Coronial

475 results for psychiatric admission

NSWhospital2024-10-11

Inquest into the death of AX

45y · Female·Multiple blunt force injuries

…g shortly after and died from injuries sustained falling from a height while acutely psychotic. Earlier psychiatric scheduling when risk became apparent, immediate involvement of senior psychiatry staff, and prompt acti…

emergency medicinepsychiatrydiagnosticcommunication
VIChospital2023-04-03

Finding into death of David Bramwell Van Vledder

48y · Male·Drowning

…s, was deemed not to meet Mental Health Act criteria for involuntary treatment, and was planning medical admission for investigation and alcohol detoxification. While awaiting assessment, he asked to leave briefly for a…

emergency medicinepsychiatrydiagnosticcommunicationsertraline
WAmental health2015-12-31

Inquest into the Death of Michael Ronald THOMAS

Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…

Five young adults died by suicide within 12 months (March 2011 to March 2012), all connected to Alma Street Centre mental health services at Fremantle Hospital. Four were discharged (Ruby Nicholls-Diver, Carly Elliott, M…

psychiatryemergency medicinediagnosticcommunicationantidepressants
ACThome2017-03-23

AN INQUEST INTO THE DEATH OF PAP

55y · Male·Septicaemia due to hydronephrosis and infection

…ticoagulation, alcohol dependence, depression, and chronic hoarding behaviour. Despite repeated hospital admissions and professional interventions, he refused all community support and home visits post-discharge. The co…

cardiologypsychiatrysystemcommunicationwarfarin
VIC2016-11-07

Finding into death of Troy Daniel Saint

29y · Male·mixed drug toxicity including heroin

Troy Daniel Saint, a 29-year-old man with amphetamine and opioid dependence, died of mixed drug toxicity including heroin while admitted to The Melbourne Clinic for voluntary detoxification. Critical failures occurred: (…

addiction medicinepsychiatrycommunicationsystemheroin
VICmental health2023-04-20

Finding into death of Craig Harvey

50y · Male·Hanging

…onality disorder, died by hanging in Casey Hospital's mental health inpatient ward while on a compulsory admission. He was a known high-suicide-risk patient under hourly observations. The coroner found his death was pre…

psychiatrysystemdelaydiazepam
VIChome2015-07-15

Finding into death of Margaret Helen McCall

60y · Female·hanging

…ultiple ketamine infusions for pain management, with cessation of fentanyl during her July 2012 hospital admission. Pain recurred within 5 weeks of the final infusion, a known limitation of ketamine's temporary effects.…

pain medicinepsychiatrycommunicationsystemketamine
QLD2019-05-08

Appleton, Garry Ronald

48y · Male·Hypovolaemic shock due to incised wounds to the arms; other significant conditio…

…e while in custody at Brisbane Correctional Centre in May 2015. Initial mental health risk assessment on admission was adequate, but critical failures occurred: the psychologist did not access information about hallucin…

psychiatrypsychologycommunicationsystem
SAmental health2004-04-20

Coroner's Finding: TAYLOR Michael Jason

27y · Male·Not determined; olanzapine toxicity suspected but regarded by expert evidence as…

…ence, and a history of drug-seeking behaviour. On 5 February 2000, he suffered an overdose requiring ICU admission. Despite this critical incident, 20 days later he obtained heroin from outside the hospital and was foun…

psychiatrytoxicologysystemcommunicationolanzapine
VIChospital2021-03-30

Finding into death of Mr BB

56y · Male·Hanging

…hiatrist on 17 December, found to lack current suicidal ideation and not meeting criteria for compulsory admission, and discharged for community follow-up. Key clinical lessons: collateral information from family was no…

psychiatryemergency medicinecommunicationsystemdiazepam
WA2002-05-03

Inquest into the Death of Gerhardus Theron

39y · Male·Ligature Compression of the Neck (Hanging)

Gerhardus Theron, 39, died by suicide in a remand centre on 25 June 2000 by ligature compression of the neck. He had murdered his wife on 28 April 2000 while their four children were present, and was remanded in custody.…

psychiatrycorrectional healthsystemanti-depressants
WAhospital2010-02-04

Inquest into the Death of Hudson

20y · Male·Ligature compression of the neck (hanging)

… abuse and previous sexual trauma, died by hanging on 13 August 2006 at Sir Charles Gairdner Hospital's psychiatric ward D20. He had disclosed sexual assault at age 14 and expected psychotherapy that was never provided.…

psychiatryemergency medicinediagnosticcommunicationcarbamazepine
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

David Mathew Smith, 32, died by plastic bag asphyxia on 25 November 2007. He had schizophrenia, chronic motor tic disorder, sexual paraphilia, and a history of explosive-making offences. He was subject to concurrent bail…

psychiatryforensic medicinemedicationcommunicationrisperidone
QLD2019-05-08

Malone, Terrence Michael

54y · Male·incised wound to the neck

…iate but criticised lack of holistic, person-centred approach and failure to advocate for detoxification admission.

psychiatryemergency medicinediagnosticcommunicationalcohol
SA2003-01-17

Coroner's Finding: ALLEN Craig Mark

29y · Male·Hanging

…k Allen, aged 29, died by hanging in cell 211 of Yatala Labour Prison on 16 October 2000, six days after admission for assault. Critical failures in prisoner management contributed to this preventable death. The Health …

correctional healthpsychiatrycommunicationsystemfluoxetine
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

JC was a 30-year-old with a long history of benzodiazepine dependence and previous psychiatric episodes triggered by withdrawal. He presented to Calvary Mater Hospital after a deliberate overdose of…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
VICmental health2024-04-26

Finding into death of Allison Leah Randall

37y · Female·Hanging

…oman with a history of anxiety, depression, and childhood trauma, was admitted to the Northern Hospital psychiatric unit on 15 May 2020 following acute concerns about her partner's behaviour towards their daughter. She …

psychiatrysystemdiazepam
WAmental health2004-09

Inquest into the Death of Peter Daniel Mahoney

55y · Male·Immersion (Drowning) arising by way of suicide

…Health Campus where he was detained as an involuntary patient under the Mental Health Act 1996. Prior to admission, he had drugged his wife with sleeping pills and retrieved a cricket bat with apparent intent to harm he…

psychiatrypsychiatrycommunicationsystemtemazepam
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

…urs under the Mental Health Act; staff noted concerning door-closing behaviour but did not escalate for psychiatric reassessment; and standard hospital pyjamas were provided despite the patient's morning report of attem…

psychiatryemergency medicinecommunicationsystemaripiprazole
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

… mental health screening tools for cancer patients; and that metoclopramide carries rare but recognised psychiatric risks that warrant explicit risk-benefit consideration in patients with depression, though no causal li…

psychiatryhaematologycommunicationdelaymetoclopramide

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