Coronial

212 results for involuntary psychiatric admission

NSWhome2014-08-13

Inquest into the death of Sean Leigh MacWilliam

16y · Male·asphyxia due to hanging, self-inflicted, with aspiration of gastric contents as …

…lowing a mental health crisis on 15 March 2011. After nine days, clinicians determined he no longer met involuntary detention criteria and granted extended leave with outpatient follow-up. However, inadequacies emerged …

psychiatryemergency medicinecommunicationsystemfluoxetine
WAhospital2016-02-05

Inquest into the Death of Pauline Margaret DODD

51y · Female·Ischaemic heart disease

… Dodd, 51, died of ischaemic heart disease at Sir Charles Gairdner Hospital on 4 March 2014. She was an involuntary psychiatric patient with long-standing bipolar affective disorder, complicated by childhood rheumatic f…

psychiatrycardiologydiagnosticolanzapine
WAmental health- 26 May 2014

Inquest into the Death of Marjorie Mary DONE

84y · Female·unascertained; possible causes include cardiac arrhythmia, myocardial infarction…

An 84-year-old woman with a 50-year history of serious mental illness died suddenly at a psychiatric unit while under involuntary Mental Health Act status. She was found unresponsive in the TV lounge appr…

psychiatrygeriatric medicineanti-psychotic medications
NSWcommunity2025-08-22

Inquest into the disappearance and suspected death of Habtom Ghilagaber

30y · Male·unknown - no postmortem examination performed

…absence of remains or postmortem examination. Critical clinical lessons include the importance of early psychiatric follow-up and involuntary detention protocols—Habtom had been hospitalised with schizophreniform psycho…

psychiatrypsychologysystemcommunicationantipsychotic medication
QLDhospital2007-09-03

Henderson, Robert Joseph

31y · Male·mixed drug toxicity

Robert Henderson, 31, died from mixed drug toxicity while subject to a community involuntary treatment order for schizophrenia. He was admitted to hospital on 9 July 2005 after his case manager ap…

psychiatryemergency medicinediagnosticdelaymorphine
VIChome2024-07-26

Finding into death of Mr KE

36y · Male·Neck compression secondary to hanging

…e depression. The psychotherapist appropriately conducted comprehensive assessment, identified need for psychiatric input, and attempted multiple referrals to psychiatrists who were unavailable. An ED assessment one wee…

general practicepsychologysystemcommunicationsertraline
WAmental health2004-11-26

Inquest into the Death of Ray

23y · Female·Unascertainable

Gretta Ray, 23, died on 17 December 2002 at Bentley Hospital in Western Australia while detained as an involuntary psychiatric patient under the Mental Health Act. She was admitted on 14 December with suspected schizop…

psychiatryintensive careolanzapine
VICcommunity2014-04-24

Finding into death of Mark Bethell

32y · Male·Valproic Acid Overdose

…rder, died from valproic acid overdose at a crisis accommodation facility. He was admitted to John Cade Psychiatric Unit following a benzodiazepine overdose on 13 March 2008. Despite a clear history of impulsive self-ha…

psychiatryemergency medicinediagnosticcommunicationsodium valproate
WAmental health2000-01

Inquest into the Death of Steven Charles Indich

20y · Male·Ligature Compression of the Neck (Hanging)

…t acutely psychotic. Despite appropriate antipsychotic medication and close observation during his 3-day admission, he was not assessed as suicidal and no evidence of suicidal ideation was documented during this final a…

psychiatryintensive caresystemhaloperidol
SAmental health2005-01-27

Coroner's Finding: ROBJOHNS Ronald Thomas

89y · Male·congestive cardiac failure due to ischaemic heart disease and aortic valve steno…

…severe depression, suicidal ideation, and self-neglect after multiple family bereavements. Six days into admission, he fell and sustained minor lacerations. He was found dead 10 hours later. Post-mortem revealed old sub…

psychiatrygeriatric medicinesertraline
VICcommunity2017-08-25

Finding into death of Thomas Edward Mackenzie Hall

41y · Male·Injuries sustained in a motor vehicle incident (driver) in a man with coronary a…

…is mother's car unlicensed and at excessive speed into oncoming traffic. He had a documented history of psychiatric illness with multiple involuntary admissions, medication non-compliance, and recent suicidal ideation e…

psychiatryemergency medicinecommunicationsystemrisperidone
VIC2014-09-11

Finding into death of Lloyd Felman

58y · Male·Amitriptyline toxicity

…te unusual presentations, psychiatrists at both Monash and Alfred Hospitals assessed him as not meeting involuntary admission criteria under Mental Health Act, as he denied suicidal ideation, showed no acute psychiatric

psychiatryemergency medicineamitriptyline
VICmental health2015-02-26

Finding into death of Paul Bernard Finck

47y · Male·pulmonary thromboembolism and deep vein thrombosis

Paul Finck, 47, an involuntary psychiatric patient with schizophrenia, died from pulmonary thromboembolism and deep vein thrombosis wh…

psychiatryemergency medicinearipiprazole
TASmental health2016-08-16

Coroner's Finding: Pasinski, Alexander

59y · Male·asphyxia due to choking on food

Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and parano…

psychiatryintensive caresystemcommunicationamitriptyline
QLDcommunity2016-12-08

Floyd, Leah Elizabeth

48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…

…hout IDC), failure to escalate wound deterioration, and loss of trust in providers due to inappropriate involuntary psychiatric admission and attempted restrictive practices. The patient refused hospital admission due t…

neurologypsychiatrycommunicationsystemdiazepam
QLDhospital2007-01-10

West, Ian Leslie

26y · Male·bronchopneumonia following severe head injury

…ospital balcony on 31 December 2002. He had been admitted to Longreach Hospital on 30 December 2002 for involuntary psychiatric assessment and awaiting transfer to Rockhampton Mental Health Unit. Despite receiving multi…

psychiatryemergency medicinemedicationcommunicationacuphase
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

…ed at Maroondah Hospital on 28 March 2025 from focal coronary artery disease and cardiomegaly during an involuntary psychiatric admission. He presented with acute psychosis from bipolar disorder requiring emergency resp…

psychiatryemergency medicinecommunicationsystemolanzapine
VICmental health2012-10-12

Finding into death of Grant Elliot Phillips

29y · Male·Multiple injuries sustained in a train incident (intentional self-harm)

Grant Phillips, 29-year-old with schizophrenia and complex psychiatric history including multiple suicide attempts, was admitted involuntarily to Broadmeadows Inpatient Psych…

psychiatrydiagnosticsystemdextroamphetamine
VICmental health2015-07-08

Finding into death of David Allan D'Angelo

30y · Male·Heroin toxicity

… 30-year-old Aboriginal man with schizophrenia and polysubstance dependence, was admitted to The Alfred Psychiatric Unit involuntarily on 24 March 2010 for psychotic relapse. His symptoms improved rapidly with antipsych…

psychiatryemergency medicinesystemdelayheroin
WAhospital2019-04-04

Inquest into the Death of Maris KUGIS

68y · Male·Bronchopneumonia in a man with chronic obstructive pulmonary disease

… spondylitis, and undiagnosed pancreatic adenocarcinoma, died from bronchopneumonia. He was a long-term involuntary psychiatric inpatient resistant to treatment and management. His mental health issues substantially com…

psychiatryrespiratory medicinehaloperidol

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