333 results for “treatment non-compliance”
44y · Male·bronchopneumonia in the setting of combined drug effect
…bstance use disorder (alcohol, methylamphetamine, cannabis). He was appropriately managed on a Community Treatment Order with fortnightly depot antipsychotic injections, regular case management, and psychiatric review. …
63y · Female·unable to determine; possibly mirtazapine toxicity, cardiac disease, or injectio…
…on mirtazapine. Treating doctors noted she was unconcerned about poison origin, reluctant to comply with treatment, and attempted to deceive nursing staff. The coroner could not determine the immediate cause of death bu…
23y · Male·Unknown - missing person, no conclusive evidence of death
…e investigation. He had multiple psychiatric hospitalizations (2004, 2006, 2007) and was under community treatment order. His treating mental health team noted he had poor insight into his illness, medication non-compli…
42y · Female·Multiple stab wounds
…ary 2021, she fatally stabbed herself and her three children. The coroner found suboptimal mental health treatment with missed opportunities for intervention, including inadequate frequency and quality of reviews, failu…
37y · Male·Hanging, self-inflicted with intention of taking own life
A 37-year-old man with schizophrenia and a history of medication non-compliance died by suicide while subject to a Psychiatric Treatment Order. He was last seen alive on 14 February …
64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection
…th respiratory compromise, COVID-19, and bacterial pneumonia. A significant clinical challenge was her non-compliance with treatment, including refusal of thickened fluids despite dysphagia, and difficulty with blood tes…
7y · Female·Multiple stab wounds to the back
…nitoring, failure to detect a risperidone overdose, and inadequate family involvement. The coroner found treatment suboptimal but not causally linked to the deaths. Missed opportunities for intervention were identified,…
42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…
…e liver disease. She was admitted with pneumonia and delirium on 12 July 2019 and placed on an Inpatient Treatment Order due to impaired decision-making capacity. Despite initial improvement with antibiotics and support…
69y · Male·end-stage interstitial lung disease and chronic congestive cardiac failure
…diabetes, and chronic renal impairment died at Flinders Medical Centre. He had a history of medication non-compliance leading to recurrent acute exacerbations requiring hospitalisation. During his final admission, he dev…
62y · Male·bronchopneumonia on background of chronic obstructive pulmonary disease
Stephen Kenneth Ryan, a 62-year-old man with treatment-resistant schizophrenia and severe COPD from lifelong smoking, died of bronchopneumonia on 12 August 201…
48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis
…tments. While the deceased had cognitive impairment from a prior head injury, he understood the need for treatment but made informed decisions to refuse medications on many occasions. Emergency response at the prison an…
27y · Male·ligature strangulation
A 27-year-old male with treatment-resistant schizophrenia died from ligature strangulation by a co-patient at a secure forensic mental hea…
47y · Male·Complications of cirrhosis and metastatic hepatocellular carcinoma
…ment of Justice and St Vincent's Hospital was reasonable and appropriate in the circumstances. Medical non-compliance with assessments and treatment prevented earlier diagnosis of his liver disease. No adverse findings w…
57y · Male·Clozapine toxicity on a background of right lower lobe of lung lesion (unspecifi…
Joshua Brown, a 57-year-old man with treatment-resistant schizophrenia managed in the community, died from clozapine toxicity. He had accumulated over …
50y · Female·hanging
…er and ADHD died by hanging in immigration detention. The coroner found her mental health monitoring and treatment were adequate, though she received only two psychiatrist reviews. Non-compliance with medication (65% ra…
49y · Male·undetermined
…tigations, and ensuring mental health and police communication barriers are minimised during involuntary treatment escalations.
34y · Male·gunshot injuries to the torso
…The coroner found his psychiatric care was appropriate and that he did not meet criteria for involuntary treatment while appearing stable and in remission. However, the coroner highlighted opportunities for improvement:…
84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…
… emphysema and hypertensive heart disease while admitted to a mental health acute unit under a Temporary Treatment Order. He had multiple comorbidities including congestive heart failure, COPD, and bipolar disorder, wit…
30y · Male·Disseminated mycobacterium avium complex infection complicating HIV infection
…a guardianship order since July 2013 due to repeated refusal of antiretroviral therapy and other medical treatments, despite having AIDS. He initially refused all HIV treatment, pursuing alternative therapies including …
33y · Female·Hypoxic brain injury secondary to plastic bag asphyxia
…ation using a plastic bag secured with knitting wool in a hospital toilet. The coroner found psychiatric treatment was appropriate and that she intentionally took her own life. Key clinical lessons include the paradox o…
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