43 results for “psychotic relapse risk”
55y · Female·ischaemic heart disease complicated by epilepsy, asthma and schizophrenia
… Initial ED assessment treated presumed UTI and discharged her. She returned the next day with worsening psychotic symptoms and was admitted under a psychiatric treatment order. On the morning of admission, she deterior…
32y · Male·Head and neck trauma (train impact)
…d been discharged from Peninsula Health community mental health services to GP care in April 2008 on antipsychotic depot injections, antidepressants, and anticholinergics. Critically, Travis ceased depot injections afte…
26y · Male·Ligature Compression of the Neck (Hanging)
… at Hakea Prison, died by hanging on 11 July 2002. He had a history of serious mental illness, including psychotic episodes with delusional beliefs, and a previous suicide attempt. While in psychiatric care at Fremantle…
36y · Female·head injury
… series of missed opportunities in mental healthcare management. Key failures included: cessation of antipsychotic depot medication in April 2017 without adequate monitoring plan; failure to review historical clinical r…
2y · Female·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 occurred: the child protection service had closed th…
68y · Female·Hypoxic Ischaemic Encephalopathy as a result of Hanging
A 68-year-old woman with longstanding psychotic illness presented to ED with acute relapse, homicidal ideation toward her husband, and vague suicidal th…
27y · Male·ligature strangulation
… forensic mental health facility. The deceased had multiple admissions for medication non-compliance and psychotic relapse. The co-patient, classified as extremely high-risk for interpersonal violence, was released from…
56y · Male·Probable cardiac arrhythmia
…er Clinic on 18 December 2014. He presented with agitation and head injury after missing his monthly antipsychotic injection and likely becoming non-compliant with oral medications. An ECG showed apparent QT prolongatio…
60y · Male·Mixed drug toxicity
A 60-year-old man with schizophrenia and depression presented to Maroondah Hospital ED with acute psychotic symptoms after stopping his antipsychotic medication (trifluoperazine) due to manufacturer discontinuati…
64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…
… woman with bipolar disorder, severe obstructive sleep apnoea, obesity and diabetes presented with acute psychotic relapse following stress and sleep deprivation. Initially admitted to ED where she was sedated with halo…
32y · Male·multiple injuries sustained in a fall from height
A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic…
24y · Male·Multiple gunshot wounds
… an unprovoked assault on a tourist. He had presented five days prior to a psychiatrist who saw no acute psychotic symptoms and continued assertive community management. Critical systemic issues identified: excessive ps…
45y · Male·focal coronary artery disease and cardiomegaly
…onse and Mental Health Act detention. During his 2-day hospital stay, clinicians prescribed multiple antipsychotic and sedative medications to manage his severe agitation and aggression. ECG monitoring revealed progress…
5y · Male·multiple stab wounds
A 5-year-old boy died from multiple stab wounds inflicted by his father during an acute psychotic episode. The father, diagnosed with schizophrenia in 2003, was admitted to Hornsby Hospital in April 201…
49y · Male·incised injury to the neck
…n police call-taker failed to create a dispatch task after Mr Key's mother reported suicidal ideation and relapse, falling below service standards. The coroner emphasised the importance of clinicians directly contacting…
41y · Male·asphyxia due to neck compression following ligature suspension (hanging)
…suicide hours later. The coroner identified critical gaps in discharge planning, capacity reassessment, and risk escalation, though could not definitively establish these caused his death. Key recommendations target stre…
28y · Male·ligature compression of the neck (hanging)
…ven the low police response at the time for such absences, and the deceased was documented as low self-harm risk despite being high risk for absconding. Clinical supervision and treatment were found to be appropriate. Ke…
22y · Male·Hanging
…n changes should not be made without assessing the patient; and prison is unsuitable for managing severe psychotic illness. The coroner found the existing prison mental health model fundamentally inadequate, with expert…
24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway
…pass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent behaviour not weighted), delayed notification to police (1.35 hours after abscondin…
40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…
…lessons: undiagnosed cardiac disease and untreated sleep apnoea in patients requiring sedation pose serious risks; visual respiratory observations alone may not detect hypoventilation; patients with risk factors for resp…
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