Coronial

149 results for mental disturbance

SAhospital2017-04-19

Coroner's Finding: FIRTH Angela Beryl

63y · Female·metastatic adenocarcinoma of the lung

…bject to a Level 1 Inpatient Treatment Order at Royal Adelaide Hospital. She presented with behavioural disturbance secondary to brain metastases, was assessed by mental health services, and lawfully detained under the …

oncologypsychiatry
SAhospital2019-05-08

Coroner's Finding: CATINO Giovanni

91y · Male·ischaemic and hypertensive heart disease

Giovanni Catino, aged 91, died of ischaemic and hypertensive heart disease while detained under a Mental Health Act inpatient treatment order at Repatriation General Hospital. He had advanced Alzheimer's dementi…

psychiatrygeriatric medicineclonazepam
VICcommunity2026-03-04

Finding into death of Anthony Laurence Parisi

39y · Male·Multidrug toxicity (GHB, methylamphetamine, ketamine) in a setting of restraint …

… consumed large quantities of GHB and methamphetamine on 8 March 2025, presented with acute behavioural disturbance requiring police care and control under mental health legislation. Paramedics appropriately administere…

emergency medicineintensive caregamma-hydroxybutyrate
SAhospital2020-07-09

Coroner's Finding: FOSTER Patricia Marie

76y · Female·infective exacerbation of chronic congestive cardiac failure due to Respiratory …

…th multifactorial respiratory distress complicated by advanced dementia, schizophrenia, and behavioural disturbance. She was placed on an Inpatient Treatment Order due to risk to self and others when refusing treatment …

emergency medicinepsychiatry
SAhospital2020-06-18

Coroner's Finding: WILKS Deslandes

79y · Male·Pneumonia complicating ischaemic heart disease and dementia

A 79-year-old man with advanced Alzheimer's disease, ischaemic heart disease, and behavioural disturbance died of pneumonia while on a Level 2 Inpatient Treatment Order at Flinders Medical Centre. He was admit…

geriatric medicinepsychiatryrisperidone
VICcommunity2018-09-18

Finding into death of Gerald Vanderwerf

56y · Male·unascertained; presumed suicide by unknown means

…d support services including case management and group therapy. The combination of profound personality disturbance, impaired emotional literacy, social withdrawal, financial stress, and intermittent treatment engagemen…

psychiatrygeneral practicecommunicationsystemlamotrigine
SAhospital2020-11-03

Coroner's Finding: ALLEN Wendy Elizabeth

75y · Female·general inanition and pneumonia on a background of end-stage dementia

…ed dementia (vascular and Alzheimer's) died from general inanition and pneumonia. She was detained under a Mental Health Act Inpatient Treatment Order due to severe aggression and behavioural disturbance related to her d…

psychiatrygeriatric medicinehydromorphone
VIChome2011-06-28

Finding into death of Robert William Keith

34y · Male·Unascertained; likely fatal cardiac arrhythmia secondary to electrolyte disturba…

…ed QT interval on previous ECGs and multiple prior hospital admissions for vomiting-induced electrolyte disturbances (hypokalaemia, hypochloraemia, metabolic alkalosis). The coroner concluded his death was likely due to…

psychiatryemergency medicinerisperidone
VIChospital2024-03-19

Finding into death of Craig Ashley Hill

53y · Male·Cardiomegaly in a man with obesity and chronic liver disease

…idities including obesity, chronic liver disease with cirrhosis, cardiomegaly, hypertension, diabetes, and mental health conditions, died suddenly in hospital from cardiac rhythm disturbance. He was admitted to the psych…

psychiatrycardiologydiazepam
SAhospital2020-11-02

Coroner's Finding: DAVIES Brian

79y · Male·myocardial infarction

… rapid atrial fibrillation, managed medically rather than invasively given his dementia and behavioural disturbance. The coroner found care appropriate throughout both admissions. The case illustrates challenges in mana…

geriatric medicinepsychiatrymedicationoxazepam
VIChome2018-10-03

Finding into death of Yvonne Rose Vizard

72y · Female·Obstruction of the airways of the neck

…ging three months post-discharge from rehabilitation. Critical deficiencies were identified in post-stroke mental health care: there was no routine screening for mood disorders using validated tools during rehabilitation…

neurologyrehabilitation medicinediagnosticsystem
SAhospital2022-04-14

Coroner's Finding: Underwood, Richard

97y · Male·respiratory failure attributed to aspiration pneumonia on a background of advanc…

…admitted to hospital in late September 2019 with behavioural changes and suspected infection, placed under Mental Health Act inpatient treatment orders, and sustained two falls during his hospital stay, including the hip…

emergency medicinepsychiatrydiazepam
SAhospital2018-07-27

Coroner's Finding: CUTTS Charles Desmond

70y · Male·aspiration pneumonia due to seizures

…abuse history, and seizure disorder died from aspiration pneumonia following seizures while admitted under mental health legislation. He was subject to multiple comorbidities with poor medication compliance. Clinical dec…

emergency medicinepsychiatryrisperidone
SAhospital2020-07-16

Coroner's Finding: HARVEY Lawrence George

85y · Male·end stage dementia

Lawrence George Harvey, aged 85, died from end-stage dementia while lawfully detained under the Mental Health Act at Noarlunga Hospital. He had experienced progressive dementia since 2013 with increasing aggre…

geriatric medicinepsychiatryrisperidone
SAhospital2011-10-06

Coroner's Finding: BROWN Kunmanara

18y · Male·Hypoxic brain injury following cardiac arrest due to neck compression from hangi…

…linical lessons include: (1) recognition that volatile substance inhalation can cause acute behavioural disturbance presenting as psychiatric emergency; (2) the Mental Health Act 2009 provisions allowing assessment of p…

emergency medicineintensive carecommunicationsystempetrol
NSWcommunity2018-07-30

Inquest into the death of Courtney Topic

22y · Female·gunshot wound to the chest

…elieve he was in danger when fired, critical errors preceded this: responding officers failed to integrate mental health awareness training with tactical response, inattention to radio broadcasts indicating mental distur…

psychiatryemergency medicinecommunicationsystemfluoxitane
NSWcommunity2022-10-07

Inquest into the death of Charli Powell

17y · Female·Hanging

…were not adequately communicated between NSW and ACT jurisdictions. The coroner noted an untreated mood disturbance with self-harm history, cannabis use, recent miscarriage, and youth justice breaches contributed to her…

pathologypsychiatrysystemcommunicationcannabis
SAhospital2020-12-18

Coroner's Finding: ASTACHNOWICZ Maria

76y · Female·left lower lobe pneumonia complicating metapneumovirus infection

…ell McEwin Hospital. She had extensive psychiatric history (schizoaffective disorder/bipolar) with chronic mental health admissions, managed at Clements House aged care facility. She developed respiratory symptoms consis…

psychiatrygeriatric medicineclonazepam
NSWhospital2022-10-28

Inquest into death of Dane LOCKWOOD

33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…

…to cardiac arrest. The case highlights need for dedicated low-stimulus assessment units for behavioural disturbance and drug-affected patients.

emergency medicinepsychiatrysystemdelaymethamphetamine
VIC2015-12-18

Finding into death of Odisseas Vekiaris

29y · Male·Unascertained causes on a background of agitated delirium state

A 29-year-old man with a 12-year history of mental illness died in police custody during transport to a police station. He had stopped taking his antipsychot…

general practicepsychiatrycommunicationsystemrisperidone
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