Coronial

58 results for possible acute mental illness

SAhospital2002-05-17

Coroner's Finding: MITTA Wilhelmina

88y · Female·sepsis of unknown origin

An 88-year-old woman with multi-infarct dementia and behavioural disturbance was detained under the Mental Health Act following assault of her GP. She presented with abdominal symptoms and deteriorating vital sign…

geriatric medicinepsychiatrydiagnosticanti-psychotic medication
VIC2011-02-17

Finding into death of Sean Wayne Lee

20y · Male·Head injury

…nxiety-depression diagnosed in May 2008 (referrals not pursued), stress over pending university exams, and acute stress from the vehicle impoundment. The coroner determined this was an intentional act despite no obvious…

neurosurgerytrauma surgery
VICmental health2015-10-15

Finding into death of Helen Maria Bryce

54y · Female·Hanging

…vere depression and anxiety in early 2011. After two suicide attempts, she was admitted to Austin Health's Acute Psychiatric Unit involuntarily. After 11 days of treatment and progressive day leave, she was approved for…

psychiatrygeneral practicecommunicationsystemcitalopram
VICcommunity2016-05-05

Finding into death of David Scrofano

41y · Male·Pheniramine toxicity

…aving erratically, his presentation—agitation, disorientation, unsteady gait—was incorrectly attributed to mental illness rather than drug toxicity. Clinical lessons include: the diagnostic difficulty in distinguishing d…

forensic medicinetoxicologydiagnosticcommunicationpheniramine
VICcommunity2025-08-27

Finding into death of Conan James Smith

37y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…d on a rural road in good conditions; the truck driver was blameless. Clinical lessons include recognising acute suicide risk in bereaved individuals, particularly those with existing mental health conditions and caregi…

psychiatrygeneral practicecommunicationdelaymirtazapine
VIChome2014-09-12

Finding into death of Pedro Arcos-Vazquez

41y · Male·Incised injury to the neck

Pedro Arcos-Vazquez, a 41-year-old man with a history of depression, was killed by a boardhouse resident with a psychiatric history. The resident had been discharged from a Community Treatment Order (CTO) on 27 October 2…

psychiatrygeneral practicecommunicationsystemquetiapine
NSWmental health2011-09-02

Ang 2011 09 21 13 31 50 906

29y · Male·acute bronchopneumonia complicated by multi-drug toxicity

Nicholas Ang, aged 29, with schizoaffective disorder, died from acute bronchopneumonia complicated by multi-drug toxicity while in a psychiatric unit. Admitted 12 August 2005, …

psychiatrygeneral medicinemedicationcommunicationclozapine
VIChome2025-06-24

Finding into death of Jessica Geddes

27y · Female·Complications of multiple blunt force injuries

…r Robert Rickerby through multiple blunt force injuries on 6 November 2020. The autopsy revealed extensive acute, subacute and chronic injuries inconsistent with accidental trauma, indicating prolonged abuse. Jessica ha…

general practicepsychiatrydiagnosticsystemmethamphetamine
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

…vanni Mario Franco, a 30-year-old man with schizophrenia, died on 10 March 1998 at Graylands Hospital from acute cardiac dysrhythmia of uncertain aetiology. During his final admission in February 1998, he developed seve…

psychiatryintensive caremedicationflupenthixol decanoate
WAmental health2000-01

Inquest into the Death of Steven Charles Indich

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

…Hospital on 13 November 1998. He was admitted involuntarily after assaulting his brother and father whilst acutely psychotic. Despite appropriate antipsychotic medication and close observation during his 3-day admission…

psychiatryintensive caresystemhaloperidol
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

…to RAH. He absconded after 24 hours, returning to the community in a delirious state due to sepsis-induced acute organic brain syndrome. He was appropriately detained under the Mental Health Act to ensure treatment, re-…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
NTcommunity2009-06-10

Inquest into the death of Robert Plasto-Lehner and David Gurralpa aka Moscow

Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…

…int asphyxia following police restraint in hospital while awaiting psychiatric assessment. Both men became acutely agitated during restraint and ceased struggling suddenly, which should have triggered immediate medical …

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
NSWhome2024-11-28

Inquest into the death of Michael Peachey

27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…

…Peachey, a 27-year-old First Nations man, died in custody following a police-initiated restraint during an acute psychotic episode. Over preceding days, his family repeatedly sought mental health intervention. On 20 May…

emergency medicinepsychiatryproceduralcommunicationdroperidol
NSWhome2020-06-01

Inquest into the death of A P

2y · Female·drowning

A 2-year-old child died by drowning at her home in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurre…

general practicepsychiatrycommunicationsystemtriflouperazine
VIChome2021-12-06

Finding into death of Daniel Charles Richards

48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male

Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant coronary artery disease with left ventricular hyp…

psychiatryemergency medicinesystemcommunication
NSWhome2024-04-05

Inquest into the death of Todd McKenzie

40y · Male·gunshot wounds

…enia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. Todd became acutely psychotic, waving a knife and expressing paranoid delusions about people entering his home and police we…

psychiatryforensic medicinediagnosticcommunication
NSWmental health2019-11-29

Inquest into the death of Harold EDWARDS (a pseudonym)

49y · Male·Hanging

A 49-year-old man with major depression, suicidality and previous suicide attempts was admitted to the Acute Mental Health Unit at Nepean Hospital under involuntary detention. He died by hanging on 27 May 2017 durin…

psychiatrydiagnosticcommunicationtemazepam
NSWcommunity2025-03-06

Inquest into the death of Fiona Turnbull

59y · Female·multiple injuries from fall from height

…death of her long-term partner and de facto father of her children. Critical clinical lessons include: (1) Mental health clinicians must ensure immediate assessments occur when patients present with acute psychotic sympt…

psychiatryemergency medicinedelaycommunicationclozapine
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

…sessment for depression and suicidality, given documented depression history and lack of treatment. Better mental health screening and support could potentially have identified risk.

forensic medicinegeneral practicesystemdelaybenzodiazepines
VICcommunity2021-07-26

Finding into death of Adam Laufer

32y · Male·Multiple injuries sustained in a fall from a height

…rting Adam was psychotic with paranoid delusions. Victoria Police officers assessed Adam using section 351 Mental Health Act and concluded he did not meet the threshold for compulsory detention based on his calm presenta…

psychiatrypsychologysystemcommunication

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