Coronial

212 results for involuntary psychiatric admission

VIChospital2009-12-22

Finding into death of Jodi Joy McPaul

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

…ia and chronic suicide risk, was admitted involuntarily to Frankston Hospital on 29 March 2007. Despite psychiatric team awareness of her vulnerability and previous suicide attempt, she died on 1 May 2007 from asphyxiat…

psychiatryintensive careolanzapine
VICmental health2015-05-27

Finding into death of Waldemar Ariel Ogon

45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis

45-year-old man with bipolar disorder admitted to psychiatric unit involuntarily died from spontaneous lethal arrhythmia due to focal myocardial fibrosis. Critical i…

psychiatryforensic medicinecommunicationsystemolanzapine
WAmental health2015-12-31

Inquest into the Death of Ruby Natasha NICHOLLS-DIVER

Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…

Five patients of Alma Street Centre's psychiatric unit died within 12 months (2011-2012). Three died by suicide within 24 hours of discharge; one disappe…

psychiatryemergency medicinecommunicationdiagnosticantidepressants
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

…diagnosed at age 17, died from community-acquired pneumonia and respiratory failure after a final 21-day admission to Alice Springs Hospital. She was found hypoglycaemic at home on 5 January 2015 and admitted with sever…

psychiatrygeneral medicineantibiotics
WAmental health2015-12-31

Inquest into the Death of Anthony Ian EDWARDS

Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…

Five psychiatric patients from Alma Street Centre (Fremantle Hospital) died by suicide within 12 months (March 2011-Marc…

psychiatryemergency medicinediagnosticcommunicationantidepressants
WAhospital2009-08-13

Inquest into the Death of Greeuw

45y · Female·aspiration of vomitus with bowel obstruction due to faecal impaction

…n of vomitus secondary to bowel obstruction due to severe faecal impaction. She had been admitted as an involuntary patient on 2 May 2007. The coroner found the death was preventable. Despite a history of constipation a…

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
TAShospital2022-02-28

Coroner's Finding: Hassanloo, Saeed

27y · Male·traumatic injuries and/or drowning from jumping from Tasman Bridge

A 27-year-old Iranian asylum seeker died by suicide after jumping from Tasman Bridge. He had a complex psychiatric history including depression, anxiety, and adjustment disorder, with multiple self-harm episodes. His s…

psychiatryemergency medicine
NSWmental health2025-09-29

Inquest into the death of BQ

23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging

…ld Aboriginal woman who died by hanging on the Paringa Ward at Cumberland Hospital while detained as an involuntary mental health patient. She had a complex psychiatric history with schizophrenia and borderline personal…

psychiatryemergency medicinediagnosticcommunication
WAmental health2015-12-31

Inquest into the Death of Carly Jean ELLIOTT

Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…

Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma Street Centre mental health services in Western Australia. Rub…

psychiatryemergency medicinecommunicationsystemantidepressants
VICcommunity2017-08-25

Finding into death of Steven John Dows

43y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…his case highlights the complexity of determining causation when mental health conditions, uncontrolled psychiatric illness, and potential medical factors may all contribute to tragic outcomes.

forensic medicinepsychiatry
NTcommunity2011-10-11

Inquest into the death of Aaron Nathan Stagg

28y · Male·hanging

…d in late 2009, assessment identified paranoid delusional thinking. Dr K. recommended voluntary hospital admission on 2 March 2010, which Mr Stagg initially accepted but declined the next day. Involuntary admission was …

psychiatrypsychologysystemrisperidone
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 psychiatric inte…

psychiatryneurologyantipsychotic medications
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital …

psychiatrypsychologysupervisionsystemcitalopram
TAShome2018-02-28

Coroner's Finding: Evans, Jillian and John

62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …

…is was very difficult; key learning points include importance of collateral history from family, timely psychiatric consultation, adequate dosing of antipsychotics when psychosis is diagnosed, and proper documentation o…

psychiatrygeneral practicediagnosticcommunicationrisperidone
VICmental health2014-02-10

Finding into death of Frank (Francesco) Sette

72y · Male·Cranial fracture and intracranial haemorrhage from self-inflicted fall

…and intracranial haemorrhage sustained when he deliberately threw himself backwards onto the floor of a psychiatric ward. He was an involuntary patient in the High Dependency Unit experiencing acute psychotic relapse wi…

psychiatrygeriatric medicinesodium valproate
VICmental health2017-11-14

Finding into death of Sandra Michelle Liddy

44y · Female·Heroin toxicity

Sandra Michelle Liddy, aged 44, died from heroin toxicity while on unescorted day leave from an involuntary mental health admission. She had a 25-year psychiatric history with paranoid schizophrenia and polysubs…

psychiatryemergency medicineheroin
NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

…ssion, died by hanging in 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 es…

psychiatryemergency medicinediagnosticsystemparoxetine
WAcommunity2018-07-12

Inquest into the Death of Shane Christopher FLANDERS

29y · Male·unknown, probably immersion

Shane Flanders, a 29-year-old man with a complex psychiatric history including personality disorder, substance abuse, previous suicide attempt, and drug-induced psy…

psychiatryemergency medicinediagnosticcommunicationdextroamphetamine
NSWhospital2024-01-30

Inquest into the death of Subash Subedi

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

… use and a period of erratic behaviour. He was briefly assessed by nursing staff but discharged without psychiatric review. Community mental health follow-up was arranged but failed due to inability to contact him (no p…

emergency medicinepsychiatrycommunicationsystemolanzapine
VICcommunity2012-08-17

Finding into death of Jesse Ross Sangster

28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)

…sorder, and poor impulse control. The coroner identified critical system failures: absence of long-term involuntary detention facilities for dual diagnosis patients; clinicians' interpretation of the Mental Health Act a…

psychiatryparamedicinesystemdelayalcohol

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