464 results for “substance use history”
19y · Male·Multiple injuries sustained in motor vehicle collision (driver); impact of vehic…
…nd Johnstone. Clinical lessons include: identifying high-risk individuals early (impulse control issues, substance abuse) and implementing technological safeguards (alcohol interlocks, speed limiters) for those immune t…
19y · Male·Head injury: depressed stellate (star-shaped) fracture of skull with diffuse sub…
A 19-year-old male died from severe head injury (depressed stellate skull fracture with subarachnoid haemorrhage) sustained when a stolen motorcycle he was riding struck a kerb while evading police on Port Road, Adelaide…
23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…
A 23-year-old man with bipolar disorder, polysubstance dependence, and chronic self-harm died by jumping from the Tasman Bridge hours after psychiatric dischar…
25y · Male·Aspiration pneumonia secondary to methadone toxicity
…e Alexander Maconochie Centre in the ACT. He was assessed as opioid naive despite representations of heroin use and prescribed 30 mg methadone daily after two doses. The coroner found the medical assessment and prescrip…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
… custody, financial insecurity, immigration uncertainty); and (5) the challenge of managing patients who refuse mental health treatment. Better coordination at healthcare system interfaces and proactive outreach to GPs …
Female·multiple injuries from motor vehicle collision (for all five deceased)
…le into an oncoming truck, killing herself and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Personality Disorder and schizophrenia), domestic violence co…
42y · Male·Incised injury to the neck resulting in exsanguination and air embolism
…d 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 blades. The coroner found that while psychiatric ca…
15y · Female·toxicity to heroin
…onduct a LEAP database check that would have revealed her DHS status, multiple welfare warrants, and drug history. The DHS failed to obtain a safe custody warrant despite clear concerning indicators, including her prese…
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 threatening to self-im…
5y · Male·Presumed drowning
…'s 3am report that the children were missing despite clear risk factors: LS's recent release from prison, history of violence and mental health issues, drug use, erratic behaviour, and SJ's expressed concerns she would …
Male·Multiple injuries due to train over-run (suicide by train)
…tempts, and parental concerns. Dr D.' decision lacked critical information about Liam's suicidal ideation history and absconding attempts because Dr B. (junior doctor) did not adequately brief him, and Dr D. did not rea…
42y · Female·Ligature compression of the neck (hanging)
Sheridan Troy Hilton, a 42-year-old woman with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She…
33y · Male·stab wound to the chest
…to the High Security Inmate Management Committee despite a recent serious stabbing and extensive violence history; (2) inmates were not searched before placement in holding cell 4, allowing weapons into the cell; (3) 18…
46y · Female·Hypoxic brain injury in the setting of plastic bag asphyxia
Michelle Williams, a 46-year-old woman with longstanding schizophrenia and depression, died from hypoxic brain injury due to plastic bag asphyxia while an involuntary inpatient in a psychiatric unit. On 27 August 2016, d…
21y · Male·complications of ligature compression of the neck (hanging)
…qi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose attempts. Key clinical lessons includ…
46y · Male·Methylamphetamine toxicity and coronary atherosclerosis
…vehicle prevented continuous observation; (4) when officers did recognise he was unresponsive at the watchhouse, they initiated appropriate resuscitation. The coroner found that allowing the man to walk the short distan…
23y · Male·Neck compression as a result of hanging
Jonathon Hogan, a 23-year-old Aboriginal man of Wiradjuri, Ngiyampaa and Murrawarri descent, died by hanging at Junee Correctional Centre on 3 February 2018 while serving remand. He had longstanding schizophrenia with pr…
8y · Male·Hypoxic Ischaemic Encephalopathy resulting from asphyxiation due to co-sleeping …
…y educated about co-sleeping risks, and risk factors specific to this case (young, fatigued, difficult-to-rouse mother; newborn under 11 weeks) were not actively managed. The coroner found the death was accidental but p…
24y · Female·Exsanguination from injuries sustained while attempting to climb from a height i…
Phoebe Handsjuk, a 24-year-old woman with a history of depression, anxiety, and alcohol abuse, was found deceased in the refuse room of her apartment buildin…
31y · Male·hanging
… Centre, Silverwater. He had a chronic treatment-resistant schizophrenic illness with extensive self-harm history. Following his psychiatric assessment on 20 February 2017, he was never reviewed by a psychiatrist during…
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