Coronial

746 results for psychiatric treatment

NSWhospital2018-04-27

Inquest into the death of Matthew Wilson Leary

25y · Male·drowning

Matthew Leary, 25, died by suicide at Watsons Bay on 28 November 2014 after three psychiatric admissions in one month. Key clinical lessons: mental health clinicians at Prince of Wales Hospital and…

psychiatryemergency medicinediagnosticcommunicationcitalopram
VICmental health2014-01-23

Finding into death of Kate Tamma Miller

39y · Female·hanging

… chronic self-harm urges. A shared care arrangement between TMC and Alfred Hospital provided coordinated treatment including DBT and elective admissions. Despite this collaborative approach and Ms Miller's recent patter…

psychiatryintensive caresystemdiazepam
TAShospital2019-02-22

Coroner's Finding: Mansfield, Doreen

78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…

…sorder managed with lithium and ECT, was admitted to the Royal Hobart Hospital under a Mental Health Act treatment order. She sustained an unwitnessed fall in her room on 1 August 2015, fracturing her left femur, and di…

psychiatryorthopaedic surgerysystemlithium
SAcommunity2010-09-27

Coroner's Finding: DALY Michael Barry

53y · Male·Burns to 75% of body surface area and severe lower airway inhalation injury

Barry Michael Daly, 53, died from severe burns (75% BSA) and inhalation injury sustained in a deliberately-set house fire on 20 April 2008. He had been detained at Glenside Hospital on 10 April 2008 under the Mental Heal…

psychiatryemergency medicinecommunicationsystem
WA2004-02-10

Inquest into the Death of Dylan Robert Green

26y · Male·Ligature Compression of the Neck (Hanging)

…illness, including psychotic episodes with delusional beliefs, and a previous suicide attempt. While in psychiatric care at Fremantle Hospital in March 2002, he was discharged without a community treatment order despite…

psychiatrycorrectional healthsystemcommunicationolanzapine
WAmental health2024-04-08

Inquest into the Death of Paul McLOUGHLIN

59y · Male·incised injuries to the neck

…ia incised neck wounds while on day leave from Graylands Hospital. He was an involuntary patient under a treatment order. His mental health appeared to be improving during his 17-day admission, with successful previous …

psychiatryvenlafaxine
WAhospital2005-02-04

Inquest into the Death of Alexander Albert Steinbrenner

36y · Male·Multiple injuries sustained from intentional jump from cliff top

…races, and multiple fractures. The coroner found his death was by suicide and concluded the supervision, treatment and care provided by Mental Health Services was appropriate, noting the tension between maintaining ther…

psychiatryemergency medicineflupenthixol
VIC2016-11-22

Finding into death of Mahmoud Taiba

36y · Male·Hanging

A 36-year-old male prisoner with complex psychiatric history, substance use disorder, and recent cancer diagnosis died by hanging in prison. Recent mental h…

psychiatrycorrectional healthcommunicationsystemolanzapine
SAhospital2011-09-23

Coroner's Finding: ANDERSON Rosemary Joy

56y · Female·multi-organ failure due to anorexia nervosa

…ted under Mental Health Act legislation after refusing ambulance assistance. Despite appropriate medical treatment in hospital, she deteriorated rapidly with hypoxia, hypotension and severe acidosis, requiring ICU admis…

psychiatryintensive care
WA2002-01-11

Inquest into the Death of Leslie William Wesley

32y · Male·Ligature Compression of Neck (Hanging)

…ween system overcrowding and his death, and considered his placement at Casuarina appropriate given his psychiatric needs. The coroner commented on systemic prison overcrowding and recommended continued review of prison…

psychiatrycorrectional health
TAShome2022-10-28

Coroner's Finding: O'Shea, Amie Maree

39y · Female·mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, pro…

…e around her. Key clinical lessons: Ms O'Shea had chronic complex medical conditions (breast cancer post-treatment, rheumatoid arthritis, sarcoidosis, depression, anxiety) with previous overdose attempts and suicidal id…

pathologytoxicologytapentadol
WAcommunity2024-08-13

Inquest into the Death of Amy Rebecca DEANE-JOHNS

48y · Female·Combined drug toxicity (predominantly methadone)

…016 and 2022, chronic polysubstance use including methamphetamine and alcohol, and was under a Community Treatment Order (CTO) at the time of death. The Intensive Community Outreach Team (ICOT) provided regular reviews …

psychiatrymethadone
NSW2017-07-11

Inquest into the death of LP

72y · Male·multiple injuries resulting from catastrophic head injury with massive disruptio…

A 72-year-old man with schizophrenia and a history of suicidal ideation died by jumping from level 7 of a shopping centre. He had stopped taking prescribed medications and had been planning this action, making calls to f…

psychiatrycorrectional health
VICcommunity2010-03-04

Finding into death of Stuart Fraser Ronaldson

46y · Male·Unascertained - possible drowning secondary to seizure, syncope, or accident

… in January 2007, approximately 16 days after being granted unescorted leave from the Alfred Hospital's psychiatric unit. He had been admitted involuntarily in November 2006 with schizoaffective disorder and substance a…

psychiatryforensic medicinecommunication
NSW2024-12-19

Inquest into the death of Ian Turner

35y · Male·multi-drug toxicity

… failures included: deployment approval despite known PTSD despite initial refusal, lack of coordinated psychiatric care, failure to escalate severe mental health deterioration, inadequate support during disciplinary pr…

psychiatrygeneral practicediagnosticcommunicationamitriptyline
SAschool2003-10-27

Coroner's Finding: CHAPMAN Michael James

16y · Male·Gunshot wound to the head

…nd suicidal ideation died by self-inflicted gunshot wound at school on 1 August 2001. He had been under psychiatric care for 10 months, prescribed citalopram, and had a 'no suicide contract' with his psychiatrist. Key c…

psychiatrygeneral practicediagnosticcommunicationcitalopram
SAhome2020-07-09

Coroner's Finding: HALES Fiona Joy

33y · Female·hanging

…Department for Correctional Services were identified. The coroner found lawful detention and appropriate treatment. This case highlights the importance of identifying at-risk individuals with substance use disorders, pr…

psychiatryaddiction medicinemethamphetamine
SAhospital2017-12-12

Coroner's Finding: HODGINS William Albert

95y · Male·multi-organ failure due to sepsis and general inanition on a background of advan…

…und of advanced vascular dementia and ischaemic heart disease. He was admitted under a Level 2 Inpatient Treatment Order following behavioural disturbances related to post-herpetic neuralgia and delirium. He developed a…

psychiatrygeneral medicine
SA2020-11-26

Coroner's Finding: KEN Kenneth Ngalatji

68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…

…n 16 April 2015 while experiencing acute myocardial infarction. He was transferred to Yatala for urgent psychiatric assessment following two self-harm attempts at Port Augusta Prison involving hearing paranoid voices. C…

psychiatrycardiologydiagnosticcommunicationolanzapine
QLDhospital2007-08-17

Mental Health patient

71y · Male·hypoxic brain injury due to hanging

…rder with melancholic features died by hanging on 22 July 2005, three days after admission to a private psychiatric hospital (Belmont) following a medication overdose of uncertain intent. His psychiatrist (Dr D.) docume…

psychiatryemergency medicinecommunicationdiagnostictemazepam
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