot wound deliberately self-inflicted while in police custody
Jason Lee Plum, a 37-year-old man with bipolar disorder, died from a self-inflicted gunshot wound while in police custody at Wagga Wagga. Arrested for domestic v…
83y · Female·Combined effects of severe malnutrition and infection (septicaemia secondary to …
…records failed to document bed sores appropriately, explore non-compliance with recommended treatment, or conduct home visits. A proposed home care referral was inadequately followed up. Earlier recognition of Mrs Clark…
36y · Male·Shotgun wound to the head
KE was a 36-year-old with longstanding psychiatric history including borderline personality disorder, substance abuse, and multiple previous self-harm incidents. He was on bail with a residential condition …
26y · Male·ligature compression of the neck (hanging)
…his cell at Hakea Prison on 21 April 2019. He had a longstanding history of self-harm, severe personality disorders (borderline and antisocial), and significant adverse childhood experiences. Despite 55 self-harm inciden…
40y · Female·ligature compression of the neck (hanging)
…ocumented history of mental health issues including depression, anxiety, PTSD, and borderline personality disorder, died by suicide while in police custody after being charged with drink-driving. She had been arrested wi…
18y · Male·Heroin toxicity
Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported accommodation. He…
48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…
A 48-year-old woman with depression, anxiety, and bipolar disorder died from mixed drug toxicity while on voluntary inpatient psychiatric admission. She had undisclosed sig…
26y · Female·Neck injury due to stabbing
A 26-year-old woman was stabbed twice in the neck and fatally injured by her former de facto partner. Critical clinical and systemic failures preceded her death: her psychologist failed to notify police or health authori…
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