Coronial

475 results for psychiatric admission

VICcommunity2019-04-16

Finding into death of Sophie Margery Nicholas

27y · Female·Injuries sustained in motor vehicle incident (pedestrian)

…ng borderline personality disorder (BPD) and alcohol dependency, with frequent crises involving multiple admissions to psychiatric units and private rehabilitation facilities. Despite extensive engagement with mental he…

psychiatryaddiction medicinecommunicationsystemalcohol
QLDhospital2015-07-28

Mills, Stephen John

57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…

…ical failures in falls risk management were identified: no formal falls risk assessment was completed on admission despite prior fall history, despite clear clinical indicators of increased fall risk (unsteady gait, hyp…

psychiatryneurosurgerysystemcommunicationseroquel xr
WAhospital2014-12-30

Inquest into the Death of Gheorghe Gruici

71y · Male·Organ failure in an elderly man receiving palliative medical care for renal fail…

…ultiple comorbidities including COPD, early gastric carcinoma (treated with gastrectomy), diabetes, and psychiatric illness. His complex medical and mental health needs were managed through prison medical staff and exte…

general medicinenephrologyomeprazole
ACT1999-06-28

Inquest Into The Manner And Cause Of Death Of Mark Robert Watson

17y · Male·Cerebral ischaemia caused by hanging at Quamby Youth Detention Centre at approxi…

…ed at Quamby Youth Detention Centre. During his second remand in September 1996, after a failed hospital admission, he returned to the same unit where he had attempted hanging days earlier. Despite being on five-minute …

psychiatrypsychologysystemsupervision
VIChome2014

Finding into death of Kathy Louise Tranter

48y · Female·head injuries from multiple blunt force trauma including punching, elbowing and …

A 48-year-old woman, Kathy Tranter, was killed by her 20-year-old son who was an involuntary psychiatric patient at Orygen Youth Health (OYH) with acute paranoid schizophrenia. The son was granted overnight l…

psychiatryemergency medicinediagnosticcommunicationrisperidone
SAmental health2012-12-13

Coroner's Finding: Jenkinson Jacqueline Mary

46y · Female·mixed drug toxicity

46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roommate), olanzapine, fluoxetine, oxycodone, and diazepam. She disclosed to her …

psychiatrypsychologycommunicationsystemclozapine
VICmental health2025-07-14

Finding into death of Maxwell Bernard Howard

84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…

Maxwell Howard, 84, died from bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart disease while admitted to a mental health acute unit under a Temporary Treatment Order. He had multiple comorbid…

psychiatryemergency medicinecarbamazepine
VICpsychiatric inpatient unit2020-01-31

Finding into death of Damon Brenden Amiet

25y · Male·Injuries sustained when struck by a train (suicide)

…fective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpatient unit (IPU1) on 12 April 2013 following a serious suicide attempt by hanging. He died the next…

psychiatryemergency medicinecommunicationsystemolanzapine
SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

… third presentation. Brain metastases and C6 spinal involvement were subsequently found. During terminal admission, he developed confusion and agitation from brain metastases and pain, necessitating an Inpatient Treatme…

oncologyemergency medicinediagnosticdelay
NSW2024-12-03

Inquest into the death of Simon Cartwright

41y · Male·Septicaemia secondary to chronic peptic ulcer disease

…s expert evidence indicates that timely medical intervention, proper food/fluid monitoring, appropriate psychiatric hospitalization, or even application of section 24 of the Crimes (Administration of Sentences) Act to a…

psychiatrygastroenterologydiagnosticsystempantoprazole
VICmental health2012-03-13

Finding into death of Matthew Spalding

28y · Male·neck compression subsequent upon hanging

Matthew Spalding, a 28-year-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 Apr…

psychiatryemergency medicinecommunicationsystemaripiprazole
VICaged care2019-10-15

Finding into death of Patricia O'Connor

84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …

Patricia O'Connor, 84-year-old woman with bipolar disorder, was admitted involuntarily to Sunshine Aged Persons Mental Health Unit on 15 August 2017 during a manic relapse. On 25 August, she fell and fractured her right …

psychiatrygeriatric medicinesystempaliperidone
VICmental health2022

Finding into death of LKV LKV

73y · Male·Neck compression in the circumstances of hanging

A 73-year-old man with severe depression and suicidal ideation died by hanging at a private psychiatric facility on 9 February 2019 during voluntary admission. He was assessed as low risk despite recent suic…

psychiatrygeneral practicediagnosticsystemescitalopram
NSWhospital2017-07-07

Inquest into the death of Benjamin Gilligan

22y · Male·Multiple injuries caused when the vehicle he was driving collided with a tree

22-year-old Benjamin Gilligan died in a motor vehicle crash while fleeing psychiatric care, having been recently diagnosed with methylamphetamine-induced psychosis. Key clinical issues iden…

psychiatryemergency medicinecommunicationsystemmethamphetamine
WAcommunity2025-06-09

Inquest into the Death of Joyce Gladis CLARKE

29y · Female·gunshot wound to the abdomen

… she was appropriately discharged from Sir Charles Gairdner Hospital following involuntary mental health admission for drug-induced psychosis; acute symptoms had resolved. The discharge was clinically sound with communi…

psychiatryemergency medicinesystemmethamphetamine
VICmental health2023-09-15

Finding into death of Daylon John Roeton

28y · Male·Hanging

Daylon Roeton, 28, died by hanging in a mental health seclusion room using a ligature made from blanket binding. He was admitted involuntarily after expressing suicidal ideation and paracetamol overdose. The coroner foun…

psychiatryemergency medicinesystemproceduralolanzapam
NSWmental health2024-03-06

Inquest into the death of RA

64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging

…ness that potential ligatures had not been systematically removed from that area. The coroner found the psychiatric care and decision-making were appropriate, but the search process and documentation were significantly …

psychiatryemergency medicinesystemproceduralmirtazapine
VICmental health2013-08-20

Finding into death of Hassan Yassin

35y · Male·Hanging

…hizophrenia, bipolar affective disorder, and PTSD, died by hanging after absconding from an involuntary psychiatric admission. On 10 January 2011, following a clinical review at Broadmeadows In-Patient Unit assessing hi…

psychiatryemergency medicinecommunicationsystemrisperidone
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

…ical lessons include: the importance of considering the full context of a patient's presentation over an admission period rather than a single day's apparent improvement; the necessity of involving family, drug and alco…

psychiatryemergency medicinediagnosticcommunicationheroin
VIChospital2012-04-19

Finding into death of James Kellock Bloomfield

53y · Male·severe burns

Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threate…

emergency medicinepsychiatrycommunicationsystem
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