Coronial

475 results for psychiatric admission

VIChome2026-01-06

Finding into death of Michelle Margaret Darragh

32y · Female·Stab wound to the back extending into the posterior neck, causing subtotal trans…

Michelle Darragh, a 32-year-old social worker, was fatally stabbed by her former partner Benjamin Coman on 9 October 2021. She was pregnant with their third child. The relationship involved progressive coercive control, …

psychiatryemergency medicinediagnosticcommunicationsertraline
VICcommunity2016-09-06

Finding into death of Antonio D'Augello

63y · Male·Drowning

Antonio D'Augello, a 63-year-old man with schizophrenia and acquired brain injury, died by drowning in an irrigation channel four days after discharge from emergency care. He had deteriorated after stopping antipsychotic…

psychiatryemergency medicinecommunicationdelayolanzapine
WAhospital2024-04-08

Inquest into the Death of Child SK (Name Subject to Suppression Order)

13y · Female·complications of a head injury sustained when she deliberately stepped in front …

…ith mental health clinicians. In the final 6 weeks before death, she had 8 ED attendances and 6 hospital admissions to the mental health unit. Critical gaps were identified: the Department of Communities failed to adequ…

psychiatryemergency medicinesystemdelaysertraline
NSWcommunity2021-06-08

Inquest into the death of Zhong Liu

54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…

…ially with language barriers; (2) mental health deterioration with aggressive behaviour warrants urgent psychiatric assessment despite current calm presentation; (3) clinicians prescribing these drug combinations should…

psychiatrygeneral practicemedicationcommunicationdoxepin
QLDcommunity2006-12-15

Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane

asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …

… October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital Mental Health Unit; discharged from Yarrabah hospita…

psychiatrygeneral practicediagnosticcommunicationflupenthixol
VICcommunity2021-02-23

Finding into death of Daniel Patrick Frawley

56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) on a rural road. The coroner found he intentionally took his o…

psychiatryforensic medicinedesvenlafaxine
VIChospital2019-06-26

Finding into death of Trajce Laboski

27y · Male·Injuries sustained in descent from height

… and injecting testosterone. The Emergency Department doctor (Dr K.) assessed him, determined he needed psychiatric admission, but did not make a formal assessment order under section 30, relying on a Northern Hospital …

emergency medicinepsychiatrydiagnosticproceduraltestosterone
VICcommunity2015-09-24

Finding into death of GC

42y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…il; he was assessed by a mental health nurse and psychiatrist who determined he did not meet involuntary admission criteria and released him pending community follow-up. Two days later, he engaged in erratic driving beh…

psychiatryemergency medicinesystemdelaycannabis
QLDhome2019-11-06

Follent, Mitchell James - Non-inquest findings

22y · Male·Multiple injuries from fall from height

Mitchell Follent, 22, died by fall from a third-floor balcony five days after discharge from his first psychiatric admission for post-ictal/drug-induced psychosis. He had intellectual disability, epilepsy, and acquired…

psychiatryneurologydiagnosticcommunicationolanzapine
SAcommunity2000-03-13

Coroner's Finding: STRANGWAYS Kenneth Charles

34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…

…ld Aboriginal man with post-traumatic epilepsy, organic brain damage from head injuries, alcoholism and psychiatric illness, died from aspiration pneumonia following a seizure. The death was preceded by discharge planni…

psychiatryneurosurgerycommunicationsystemanticonvulsant medications
NSWaged care2020-03-03

Inquest into the death of Hazel BROCKETT

86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…

86-year-old Hazel Brockett died from complications of fractures inflicted by a fellow dementia-affected resident in a locked Memory Support Unit (aged care dementia facility). Over months prior, the other resident demons…

geriatric medicinegeneral practicecommunicationdiagnosticbuprenorphine
NSWmental health2025-08-13

Inquest into the death of Allyson Bailey

42y · Female·pneumonia with diffuse alveolar damage in the setting of mixed drug toxicity (Ba…

Allyson Bailey, a 42-year-old woman with complex polysubstance use disorder and borderline personality disorder, died from pneumonia with diffuse alveolar damage complicated by mixed drug toxicity (baclofen and pregabali…

emergency medicineintensive carediagnosticcommunicationbaclofen
WAmental health2024-05-17

Inquest into the Death of Richard Anthony BOROS

50y · Male·upper airway obstruction (choking) from tissue paper

Richard Anthony Boros, a 50-year-old man with paranoid schizophrenia, died from upper airway obstruction (asphyxiation) after intentionally swallowing a dense ball of tissue paper while in the mental health assessment un…

psychiatryemergency medicinecommunicationsystemolanzapine
WAcommunity2024-06-26

Inquest into the Death of Peter James WILSON

41y · Male·complications in association with effects of fire, with terminal palliative care

…ity Treatment Order. Wilson was discharged from Graylands Hospital on 29 October 2021 following a 12-day admission for management of psychosis and recent suicidal behaviour (drain cleaner ingestion). Key deficiencies in…

psychiatryintensive carecommunicationsystempaliperidone
WAhospital2004-06-17

Inquest into the Death of Edmiston

41y · Female·Peritonitis following surgical procedure to the urinary bladder, due to infected…

Cheryl Lee Edmiston, a healthy 41-year-old woman, died of peritonitis and sepsis following minor bladder procedures (cystoscopy, hydrodilatation, and biopsy) at Joondalup Health Campus on 14 February 2003. The biopsies w…

urologygeneral surgerydiagnosticmedicationamoxicillin

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