Coronial

746 results for psychiatric treatment

ACTcommunity2022-02-24

Inquest into death of DEAN CHRISTOPHER BRICE

28y · Male·Multiple drug toxicity (gamma hydroxybutyrate and methamphetamine) with cardiore…

…r in March 2020 from an accidental overdose. His parents argued the AMHU should have provided integrated treatment for both mental health and substance abuse conditions. However, the coroner determined that the discharg…

psychiatryaddiction medicinesystemgamma hydroxybutyrate
VIChome2010-03-17

Finding into death of Paul Gledhill

37y · Male·smoke inhalation

…ledhill, a 37-year-old man with schizophrenia managed by community mental health services on a Community Treatment Order, died from smoke inhalation in an accidental house fire. He had a blood alcohol level of 0.230-0.2…

psychiatryforensic medicineflupenthixol
SA2006-06-16

Coroner's Finding: HODSON Lawrence John

63y · Male·complications from carcinoma of the lung

… unresponsive with absent vital signs within 20 minutes of symptom onset. The coroner found his care and treatment to be appropriate, diligent, and commendable, with no deficiencies disclosed. No clinical errors or prev…

oncologyrespiratory medicinesalbutamol
SAhospital2005-06-02

Coroner's Finding: GREEN Marie

64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…

…ern was appropriate, but critical care gaps emerged. Dr P.'s observation that the patient was unfit for psychiatric assessment at noon was not documented in the clinical record, depriving later clinicians of crucial inf…

emergency medicinegeneral medicinecommunicationdiagnosticmorphine
SAmental health2000-04-07

Coroner's Finding: SANDERS Sandra June

42y · Female·salt water drowning

Sandra Sanders, aged 42, a detaineε psychiatric patient, died by saltwater drowning after absconding from Woodleigh House psychiatric unit on 3 Septemb…

psychiatrycommunicationsystemstelazine
TAScommunity2017-05-04

Coroner's Finding: Higgins, Elizabeth Ann

61y · Female·Drowning due to asphyxia from saltwater ingestion

Ms Elizabeth Ann Higgins, aged 61, drowned at Little Howrah Beach on 14 March 2011. The coroner found she was an inexperienced swimmer who entered water beyond her depth. While her son-in-law Mr Lacroix shouted loudly at…

general practicepsychiatrydelay
SAhome2012-02-20

Coroner's Finding: WYATT David James and WYATT Jakob James

24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…

…cence following a mental impairment finding and was subject to strict conditions including mental health treatment, drug testing, and anger management. Critical failures included: minimal compliance with urinalysis test…

psychiatrycorrectional healthsystemcommunicationmethamphetamine
SAhospital2013-09-04

Coroner's Finding: THALBOURNE-MAITREYA Michael Anthony

55y · Male·toxic effects of quetiapine and clonazepam

…umonia, septic shock, and multi-organ failure, dying 32 hours after admission. The coroner found medical treatment was competent and adequate, with no preventable factors identified. A psychiatrist evaluation required u…

emergency medicineintensive carequetiapine
NThospital2023-03-15

Inquest into the death of Janelle Pamkal

35y · Female·aortic dissection with associated acute aortitis

… schizoaffective disorder presenting with acute psychosis and chest pain was appropriately referred for psychiatric assessment and retrieval. CareFlight transport was timely and the receiving ED team initiated appropria…

emergency medicinepsychiatryolanzapine
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

…e found him malnourished following 30 days of intentional food refusal. Despite appropriate medical and psychiatric interventions including nasogastric feeding, electroconvulsive therapy, and intensive supportive care, …

psychiatrygeneral medicine
VICcommunity2023-12-08

Finding into death of Ricky James Broughton

47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…

Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatri…

psychiatrygeneral practicecommunicationsystemquetiapine
QLDhospital2015-03-13

Cuttler, Melina Maree

29y · Female·Multiple injuries due to fall from height

…assessment within 30 minutes. Multiple systemic and clinical failures delayed appropriate assessment and treatment for over 4 hours. The ED mental health nurse referred her to ATODS without first assessing her, despite …

emergency medicinepsychiatrydiagnosticcommunication
VIChospital2021-08-16

Finding into death of XA

39y · Male·Complications arising from widely disseminated primary pulmonary small cell carc…

…is C cirrhosis. He presented with acute psychosis and catatonia in December 2018, receiving appropriate psychiatric care including ECT. During subsequent mental health admissions, he declined offers of hepatitis C inves…

psychiatryoncologyolanzapine
VIChospital2012-01-23

Finding into death of Elizabeth Maryanne Holley

52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…

Elizabeth Holley, 52 years old, was admitted involuntarily to a psychiatric ward with a history of three weeks of declining mental health and medication non-compliance. She receiv…

psychiatryintensive careolanzapine
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…f abandonment. Within hours, Chrystal hanged herself. Clinicians should understand that: (1) specialist psychiatric beds should not be declined without reassessment by the treating psychiatrist; (2) discharge planning r…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
WAmental health2022-02-25

Inquest into the Death of Jordan James WILLIAMS

20y · Male·head and neck injuries sustained when struck by train

…ble; nursing staff were unaware he had been found near railway tracks; and security guards (not trained psychiatric nurses) provided supervision due to staffing shortages. Staff shortages on the unit prevented allocatio…

psychiatryemergency medicinesupervisioncommunicationolanzapine
SAhospital2017-11-17

Coroner's Finding: FREDERICK Geoffrey Lachlan Hogarth

60y · Male·End stage renal failure

Geoffrey Frederick, aged 60, died of end-stage renal failure while subject to a Mental Health Act order at Royal Adelaide Hospital. He had schizophrenia and chronic kidney disease requiring dialysis, but repeatedly remov…

nephrologypsychiatry
QLDmental health2013-01-25

SH and AW

25y · Female·Chest injuries due to fall from height

Two psychiatric inpatients (SH, 25-year-old female; AW, 24-year-old male) died by suicide by jumping from the Buranda c…

psychiatrydiagnosticcommunicationhaloperidol
SAhospital2014-11-28

Coroner's Finding: ANDERSON Joel Kenneth

50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…

…ate medical management including fluid drainage, PICC line insertion for medication delivery, antibiotic treatment for peritonitis, and endoscopic assessment revealing oesophageal varices, his condition rapidly deterior…

gastroenterologyhepatologyspironolactone
SAcommunity2005-03-14

Coroner's Finding: Ryan Kunmanara

Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…

…ere brain damage from decades of petrol sniffing. Cooper (27) died by hanging after recent release from psychiatric detention. Key clinical lessons: inadequate disability services and respite care failed Ken; police sea…

psychiatryemergency medicinedelaysystempetrol
123242538

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