Coronial

273 results for acute mental illness

WAcommunity2018-07-12

Inquest into the Death of Shane Christopher FLANDERS

29y · Male·unknown, probably immersion

…oluntary detention decisions when patients present with documented suicide plans, self-harm behaviour, and acute destabilisation. Earlier intervention by mental health services and more robust safety planning following …

psychiatryemergency medicinediagnosticcommunicationdextroamphetamine
VIChome2009-12-01

Finding into death of Nicholas Raymond Lobo

60y · Male·Drowning; elevated blood ethanol level

Nicholas Lobo, aged 60, died by drowning with elevated blood alcohol (0.21%). He was discharged from acute psychiatric inpatient care to a rehabilitation facility on a Community Treatment Order after recent diagno…

psychiatry
WAhospital2025-12-05

Inquest into the Death of Leslie Charles LINTON

64y · Male·acute myocardial infarction in association with coronary artery atherosclerosis

…nary artery disease, presented to Royal Perth Hospital on 15 December 2023 with an infected foot wound and acute psychosis. Initial troponin elevation was determined to be a false positive (assay interference). He was a…

cardiologypsychiatryrisperidone
SAhospital2022-12-22

Coroner's Finding: Hammond, Peter Joseph

66y · Male·inanition and probable respiratory tract infection complicating Alzheimer's deme…

…nd probable respiratory tract infection complicating advanced Alzheimer's dementia. He was admitted to the Acute Older Persons Mental Health Unit at Flinders Medical Centre under a Level 3 Inpatient Treatment Order due …

geriatric medicinepsychiatry
SAhospital2017-04-19

Coroner's Finding: ANNS William James

69y · Male·end-stage interstitial lung disease and chronic congestive cardiac failure

…irment died at Flinders Medical Centre. He had a history of medication non-compliance leading to recurrent acute exacerbations requiring hospitalisation. During his final admission, he developed delirium, agitation and …

cardiologyrespiratory medicine
QLDcommunity2010-09-29

Dyer, Alan Kent

Male·Gunshot wound to the abdomen

…armed person incident on 31 May 2008. Dyer had a history of depression, previous suicide attempts, and was acutely intoxicated (BAC 0.215%) and unmedicated at the time. The coroner found Dyer deliberately provoked the s…

emergency medicinepsychiatryfluvoxamine
SAhospital2017-04-19

Coroner's Finding: RAYNER Augustine Durham

88y · Male·bilateral acute bronchopneumonia on a background of chronic obstructive airways …

An 88-year-old man with chronic obstructive pulmonary disease and chronic schizophrenia died of bilateral acute bronchopneumonia while subject to a Mental Health Act detention order at a teaching hospital. He was admit…

psychiatrygeneral medicine
WAcommunity2022-08-17

Inquest into the Death of Quoc Xuan TRAN

36y · Male·Immersion (drowning)

…April 2019 with accommodation concerns; staff conducted a risk assessment documented as non-urgent with no acute mental health issues identified. The coroner found appropriate clinical care was delivered within availabl…

psychiatryemergency medicinesystempaliperidone
VIChospital2021-05-10

Finding into death of Karim Aarras

45y · Male·Blood loss due to multiple self-inflicted incised injuries

Karim Aarras, a 45-year-old man with longstanding mental health issues, chronic pain, and substance use disorder (methamphetamine), presented to police in a severe…

psychiatryemergency medicinemethamphetamine
NSWcommunity2020-07-17

Inquest into the disappearance and suspected death of Max DAY

53y · Male·unknown - no postmortem examination possible

…25 January 2017. He had experienced a domestic violence incident on 6 January 2017, was detained under the Mental Health Act but assessed as not at immediate risk of self-harm, and subsequently left home with minimal bel…

psychiatryemergency medicine
VICmental health2016-06-01

Finding into death of Daniel John Woodburn

22y · Male·Multiple injuries secondary to fall from a height

…patient unit at Orygen Youth Health on 19 January 2011. Critical clinical shortcomings were identified: no mental state assessment or meaningful engagement documented over 10 hours (9:45pm to 8:29am) despite nursing care…

psychiatryemergency medicinecommunicationsystemdiazepam
NSWmental health2019-06-04

Inquest into the death of Andrea Sewell

46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…

Andrea Sewell, a 46-year-old woman with Osmotic Demyelination Syndrome (ODS) and acute psychiatric illness, died from hypoxic brain injury following a choking episode during a meal in a psychia…

psychiatryneurologyantipsychotic medications
VIC2016-10-20

Finding into death of Andrew James Stephen Kellett

25y · Male·Cardiomegaly

Andrew Kellett, a 25-year-old man with a history of mental illness (bipolar disorder, depression, schizophrenia, auditory hallucinations, and suicidal ideation), die…

forensic medicinecardiology
QLDcommunity2016-05-03

Foster, Troy Martin

32y · Male·gunshot wounds to the trunk

…bstance abuse and violence, died following a police shooting. On 24 November 2014, he was detained under a Mental Health Act Emergency Examination Order after telling police he intended to kill himself. At Gold Coast Uni…

psychiatryemergency medicinecommunicationsystemalcohol
SAhospital2022-06-17

Coroner's Finding: THREDGOLD, Holly Alexandra

42y · Female·hanging

…ischarge at BAL 0.2% without contacting Dr K. for collateral information. Expert evidence established that mental health assessment should not be precluded by intoxication, and that collateral information from her psychi…

emergency medicinepsychiatrycommunicationdiagnosticsertraline
VICmental health2023-05-22

Finding into death of Jennifer Gebert

49y · Female·Unascertained; most likely cardiac abnormality

Jennifer Gebert, a 49-year-old with long-standing mental illness and substance use disorder, died unexpectedly in an acute psychiatric unit on 6 December 2019. She…

psychiatryemergency medicinealcohol
WAhospital2019-08-02

Inquest into the Death of Timothy James CHANDLER

52y · Male·multiple organ failure and pulmonary thromboemboli complicating generalised seps…

…ed heart failure secondary to sleep apnoea. He lacked capacity to consent to treatment due to a psychotic illness and was appropriately placed on an involuntary treatment order. Despite aggressive multispecialty managem…

emergency medicinegeneral medicine
VICcommunity2017-12-06

Finding into death of Jamie Levon Austin

23y · Male·hanging

…ted to attending uniformed officers. The coroner concluded the first threshold criterion under section 351 Mental Health Act 2014 was not met—there was no compelling evidence that the uniformed members considered Jamie a…

psychiatrypsychologycommunicationsystemcannabis
TASmental health2017-11-17

Coroner's Finding: Smith, Molly Jessie

75y · Female·pyelonephritis and pneumonia

Molly Jessie Smith, a 75-year-old woman with longstanding severe mental illness, died of pyelonephritis and pneumonia on 16 August 2009. She had been in state psychiatric care co…

psychiatrygeneral practicediagnosticdelaycefalexin
QLDPodcast2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

…recognize or escalate concerning behavioral changes despite witnesses noting 'something was wrong'; (4) no mental health intervention occurred despite clear indicators of mental illness on the day of attack. While Ayad h…

psychiatryemergency medicinesystemcommunicationcannabis

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