746 results for “psychiatric treatment”
57y · Male·hanging
…with his last GP visit in February 2021. In October 2019, he expressed desire to return to psychological treatment but this referral did not eventuate. He was a socially isolated individual who kept to himself despite l…
49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…
…, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on 15 July 2020 with…
47y · Male·Multiple gunshot wounds; discharged by police officer during enforcement of Comm…
Ian Fackender, aged 47, died from gunshot wounds during a Community Treatment Order breach enforcement operation in his home. He had severe, treatment-resistant schizophrenia and was…
70y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis
…uent coronary intervention. While the coroner found no critical deficiency in his acute care or hospital treatment, concerns were raised about the absence of documented cardiovascular care plans during his seven-month i…
23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging
…a Ward at Cumberland Hospital while detained as an involuntary mental health patient. She had a complex psychiatric history with schizophrenia and borderline personality disorder, substance use, and intellectual disabil…
41y · Male·atropine toxicity
…y after ingesting 6-8ml of atropine liquid prescribed for hyper-salivation. He had been discharged from psychiatric hospital on a community treatment order with 17-hour daily carer support. The deceased self-administere…
17y · Female·multiple blunt force injuries after being struck by a train
17-year-old X died by suicide on 18 December 2012 after being struck by a train. She received multiple psychiatric admissions and CAMHS outpatient care from July-December 2012 for suicidal ideation, overdose attempts, …
52y · Female·stab wound to the chest
Dr L., a 52-year-old medical doctor, died from a self-inflicted stab wound to the chest on 28 May 2008. She had suffered major depressive disorder since 2006, was being treated by psychiatrist Dr F., and had made previou…
40y · Male·metastatic malignant melanoma
…mission, he developed confusion and agitation from brain metastases and pain, necessitating an Inpatient Treatment Order. The coroner noted the initial ED assessments were suboptimal but unlikely to have changed the out…
53y · Male·Neck compression in the circumstances of hanging
… at subtherapeutic doses. Critical failures included: premature discharge from the Crisis Assessment and Treatment Team (CATT) without evidence of clinical improvement, inadequate handover to his general practitioner la…
44y · Male·bronchopneumonia in the setting of combined drug effect
…bstance use disorder (alcohol, methylamphetamine, cannabis). He was appropriately managed on a Community Treatment Order with fortnightly depot antipsychotic injections, regular case management, and psychiatric review. …
31y · Male·extensive global cerebral hypoxia following prolonged asphyxia following attempt…
…ack of structured medical management despite identified substance abuse and insomnia; unavailable prior psychiatric records showing previous depression treatment; and communication gaps regarding police notifications of…
47y · Female·INCISED INJURY TO THE NECK
…s whether the newly prescribed antidepressant was being taken or was effective during the critical early treatment period. The death was impulsive, occurring as she prepared for a holiday trip.
42y · Male·acute methadone intoxication
Paul William Lowe, a 42-year-old man with treatment-resistant epilepsy, schizophrenia, and long-standing opioid dependence, died from acute methadone intoxi…
35y · Male·Head injury sustained in a bicycle accident
…ed history of drug and alcohol abuse, multiple substance-driving convictions, and was undergoing medical treatment for addiction, yet held a valid driver's licence. The inquest focused on Victoria's licensing regime and…
33y · Male·hanging
…tions. Detention officers showed genuine concern but lacked formal processes to escalate risk after his psychiatric admission. The coroner found the hospital treatment reasonable and discharge appropriate, but identifie…
28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…
…esistance led to respiratory arrest. Key preventable failures: failure to admit on 28 March, inadequate psychiatric review, poor inter-system communication, lack of senior physician supervision of junior doctors managin…
25y · Female·Ligature Compression of the Neck (Hanging)
…ti-psychotic medications in the weeks preceding her death. The coroner found the quality of supervision, treatment and care to be poor, with a complete breakdown in communication and failure to follow Department of Just…
33y · Male·complications from blunt force trauma to head consequent upon being struck by a …
…ithdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment (CAT) Team assessed him at 5pm and concluded he was not suicidal, diagnosing drug withdrawal rather than…
41y · Male·end-stage liver disease and pneumonia
… due to risk behaviours (aggression, wandering, non-compliance) secondary to his encephalopathy. Medical treatment was appropriate and palliative in nature. The primary clinical lesson concerns recognition that deaths o…
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