Coronial

475 results for psychiatric admission

VIChospital2023-07-31

Finding into death of Michael Stankic

29y · Male·Pulmonary thromboembolism secondary to deep venous thrombosis

…g. He was admitted to ICU and appropriately commenced on prophylactic enoxaparin 40mg daily. On day 3 of admission, due to aggressive behaviour and staff safety concerns, enoxaparin was ceased to facilitate de-escalatio…

intensive carepsychiatrysystemdelayenoxaparin
TAShospital2022-03-21

Coroner's Finding: Rouse, Rex

86y · Male·pulmonary embolism following deep vein thrombosis

Rex Rouse, 86, died from pulmonary embolism following deep vein thrombosis while admitted to the psychiatric unit at Launceston General Hospital on 26 May 2020. He was admitted under a Mental Health Act assessmen…

psychiatryemergency medicinemirtazapine
VICmental health2022-06-29

Finding into death of Melissa Gaultier

34y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian), in circums…

Melissa Gaultier, 34 years old, was discharged from Latrobe Regional Hospital's psychiatric ward (Flynn Unit) less than 24 hours after admission on 13 April 2017, despite comprehensive warnings f…

psychiatryobstetricscommunicationdiagnostic
VICcommunity2025-11-11

Finding into death of Veronica Norah Cheney

43y · Female·undetermined

Veronica Cheney disappeared on 1 March 1945 at age 43 from Melbourne. She had a significant psychiatric history including hospitalisation for psychosis and auditory hallucinations at Royal Park and Mont Park…

psychiatrypathology
TAScommunity2019-08-13

Coroner's Finding: Jeffrey, Angela Joy

53y · Female·Unable to determine; circumstances suggest death by suicide but body never recov…

…ela Joy Jeffrey, a 53-year-old woman with a long history of depression managed with antidepressants and psychiatric care, disappeared on 1 June 2016 from Bakers Beach, Tasmania. She had experienced a significant mood de…

psychiatrygeneral practiceantidepressant medication
WAhospital2022-10-07

Inquest into the Death of Justine PAINTER

51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…

…hallucinations, liver cirrhosis, and required secure residential care. During a planned gastroenterology admission on 28 May 2020 for blood transfusion, Mosman Park Home staff clearly communicated her high absconding ri…

gastroenterologypsychiatrycommunicationsystempaliperidone
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 while admitted…

psychiatryemergency medicinearipiprazole
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
WAhospital2012-08-31

Inquest into the Death of Stone

62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …

… by paramedics. She was placed on a Form 1 mental health assessment order by Dr L.. However, the G Ward psychiatric unit had no bed capacity, and both available consultant psychiatrists declined to assess her—one citing…

emergency medicinegeneral practicesystemcommunicationmidazolam
TASmental health2024-02-08

Coroner's Finding: de-identified PU

45y · Male·hanging

…isuse was admitted to Spencer Clinic following a medication overdose suicide attempt. During his six-day admission, he improved clinically, denied suicidal ideation, and was assessed as suitable for day leave as part of…

psychiatrygeneral practice
VIChospital2017-12-14

Finding into death of Craig Michael Akerblom

31y · Male·Hypoxic ischaemic brain injury secondary to hanging

…was no coordinated care plan. In April 2015, he presented with suicidal ideation and paranoid thoughts; psychiatric admission was suggested but he declined. His psychiatrist had relocated and communication between the p…

general practicepsychiatrycommunicationsystemvenlafaxine
NSWmental health2022-03-29

Inquest into the disappearance and suspected death of Helen Stacey

19y · Female·The available evidence does not allow for a finding as to the cause of death

…gust 1958 after absconding from Broughton Hall mental health facility. She had been referred for urgent psychiatric admission following concerning disclosures of suicidal ideation, knowledge of suicide methods, and incr…

psychiatrygeneral medicinesystem
NSWmental health2024-09-30

Inquest into the disappearance and suspected death of KL

62y · Male·not stated - body never found

… long history of depression, anxiety, and alcohol use disorder, was admitted to St Vincent's Hospital's psychiatric units (PECC and Caritas) in June 2020 following suicidal ideation. After approximately two weeks of tre…

psychiatrygeneral practicecommunicationsystemvenlafaxine
VICmental health2015-05-27

Finding into death of Waldemar Ariel Ogon

45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis

45-year-old man with bipolar disorder admitted to psychiatric unit involuntarily died from spontaneous lethal arrhythmia due to focal myocardial fibrosis. Critical i…

psychiatryforensic medicinecommunicationsystemolanzapine
QLDhospital2007-09-03

Henderson, Robert Joseph

31y · Male·mixed drug toxicity

…scalating violence, substance abuse, and non-compliance with medication. However, he absconded from the psychiatric ward the next morning before psychiatric review. Critical clinical lessons include: psychiatric assessm…

psychiatryemergency medicinediagnosticdelaymorphine
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

…scharge request. The ED registrar's reassessment seven hours later was wholly inadequate without proper psychiatric evaluation. The ART clinicians did not adequately consider voluntary psychiatric admission. While St Vi…

psychiatryemergency medicinediagnosticcommunicationquetiapine
VICaged care2020-11-06

Finding into death of VA

73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …

…ied from congestive cardiac failure, coronary atherosclerosis, and cardiomegaly while an inpatient in a psychiatric unit. She had recently been treated for C. difficile colitis requiring ICU admission for hypotension. T…

psychiatryintensive caremetaraminol
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

…e) after orthopaedic surgery for a wrist fracture sustained while intoxicated. Carroll had a documented psychiatric history including recent involuntary mental health admission (discharged 27 May 2007) for attempted sui…

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
SApsychiatric ward2009-10-01

Coroner's Finding: RODRIGUEZ Antonio

49y · Male·hanging (suicide)

…tonio Rodriguez, aged 49, died by hanging on 16 September 2006, two hours after discharge from Ward B8 (psychiatric short-stay unit) at Royal Adelaide Hospital. He had been admitted with severe depression and active sui…

psychiatrydiagnosticcommunicationolanzapine
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

…ts (doxepin, diazepam, fluoxetine). Critical failures included: inadequate investigation of her complex psychiatric history and previous Melbourne methadone treatment; escalating methadone by 35mg over 5 days (contrary …

general practiceaddiction medicinediagnosticmedicationmethadone

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