Coronial

129 results for acute psychiatric crisis

VIChome2013-07-16

Finding into death of Melanie Anne Reynolds

30y · Female·Mixed drug toxicity (propranolol, duloxetine and codeine)

…der and depression, died from mixed drug toxicity (propranolol, duloxetine, codeine). She had engaged with Crisis Assessment and Treatment Team (CATT) following referral by her private psychiatrist for acute suicidal ide…

psychiatryemergency medicinecommunicationsystempropranolol
WAcommunity2016-03-18

Inquest into the Death of David Davidson LAWSON

41y · Male·unascertained

… disappeared from a remote homestead on the Dampier Peninsula in October 2010. He was last seen exhibiting acute psychosis with auditory hallucinations and paranoid delusions about evil spirits and bush men. Despite an …

psychiatryemergency medicinesystemcommunicationolanzapine
QLDhome2014-07-18

Bowling, Dianne Judith

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

…case manager (RN Gulliver) provided appropriate clinical care, including urgent home visits and earlier psychiatric appointments. However, communication with non-government organisation staff was perceived as dismissive…

psychiatrygeneral practicecommunicationsystemmetoprolol
VIChospital2024-03-19

Finding into death of Craig Ashley Hill

53y · Male·Cardiomegaly in a man with obesity and chronic liver disease

…al health conditions, died suddenly in hospital from cardiac rhythm disturbance. He was admitted to the psychiatric unit for acute mental health crisis (bipolar relapse) and received appropriate medical reviews during h…

psychiatrycardiologydiazepam
VIChospital2011

Finding into death of PB

40y · Male·carbon monoxide poisoning

…d at Frankston Hospital ED on 16 August 2009 following police intervention at a suicide attempt. The ED psychiatric assessment rated his suicide risk as medium and discharged him home with minimal follow-up arrangements…

emergency medicinepsychiatrydiagnosticcommunication
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

…endations. Clinically, this case illustrates the challenges of managing high-risk patients with complex psychiatric and substance use histories, the importance of recognizing escalating suicide risk even after apparent …

psychiatryaddiction medicinemethamphetamine
WAcommunity2021-03-25

Inquest into the Suspected Death of Jason Marcus LAWSON

32y · Male·unascertained; most likely exposure after walking in bushland

Jason Marcus Lawson, a 32-year-old man with a complex psychiatric history including depression, anxiety, polysubstance use, and previous suicide attempts, disappeared on…

psychiatrypsychologycommunicationdelaycitalopram
SA2008-12-03

Coroner's Finding: WHEATON Rowan Scott

18y · Male·neck compression due to hanging

…ural and mental health crises from adolescence. Despite multiple emergency department presentations and psychiatric admissions, he was repeatedly discharged with inadequate community follow-up. A critical gap existed in…

psychiatryemergency medicinediagnosticcommunicationcitalopram
VIChome2019

Finding into death of Rachel Naomi Mihail

36y · Female·Nicotine toxicity

Rachel Mihail, a 36-year-old with a complex psychiatric history including PTSD, depression, anxiety, and agoraphobia, ingested liquid nicotine at home on 22 No…

psychiatrygeneral practicecommunicationsystemnicotine
SA2000-03-02

Coroner's Finding: GRAETZ Anthony Roy

28y · Male·Traumatic brain damage complicating contact .22 calibre gunshot wound to the mid…

…individual who had no prior mental health contact and made no meaningful communication possible. Expert psychiatric evidence concluded that even with hindsight, the serious mental state and tragic outcome could not have…

forensic medicinepsychiatry
VIC2013-11-28

Finding into death of Darren Robert Baxter

46y · Male·Complications of self-inflicted incised injuries to the neck

…nsuming alcohol and illicit drugs (amphetamines, methylamphetamine, cannabis) over several days, he became acutely agitated, self-harmed with multiple implements, and police responded. Police established a cordon, attem…

psychiatryemergency medicineamphetamine
VICcommunity2015-05-29

Finding into death of Craig Doherty

49y · Male·Multiple injuries from a fall from height

… intoxication, presenting with manic relapse. On the day of death, he was seen by his GP and mental health crisis team, both noting deterioration, paranoid delusions, and non-compliance with Olanzapine. Despite being ass…

psychiatrygeneral practicelithium
VIChospital2021-05-10

Finding into death of Karim Aarras

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

…ed directly from self-inflicted injuries, not from police actions. Clinical lessons include recognition of acute intoxication with methamphetamine presenting with extreme agitation and superhuman strength, and the need …

psychiatryemergency medicinemethamphetamine
TAS2025-07-04

Coroner's Finding: de-identified CF

24y · Male·blunt trauma and drowning due to intentional jumping from Tasman Bridge

A 24-year-old male international student and graduate employee experienced his first acute psychotic episode in December 2022, triggered by workplace stress and unsubstantiated beliefs about collea…

psychiatryemergency medicinedelaycommunicationolanzapine
QLDhospital2025-12-04

Inquest into the death of Dylan James Bell

28y · Male·Hanging

Dylan Bell, 28, died by hanging following discharge from Redland Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a …

psychiatryemergency medicinediagnosticcommunicationLSD
WAcommunity

Inquest into the Death of Dean Anthony POLLARD

41y · Male·unknown

…amine-induced psychotic disorder who disappeared in May-June 2010 and is presumed dead. He had multiple psychiatric admissions between 2002-2010 with diagnoses of paranoid schizophrenia, schizo-affective disorder, and a…

psychiatryemergency medicinesystemcommunicationmethamphetamine
NSWcommunity2021-08-18

Inquest into the death of A F

24y · Male·multiple stab wounds to the chest that he inflicted upon himself

… relapse and engaged in a dangerous spree involving vehicle theft, assault, and police pursuit. Despite psychiatric treatment with antipsychotics, he stopped medication multiple times. On 4 January 2019, he rammed a pol…

psychiatrygeneral practicesystemcommunicationlurasidone
VIChome2021-07-14

Finding into death of Edward Michael Espino

36y · Male·neck compression in the circumstances of hanging

…th, he learned of a police 'whereabouts' alert placed six months after a minor assault allegation, causing acute anxiety about bail revocation and return to prison. He contacted police and mental health services express…

psychiatryforensic medicinesystemsodium valproate
VICcommunity2012-03-01

Finding into death of K

33y · Male·complications from blunt force trauma to head consequent upon being struck by a …

A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Asses…

psychiatrygeneral practicediagnosticcommunicationmethadone
SAhospital2004-02-13

Coroner's Finding: CUCUK Radomir

38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…

…cism of medical treatment. However, the case highlights the importance of proactive bowel management in psychiatric patients on constipating medications, particularly those with limited ability to self-report symptoms.

psychiatryemergency medicineclozapine

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