621 results for “mental health concerns”
58y · Female·Mixed drug toxicity (oxycodone, temazepam, diazepam, oxazepam, citalopram, fluox…
…though IBAC had not contemplated prosecution, this uncertainty persisted and progressively exacerbated her mental health. She had disclosed suicidal ideation to her treating psychologist but was reassured by protective f…
54y · Male·carbon monoxide toxicity
…legations. He was released from police custody on 18 October 2010 without police identifying suicide risk concerns. Within 24 hours, he withdrew most of his funds and left notes indicating suicidal intent. He was discove…
83y · Male·Ischaemic heart disease secondary to coronary atherosclerosis
…y psychiatric patient at Normanby House. He was admitted following assessment for self-neglect and safety concerns, commenced on multiple psychoactive medications including benzodiazepines and antipsychotics. During tran…
30y · Male·unknown - no postmortem examination performed
…ly in 2020 via DNA), and inadequate policy frameworks. The case demonstrates how poor coordination between mental health services, university pastoral care, social work, and law enforcement can allow vulnerable foreign s…
34y · Male·ligature compression of the neck (hanging)
…) and consumed high quantities along with alcohol and methamphetamine on the day of death. Initial police concerns about suspicious circumstances were resolved through investigation. The coroner found he fashioned a liga…
22y · Male·Multiple injuries caused when the vehicle he was driving collided with a tree
…n breakdown between psychiatrist Dr G. and father Wayne regarding gate leave consent—coroner found family concerns likely misinterpreted as agreement; (2) premature discharge after patient absconded from gate leave, thou…
24y · Female·Pentobarbitone toxicity
…gnitive analytic therapist, who coordinated admission to a private clinic with her GP. Despite appropriate mental health management and no imminent crisis appearing evident, Ms Sessarego accessed pentobarbitone from the …
74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest. Hassan Khalif Shire Ali: gunshot wo…
…n SIU procedures, intelligence gaps, delayed CVE referral, and premature risk downgrading were identified. Mental health concerns were noted but not conclusively linked to the attack. The police response was appropriate …
26y · Female·compression of the neck consequent upon hanging
…ality on 18 June, attended police station in crisis on 21 June, and was admitted on 21 June via Section 10 Mental Health Act order. Despite expressing repeated suicidal ideation and threats during admission, she was asse…
41y · Male·complications in association with effects of fire, with terminal palliative care
Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by sui…
32y · Male·Hanging
…with escitalopram. On 31 March 2019, he expressed suicidal intent; Ambulance Victoria provided phone-based mental health assessment and safety planning. Mr W reported feeling safe and declined hospital admission. He was …
74y · Male·Sepsis secondary to infected pressure wounds (necrotising fasciitis) in a man wi…
A 74-year-old man with multiple comorbidities (diabetes, obesity, respiratory failure, mental health conditions) died from sepsis secondary to necrotising fasciitis of pressure wounds developed while …
30y · Male·mixed butane, isobutane and propane toxicity
…hythmia. He had a documented history of substance abuse (alcohol, cannabis, and butane) recorded by Prison Health Services during his August 2011 custody, but this information was not accessible to Department for Correct…
18y · Male·Ligature Compression of Neck (Hanging)
…olent offence and was experiencing multiple stressors: first-time entry to adult prison, drug withdrawal, concerns about sentence length, recent Hepatitis C diagnosis, and apparent lack of external support. Although he h…
22y · Female·Complications of cutaneous burns
…ing her husband. The coroner identified critical service system failures: Safe Steps provided insufficient mental health support despite her expressing suicidal ideation and failed to conduct adequate risk assessments; C…
20y · Male·pulmonary oedema due to acute on chronic heart failure resulting from dothiepin …
…m pulmonary oedema due to acute-on-chronic heart failure resulting from dothiepin overdose. He had complex mental health and substance use issues dating back to age 16. He was prescribed dothiepin 300mg daily by a psychi…
55y · Male·Septicaemia due to hydronephrosis and infection
…no direct medical failures and acknowledged his right to refuse treatment, but identified systemic issues: healthcare providers misunderstood privacy legislation, limiting their ability to make appropriate referrals; men…
53y · Male·Cervical spine distraction and hanging
…ious suicide attempt. He was assessed as high-risk but discharged after 19 days with referral to community mental health services. He died by suicide approximately 6 hours after discharge. The coroner found the general c…
45y · Male·Coronary Atherosclerosis
David Grieve, a 45-year-old man with chronic schizophrenia and multiple cardiac risk factors (hypertension, diabetes, obesity, smoking), died of coronary atherosclerosis while an involuntary psychiatric patient at Grayla…
26y · Male·self-inflicted gunshot wound to the head while suffering severe depression
…hot wound in March 2009 while severely depressed. Over 20 months prior to death, he experienced escalating mental health difficulties with work absences and noticeable mood changes. In March 2009, his GP diagnosed melanc…
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