Coronial

73 results for mental state examination

NSWhospital2015-07-02

Inquest into the death of N

69y · Female·Asphyxiation consistent with hanging

…woman admitted to Hornsby Hospital with seizures and subacute encephalopathy developed rapidly fluctuating mental state including anxiety, depression, suicidal ideation, and cognitive impairment. While individual investi…

neurologypsychiatrydiagnosticcommunicationphenytoin
QLDhospital2008-12-15

Harris, Robert

60y · Male·asphyxia sequential to hanging due to depression

…une 2006, he was discharged from Cairns Base Hospital Emergency Department with a plan to attend community mental health the following morning. However, he died by hanging on 28 June 2006. Key clinical lessons include: t…

psychiatryemergency medicinecommunicationdiagnosticfluvoxamine
SAhospital2018-03-29

Coroner's Finding: BUTSON Graham Joseph

81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…

… mass was suspected but CT imaging could not be completed due to his acute delirium. He was detained under mental health legislation for safety reasons. The coroner found his death was not preventable despite extensive u…

orthopaedic surgerygeneral medicinesystemwarfarin
WAmental health2024-03-07

Inquest into the Death of Petya Evgenieva PETROVA-CIZEK

41y · Female·ligature compression of the neck (hanging)

Petya, a 41-year-old Bulgarian-born woman, died by ligature compression of the neck while an involuntary psychiatric patient at Bentley Health Service Ward 6 on 16 December 2020. She had been admitted following acute psy…

psychiatrydiagnosticcommunicationescitalopram
NT2004-06-18

Inquest into the death of Raymond Campbell

38y · Male·gunshot wound to the abdomen with massive internal haemorrhage

Ray Campbell, aged 38, died from a gunshot wound to the abdomen on 17 September 2002. He was found in a workshop with a Styre pistol nearby. The coroner returned an open finding, unable to determine definitively whether …

forensic medicinesystemmethamphetamine
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…e concerns, and self-harm behaviours. After one week, a psychiatrist recommended admission to a specialist mental health unit (Glenside). Critical failures occurred when a bed became available: a nurse (Peter York) from …

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
VICcommunity2021-02-23

Finding into death of Daniel Patrick Frawley

56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…nts. Five weeks later, he remained in early medication phase with ongoing mood instability. Post-mortem examination revealed Stage II chronic traumatic encephalopathy (CTE) from 20 concussions sustained during his playi…

psychiatryforensic medicinedesvenlafaxine
SAhospital2016-08-02

Coroner's Finding: SMITH Gordon Charles

91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…

…Repatriation General Hospital on 30 July 2014. He had been admitted voluntarily and subsequently placed on mental health detention orders due to acute confusion and agitated behaviour. The critical clinical lesson is the…

psychiatrygeneral medicinecommunicationsystemmirtazapine
QLDcommunity2006-12-15

Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane

asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …

Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairn…

psychiatrygeneral practicediagnosticcommunicationflupenthixol
WAhospital2015-02-26

Inquest into the Death of Peta Susan DOIG

58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury

…e hypoxia and hypoxic brain injury. Key clinical challenges included severe non-compliance with medical examination, inability to communicate symptoms verbally, and reliance on behavioural observations for clinical asse…

psychiatryintensive carediagnosticdelayazithromycin
VIChome2008-05-16

Finding into death of Brodie Panlock

19y · Female·Head injury

… and psychological abuse by management and coworkers at her workplace cafe. She had a vulnerable emotional state exacerbated by an unhealthy relationship with her manager. The coroner found that her employer was aware o…

systemcommunicationalcohol
VICmental health2022-12-21

Finding into death of Kai Wesley Wu

23y · Male·Injuries sustained when struck by train

…d leave from psychiatric inpatient care. He had been admitted to The Alfred Hospital in January 2018 under Mental Health Act compulsion with treatment-resistant schizophrenia. Despite comprehensive psychiatric management…

psychiatrycommunicationsystemhaloperidol
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

… nurse call button cable shortly after midnight on 5 December. Clinical lessons include: (1) inadequate examination and documentation of suspicious bruising/marks on 4 December suggesting possible suicide attempt—the co…

psychiatryintensive carediagnosticcommunicationsertraline
NSW2010-12-03

Nixon daneekapriscilla findings

25y · Female·Undetermined. Coroner stated 'the evidence adduced does not enable me to determi…

…toxicology, while alcohol and LSD (both reportedly consumed) were not detected post-mortem. Post-mortem examination revealed significant decomposition that prevented definitive determination of cause of death. The coron…

cannabis
QLDhospital2008-12-15

Van Putten, Patricia

49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …

…uded: inadequate verification of Mr Lowe-Brock's suitability as a supervisor (he later revealed unreported mental health issues), lack of written communication between hospital psychiatrists and her long-term private GP …

psychiatrygeneral practicecommunicationsystemdosulepin
QLD2013-05-27

Hussain, Meqdad

19y · Male·Hanging

…eensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted during mental health screening on 9 December 2010. The screening nurse appropriately assessed him as low risk despite th…

psychiatrygeneral medicinesystemcommunicationmirtazapine
QLDcommunity2022-01-11

Noombah

39y · Male·Cardiac arrest in a person with pre-existing severe ischaemic heart disease who …

…h severe ischaemic heart disease died following police restraint and ambulance care during an emergency examination authority detention. He had sniffed petrol and threatened self-harm; police located him and detained hi…

emergency medicineparamedicinediagnosticcommunicationpetrol
NSWhospital2018-05-30

Inquest into the death of Marcia Clark

83y · Female·Combined effects of severe malnutrition and infection (septicaemia secondary to …

…infected sacral pressure ulcer that had existed for 7 months. She was admitted to hospital in a deplorable state with severe pressure sores, contractures, and evidence of prolonged neglect. Her daughter Nardia was her s…

geriatric medicinegeneral practicediagnosticcommunicationolanzapine
SA2021-01-15

Coroner's Finding: MITTIGA Saverio

89y · Male·multi-organ failure on a background of advanced dementia and small cell lung can…

…th was deteriorating significantly; he was certified unfit for work and showed cognitive decline (15/30 on mental state examination). Following recommendations from medical staff and case reviews, he was transferred to Y…

general practicepalliative caremorphine
VICmental health2019-12-17

Finding into death of Thien Cong Pham

27y · Male·ligature strangulation

…th treatment-resistant schizophrenia died from ligature strangulation by a co-patient at a secure forensic mental health facility. The deceased had multiple admissions for medication non-compliance and psychotic relapse.…

psychiatrycorrectional healthsystemdelayclozapine

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