475 results for “psychiatric admission”
49y · Male·undetermined
…staff while acutely psychotic, mental health services and police attempted to locate him for involuntary admission. Despite multiple home visits and coordination attempts, Mr T evaded contact and travelled to Far North …
51y · Male·undetermined natural causes
Chris Prasad, a 51-year-old involuntary psychiatric inpatient with schizoaffective disorder, diabetes type 2, hypertension, and obesity (BMI 30.8), was gra…
33y · Female·Immersion (drowning) by suicide
Elizabeth Ann Studd, a 33-year-old woman with longstanding borderline personality disorder, died by drowning in the Swan River on 28 August 1999. She had a severely traumatic childhood characterised by emotional neglect,…
17y · Male·Suicide by self-inflicted hanging
…. Critical clinical lessons emerged: failure to inform his mother about mental health deterioration and psychiatric hospitalizations; poor communication between school and mental health services despite recognizing high…
24y · Male·Multiple gunshot wounds
Mohamad Ikraam Bahram, a 24-year-old man with schizophrenia managed under a community treatment authority, died after being shot by police on Mary Street Brisbane following an unprovoked assault on a tourist. He had pres…
47y · Female·Multiple injuries from being struck by a train; death determined to be suicide
…y Treatment Order at the time. Critical clinical lessons include: (1) discharge planning from inpatient psychiatric care was inadequate, with serious miscommunications between Swan Valley Centre and Inner City Community…
40y · Male·compression of the neck due to hanging
…asks, limiting clinical evaluation quality; (2) Critical collateral information from his recent hospital admission was not obtained timely to inform risk rating and care planning; (3) Without complete clinical history, …
Male·Multiple injuries due to train over-run (suicide by train)
…read the medical file. Charles Powell (17) was assessed in the ED on 31 July 2006 and discharged without admission despite concerning collateral information from his case manager about psychosis, self-harm, and drug use…
42y · Male·Incised injury to the neck resulting in exsanguination and air embolism
…ents with razor blades in April and May 2016, and clinical assessment recommending acute assessment unit admission, he remained on a waiting list and was housed in a mainstream unit with unrestricted access to razor bla…
30y · Male·asphyxia due to hanging (suicide)
…r Ryan's past suicide attempt to the hospital and did not inform treating psychiatrist Dr K. of hospital admission. Nurse Gordon failed to document a recent suicide attempt reported by police. Dr G. prescribed unrestric…
43y · Male·The combined effects of subacute myocardial injury and methadone toxicity
Timothy Ricketts, a 43-year-old man with complex psychiatric and substance use history, died from combined subacute myocardial injury and methadone toxicity. He had…
52y · Female·Plastic bag asphyxia and asphyxia in the setting of an irrespirable environment
Diane Bell, a 53-year-old woman with delusional disorder and chronic suicidal ideation, died by argon gas inhalation in June 2017. She had been under care of North West Area Mental Health Service with a Community Treatme…
56y · Female·acute pentobarbitone toxicity
56-year-old woman died from acute pentobarbitone toxicity in her Sydney apartment on 27-28 May 2016. She had a long history of mental health issues, depression, substance use, and prior self-harm. She had recently obtain…
Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…
…9% of Kimberley students attend infrequently); and insufficient mental health infrastructure (no secure psychiatric facility in the Kimberley). Twenty-seven recommendations addressed governance, housing, education, alco…
30y · Male·methadone toxicity
…ith schizoaffective disorder, narcolepsy, and obesity died from methadone toxicity while an involuntary psychiatric patient. He was prescribed multiple sedating medications including methadone, benzodiazepines, and anti…
66y · Male·carbon monoxide poisoning due to inhalation of exhaust gases from a lawn mower
…up but received inadequate ongoing support. Key clinical lessons include: (1) older males with multiple psychiatric comorbidities, physical health issues, social isolation, and substance abuse require intensive, coordin…
20y · Male·Multiple injuries due to contact with a train
Jonathan Saccu, a 20-year-old with severe treatment-resistant schizophrenia, absconded from an open mental health unit and was fatally struck by a train approximately 3 hours later. He was admitted on an involuntary trea…
58y · Male·Heroin toxicity
…xicity. He had been successfully withdrawn from opioids (MS Contin, Endone) during a March 2016 hospital admission and referred to rehabilitation. He self-discharged from the Adult Step Up Step Down program on 17 May 20…
21y · Female·Neck compression
…nt under Mental Health Act orders. She had a lengthy history of self-harm (39 documented episodes during admission) and complex psychiatric needs. On the morning of her death, despite being assessed as low-risk and appe…
24y · Male·Strangulation by hanging
…stmas Eve 2009, four hours after being informed that his anticipated 4-day Christmas leave from PARC (a psychiatric step-down facility) would be reduced to 2 days. The clinical team made this decision without consulting…
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