Coronial

746 results for psychiatric treatment

SAhospital2009-12-09

Coroner's Finding: VELKOS Basile

39y · Male·Multi organ failure complicating acute paraquat and diquat toxicity

…yal Adelaide Hospital where he died. The coroner found his detention lawful and appropriate, and medical treatment adequate. Clinically, this case highlights the dangers of herbicide poisoning and emphasises proper stor…

emergency medicinetoxicologyparaquat
VIC2023-12-13

Finding into death of Elizabeth Helen Barber

74y · Female·Metastatic duodenal carcinoma

…nd chronic occlusive pulmonary emboli (off anticoagulation for two weeks). Ms Barber declined aggressive treatment and chose palliative care. She was discharged back to Thomas Embling on 12 May 2021 with Melbourne City …

respiratory medicinepalliative careapixaban
WA2024-11-15

Inquest into the death of Kingsley Dean Garlett

32y · Male·ligature compression of the neck (hanging) in a man with methadone and methylamp…

…ceased had emotionally unstable personality disorder and polysubstance use disorder but did not warrant psychiatric hospitalization. However, he was able to access illicit drugs (methylamphetamine, cannabis) and prescri…

psychiatrypsychologysystemdelaymethadone
NSWhome2016-07-19

Inquest into the deaths of Benjamin Green and William Markee

32y · Male·Gunshot wound to the head (Benjamin Green: homicide by William Markee; William M…

…n, and suicidal ideation, but never engaged with available mental health services. He had minimal prior psychiatric contact (2008-2009) and was non-compliant with treatment. Friends recognised his deterioration but were…

psychiatrygeneral practicedelay
SAhospital2022-06-10

Coroner's Finding: McCallum, Myrtle Olive

95y · Female·acute left subdural haematoma complicating anticoagulant therapy for deep vein t…

… to anticoagulation in the context of an unwitnessed fall or head trauma. The coroner found her care and treatment were appropriate. Key clinical lessons include: careful monitoring for bleeding complications in elderly…

psychiatrygeneral medicineenoxaparin
TASmental health2017-05-04

Coroner's Finding: Harris, Stephen Russell

56y · Male·Probable cardiac arrhythmia

Stephen Russell Harris, a 56-year-old man with a long history of schizophrenia and schizoaffective disorder, died of probable cardiac arrhythmia while an involuntary patient at Spencer Clinic on 18 December 2014. He pres…

psychiatrycardiologypaliperidone depot
WAcommunity2022-08-17

Inquest into the Death of Quoc Xuan TRAN

36y · Male·Immersion (drowning)

…sm spectrum disorder, died by drowning in the Swan River on 10 April 2019. He was subject to a Community Treatment Order and had experienced repeated housing instability over 30 months, being evicted five times. Despite…

psychiatryemergency medicinesystempaliperidone
NSW2023-07-21

Inquest into the death of Reuben Button

34y · Male·ischaemic heart disease secondary to coronary atherosclerosis as an antecedent c…

…-year imprisonment, his weight increased from 86kg to 162kg despite attempts at management. He received psychiatric care only 3 times over 8 months despite complex mental health needs. Critical gaps included no access t…

psychiatrygeneral practicediagnosticsystembuvidal
NSWhome2014-01-10

Inquest into the deaths of Nicholas WATERLOW and Chloe HEUSTON - Reasons for Findings

Unknown·Injuries sustained in violent attack by Antony Waterlow (stab wounds caused by k…

… delusions, auditory hallucinations, and severe aggression directed at family members. Despite multiple psychiatric assessments between 2004-2007, Antony was never involuntarily admitted or medicated, as clinicians felt…

psychiatryemergency medicinesystemdelay
NSWcommunity2019-09-11

Inquest into the death of G

34y · Male·Multiple injuries sustained when the car he was driving collided with a tree

…ons include: early reassessment of suicide risk after initial presentation, consideration of involuntary treatment thresholds when explicit suicidal intent emerges, and the importance of urgent psychiatry follow-up for …

general practicepsychiatryantidepressant_medication
SAhospital2006-09-25

Coroner's Finding: McLEOD Peter Malcholm

28y · Male·Acute Dopamine Imbalance Syndrome

…es showed very abnormal findings suggestive of partial seizure focus. Despite this critical result, the psychiatric team did not urgently consult neurology before discharging him to a home-based treatment program. He re…

psychiatryneurologycommunicationdiagnosticrisperidone
VICcommunity2015-07-24

Finding into death of Jamie Laurence Apap

34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …

…was hospitalized on 22 September 2010 after police-observed overdose with altered consciousness. Despite treatment with naloxone, normalized vital signs, and normal consciousness on discharge after 7-hour observation, h…

emergency medicinegeneral practicediagnosticsystemheroin
WAcommunity2016-09-13

Inquest into the Death of Anthony Charles EURA

42y · Male·unascertained

…and intoxication-related rather than requiring antipsychotic medication. He received depot antipsychotic treatment for years despite clinical doubt about its necessity. No effective rehabilitation for alcohol abuse was …

psychiatryemergency medicinesystemdiagnosticfluphenazine
QLDcommunity2016-12-08

Floyd, Leah Elizabeth

48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…

…ailure to escalate wound deterioration, and loss of trust in providers due to inappropriate involuntary psychiatric admission and attempted restrictive practices. The patient refused hospital admission due to fear of no…

neurologypsychiatrycommunicationsystemdiazepam
VICmental health2022-05-02

Finding into death of Stuart Brant Garten

34y · Male·Hypoxic/ischaemic brain injury following resuscitated cardiac arrest and hanging

Stuart Brant Garten, a 34-year-old man with complex psychiatric diagnoses including borderline personality disorder, post-traumatic stress disorder, and schizophrenia,…

psychiatryintensive carecommunicationsystemrisperidone
VIChospital2025-04-11

Finding into death of QB T

64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…

QBT, a 64-year-old man with complex medical and psychiatric history including schizophrenia, COPD, and hypertension, was admitted to Bendigo Hospital on an Assessm…

psychiatrygeneral medicinediazepam
VIChospital2016-06-15

Finding into death of Patricia Mary Russell

76y · Female·Aspiration pneumonia complicating catatonia and depression in the setting of met…

… by serious medical disease. The case highlights challenges in managing patients with concurrent severe psychiatric and oncological illness.

psychiatrypalliative care
QLDhospital2012-04-20

Lyne, Richard Henry

69y · Male·acute myocardial ischaemia due to underlying coronary atherosclerosis

…ssed in ICU, but consistently refused invasive cardiac intervention, resuscitation, food, and fluids. A psychiatric assessment confirmed he was delirious and lacked capacity, prompting Adult Guardian consultation. Palli…

cardiologyintensive caremorphine
VIChome2013-05-21

Finding into death of John Crivera

31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine

…disorder died from quetiapine toxicity while taking sertraline and mirtazapine. He was under a Community Treatment Order and his treating team reduced his antipsychotic dose while he deteriorated between October-Novembe…

psychiatryemergency medicinediagnosticcommunicationquetiapine
WAmental health2015-12-31

Inquest into the Deaths Alma Street Centre

Female·Five separate deaths: Ruby Nicholls-Diver—ligature compression of neck (hanging)…

Five former psychiatric patients of Alma Street Centre (part of Fremantle Hospital) died between March 2011 and March 2012. Two…

psychiatryemergency medicinediagnosticcommunicationantidepressants
127282938

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.