464 results for “substance use history”
Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain
…) recognizing prodromal psychotic symptoms in individuals under stress, particularly combined with cannabis use; (2) the importance of identifying vulnerable populations (young female travellers) and implementing protec…
33y · Male·Gunshot injury to the anterior trunk (chest and upper abdomen)
…ad deteriorated significantly over preceding days despite engagement with mental health services; he had refused voluntary hospital admission despite his mother's concerns. When police attended, Jack emerged from his re…
27y · Male·Not determined; olanzapine toxicity suspected but regarded by expert evidence as…
…r the Mental Health Act 1993. He was a patient with chronic schizophrenia, borderline intelligence, and a history of drug-seeking behaviour. On 5 February 2000, he suffered an overdose requiring ICU admission. Despite t…
32y · Male·self-inflicted hanging
…nd Health Service provided minimal psychiatric care with brief consultations (3-31 minutes), insufficient history-taking, conflicting assessments of his mental state, and failure to refer to mental health specialists de…
48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)
…g in Risdon Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suicidal ideation. The coroner found his mental h…
25y · Male·opiate toxicity (heroin overdose)
Andrew Nicholas Petrelis, a witness protection program participant, was found dead in his Caloundra apartment on 11 September 1995 from opiate toxicity (heroin overdose). He had relocated from Western Australia to Queens…
24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging
…clinical lessons: (1) Multiple unmet requests for antidepressant medication despite documented depression history and clear clinical indication—a significant departure from reasonable care standards; (2) Failure to resc…
18y · Female·Mixed drug toxicity
…opranolol while admitted to an acute mental health unit under involuntary treatment. She had a documented history of medication stockpiling and multiple overdose attempts. Key clinical lessons: (1) propranolol and simil…
38y · Male·hanging
Shane Tuck, an elite AFL player (2004-2013) and professional boxer (2015-2017), was found deceased by hanging on 20 July 2020. Post-mortem neuropathology confirmed severe stage III chronic traumatic encephalopathy (CTE).…
14y · Female·ligature compression of the neck (hanging)
Child RK, aged 14, died by suicide while in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency de…
48y · Male·Hypovolaemic shock due to incised wounds to the arms; other significant conditio…
…lost. Staff handling the note about "prisoners tunnelling" on 9 May were unaware of his psychotic illness history. The coroner found the death potentially preventable through better information sharing, escalation proto…
41y · Male·Stab wound to the chest
Jack, a 41-year-old man with extensive history of domestic violence perpetration across multiple relationships, died from a stab wound to the chest infl…
32y · Male·Gunshot wound to head (self-inflicted)
…ane Andrew Robinson, a 32-year-old registered child sex offender and parolee with a long violent criminal history and substance abuse problems, died by self-inflicted gunshot wound while evading police during a siege at…
50y · Male·unascertained
…ent for severe alcohol withdrawal and seizures, sent to homelessness without adequate follow-up care. His cause of death remains unascertained due to advanced decomposition. Clinical lessons include: the critical import…
34y · Male·Incision/stab wound to the neck
A 34-year-old male remandee died by self-inflicted neck wound while in custody at Metropolitan Remand and Reception Centre. He had been discharged from Risk Intervention Team management following a self-harm incident 7 d…
43y · Male·aspiration of vegetable matter with occlusion of the upper airway
Peter Cornish, a 43-year-old man with a 17-year history of bipolar disorder, died on 25 September 2001 from aspiration of vegetable matter while experiencing a s…
46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…
Samuel Edward Ashby, a 46-year-old prisoner with treatment-resistant schizophrenia, died from aspiration pneumonia complicated by clozapine effect. Key clinical lessons: (1) smoking cessation dramatically increases cloza…
20y · Female·Multiple injuries sustained when struck by train at Lalor Railway Station
Stacey Smith, aged 20, with complex psychiatric illness and suicidal ideation was transferred to Northern Hospital ED following confirmed overdose of 40-50 Valium tablets and explicit threats to throw herself in front of…
70y · Male·Cyanide Toxicity
Anthony Lansell Churches, a 70-year-old man with a history of substance use and criminal offences, died from cyanide toxicity after absconding from St Vincent's Hos…
17y · Female·Neck compression by hanging (suicide)
…l guardian. Critical failures included: inadequate cultural connection and support, poor case management focused on crisis response rather than relational practice, failure to facilitate family contact despite court ord…
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