Coronial

167 results for acute mental health deterioration

SAhospital2000-07-21

Coroner's Finding: ELLIOTT Eileen Sarah

77y · Female·myocardial infarction

…nfarction following a fall and leg fracture in January 2000. She was admitted to Glenside Hospital under a Mental Health Act detention order for chronic schizophrenia. After external fixation at Royal Adelaide Hospital, …

cardiologyintensive care
ACTaged care2017-03-15

AN INQUEST INTO THE DEATH OF GWENDA MARGARET MEMBERY

82y · Female·Acute bronchopneumonia

Gwenda Margaret Membery, an 82-year-old resident of aged care with dementia, COPD, and diabetes, died from acute bronchopneumonia. She presented with fever and cough on 3 July 2014, was diagnosed with respiratory tract …

general practicegeriatric medicinececlor
VIC2013-12-31

Finding into death of Wayne Joannou

26y · Male·Gunshot wound to head

…ry 2005 with psychiatric support mentioned as available, there was no documented psychiatric assessment of acute paranoia or psychosis post-procedure. Joannou continued using cocaine and other drugs despite the implant.…

addiction medicinepsychiatrysystemcommunicationheroin
NSWhospital2024-01-30

Inquest into the death of Subash Subedi

26y · Male·Not able to be determined - skeletalised remains

…torway between February 2018 and April 2019. He presented to Westmead Hospital ED on 14 February 2018 with acute mental health symptoms, including disorientation and dehydration following cannabis use and a period of er…

emergency medicinepsychiatrycommunicationsystemolanzapine
VIChome2020-08-17

Finding into death of Benjamin James Browne

29y · Male·Incised injury to the neck

Benjamin Browne, 29, died from a neck laceration sustained during acute behavioural disturbance in August 2018. He had diagnosed major depression with anxiety, prescribed mirtaza…

general practicepsychologysystemcommunicationmirtazapine
NSWmental health2019-02-12

Inquest into the death of Kevin O’Halloran

55y · Male·positional asphyxia, with sedation as an underlying risk factor

Kevin O'Halloran, a 55-year-old with chronic schizophrenia, presented with acute severe behavioural disturbance related to medication changes and possible substance use. He received subst…

emergency medicinepsychiatrycommunicationproceduralmidazolam
NSWprison2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November …

emergency medicinetoxicologydiagnosticcommunicationparacetamol
VICcommunity2014-08-13

Finding into death of Frederick Russell Morgan

48y · Male·Unknown causes (presumed suicide by drowning)

…er found he likely died by suicide. Clinically, this case highlights the risks of outpatient management of acute suicidal ideation without hospitalisation, the importance of recognising warning signs in high-stress indi…

psychiatrypsychologydiagnosticdelayantidepressant medication
SAhospital2020-10-12

Coroner's Finding: MANSVELDERS Henri Martinus Bernardus

79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…

… found detention lawful, care appropriate, and no preventable factors. The clinical lesson emphasizes that acute neurological deterioration in psychiatric inpatients requires immediate emergency assessment and imaging, …

psychiatryneurologymorphine
VIChospital2020-04-23

Finding into death of John Alexander King

60y · Male·Mixed drug toxicity

A 60-year-old man with schizophrenia and depression presented to Maroondah Hospital ED with acute psychotic symptoms after stopping his antipsychotic medication (trifluoperazine) due to manufacturer disco…

emergency medicinepsychiatrysystemcommunicationtrifluoperazine
NSWhome2011-10-14

Coroner's Finding: Adam Quddus Salter

36y · Male·Gunshot wound to chest

Adam Quddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself mul…

general practicepsychiatrydiagnosticsystemefexor xr
NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

…Cowdy ward at Royal Darwin Hospital on 14 September 2007, within 10 minutes of admission as an involuntary mental health patient. He had presented to hospital multiple times over 4 days with escalating suicidal behaviour…

psychiatryemergency medicinediagnosticsystemparoxetine
VIChospital2009-12-22

Finding into death of Jodi Joy McPaul

33y · Female·Hypoxic brain injury secondary to plastic bag asphyxia

…s with quality-of-life considerations in chronic psychiatric illness, the need to recognize early signs of mental state deterioration (noted in final days), and enhanced environmental control measures. Toxicology showed …

psychiatryintensive careolanzapine
NSWcommunity2018-08-28

Inquest into the death of MB

64y · Male·Multiple injuries sustained after jumping from a height

… multiple injuries sustained after jumping from a cliff at the Skillion near Terrigal. Over 18 months, his mental health deteriorated with depressive symptoms, hypochondriacal beliefs about toxic exposure from home mater…

psychiatrygeneral practicecommunicationsystemmirtazapine
QLDhome2014-07-18

Bowling, Dianne Judith

59y · Female·Mixed drug toxicity, with metoprolol at toxic level; coronary atherosclerosis as…

…volving a toxic level of metoprolol. She had a history of three previous overdoses and was under community mental health services. In October 2011, community workers noted signs of deterioration (anxiety, insomnia, emoti…

psychiatrygeneral practicecommunicationsystemmetoprolol
SAhospital2011-09-23

Coroner's Finding: DUBBIOSO Roberto

34y · Male·cardiomegaly with contributing aspiration

… and undiagnosed sleep apnoea died from cardiomegaly with contributing aspiration while detained under the Mental Health Act. On 6 March, he presented with shortness of breath, tachycardia, and slurred speech. The duty d…

psychiatryemergency medicinediagnosticsystem
VICmental health2021-08-20

Finding into death of Marilyn

62y · Female·Unascertained

…ed at Caulfield Hospital on 27 October 2019 with an unascertained cause. She was admitted via the ED under mental health legislation with deteriorating mental state and poor oral intake. During her 7-week acute aged psyc…

psychiatrygeriatric medicinefluoxetine
NSWhome2022-05-27

Inquest into the death of WX

54y · Male·gunshot wound to the head

…ted after one-hour psychological assessments by a psychologist without prior therapeutic relationship. His mental health and substance abuse deteriorated significantly in the months before death, including recent detoxif…

psychiatrypsychologysystemcommunicationcodeine
VIChospital2011-05-24

Finding into death of Ruth Janet Younger

45y · Female·Complications of acute alcohol intoxication

…She was found unconscious with a blood alcohol level of 0.79mg/100mL and died in ICU from complications of acute alcohol intoxication. Clinical lessons include the need for careful assessment of discharge readiness in p…

psychiatryintensive carediagnosticmethylated spirits
VIChospital2021-02-26

Finding into death of MrJ

22y · Male·Drowning

…bolic parameters. Initial management appropriately prioritized medical assessment and resuscitation before mental health evaluation. He was sedated and restrained for acute agitation, with restraints removed after 3 hour…

emergency medicinepsychiatrysystemdelayMDMA

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