621 results for “mental health concerns”
14y · Male·gunshot wound to the head
…on or consulting Andrew's wishes. When Andrew went missing in early 2005, the Department did not escalate concerns or coordinate with police. Andrew obtained a handgun and ammunition from associates involved in drug use;…
49y · Female·Motor vehicle accident related multi trauma including a severe head injury
… blood alcohol level 0.16% and was wearing inappropriate heavy clothing on a hot day. She left a community mental health facility (Vahland Complex CCU) stating she was going to a supermarket, but actually went to relativ…
43y · Male·Gunshot wounds to the chest, with other significant conditions noted as thermal …
Omid Molayee, a 43-year-old Iranian-born Australian resident, died from gunshot wounds to the chest on 6 April 2020 after a domestic violence incident escalated into a confrontation with police. Following an argument wit…
Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …
This inquest examined six sudden deaths of residents at 300 Hostel, Marrickville, between June 2009 and August 2010. All residents had schizophrenia on multiple antipsychotic medications and severe, untreated physical co…
35y · Male·serotonin syndrome
…oner also noted Dr W. was unaware of Moorby's illicit drug use. Witnesses described Moorby's deteriorating mental state in the days before death—agitation, confusion, mumbling, and unusual behaviour—consistent with serot…
36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…
Jasmine Roennfeldt, a 36-year-old woman with schizoaffective disorder being treated at a community mental health clinic, died from stab wounds inflicted by her flatmate Rocky Manu, who had paranoid schizophrenia.…
18y · Male·Ligature compression of the neck (hanging)
…ldren and partner. Although initially placed on the Disturbed and Vulnerable list with recommendations for mental health monitoring and psychological follow-up, these recommendations were not implemented. A prior alleged…
40y · Female·Head injuries inflicted by axe blows in context of intimate partner domestic abu…
…cal lessons include: GPs treating both victim and perpetrator with the same provider creates safety risks; mental health assessments relied too heavily on perpetrator self-report without collateral information; victim's …
38y · Male·neck compression due to hanging
Michael Andrew Curren, a 38-year-old prisoner at Mobilong Prison, died by hanging on 10 June 1998. He had been assaulted five days earlier and attended medical review on the day of death, but presented as being in good s…
23y · Male·Effects of fire
…ervals were suboptimal—variable timing is preferable for high absconding risk patients; (3) a known environmental risk (easily scalable courtyard fence) was not addressed for over a year despite Victoria Police concerns;…
11y · Male·Craniocervical trauma
This coronial finding concerns the death of Luke Geoffrey Batty, age 11, killed by his father Gregory Anderson on 12 February 2014 durin…
50y · Male·plastic bag asphyxia in the setting of ethanol intoxication and blunt force head…
…s mother Erica (who pleaded guilty to murder) perpetrated fatal family violence. Clinical lessons include: mental health and disability support workers failed to adequately respond to disclosures of controlling, psycholo…
20y · Female·Asphyxia secondary to inhalation of helium
Lauren Pilkington, a 20-year-old postgraduate student, died by asphyxia from helium inhalation. She had a history of anxiety and previous suicide attempt, and was recently discharged from voluntary psychiatric admission …
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
…ry 1997. He was subject to a Community Treatment Order and under case management. Critical failures in the mental health system contributed to his death: the Crisis Team failed to conduct a home visit or arrange police w…
41y · Female·Combined Drug Toxicity (ethanol and benzodiazepine)
…ned drug toxicity (ethanol and benzodiazepines) following an inadequate emergency services response to her mental health crisis. She called 000 expressing suicidal intent and reported consuming excess medication. Police …
31y · Male·hanging
…ats. Police officers conducting the removal observed him distressed and intoxicated but did not assess his mental health or consider welfare supports. No officer considered the serious suicide risk posed by separating hi…
41y · Male·ligature compression of the neck (hanging)
Owen Weazel, a 41-year-old Wakka Wakka man with chronic mental health issues, substance use disorder and previous suicide attempts, was found hanging in his cell at Alba…
Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…
…cue protocols were dangerously delayed (missing person not treated as emergency for 2+ days in 42°C heat); mental health services for Ryan and Cooper were reasonable but discharge planning from psychiatric detention inad…
47y · Female·Overdose of hydromorphone
…sion, previous suicide attempts, and was in crisis following separation from her violent partner. Multiple health and social care services were involved but missed critical opportunities: suicide risk was not adequately …
88y · Male·Tuberculous pneumonia in the setting of multiple rib fractures, osteoporosis and…
Ming Shan Yuan, an 88-year-old man with osteoporosis and cachexia, died from tuberculosis pneumonia precipitated by multiple rib fractures. He suffered elder abuse and neglect by his primary carer daughter over months be…
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