Coronial

390 results for mental health deterioration

VIChospital2011-07-21

Finding into death of Anthony Mandel

50y · Male·Pneumonia

… admitted to Box Hill Hospital on 4 May 2007 following an acute psychotic episode. He was transferred to a mental health unit, then back to Box Hill Hospital on 18 May for rehydration due to dehydration and hypotension f…

psychiatryemergency medicinecommunicationsystem
VIChome2012-02-14

Finding into death of Leigh Glenn Travaglia

30y · Male·Carbon monoxide poisoning

… no clinical error or medical negligence, it highlights the importance of recognising caregiver stress and mental health deterioration in parents of profoundly disabled children. The father had long been his sons' sole a…

benzodiazepines
SAhospital2000-09-22

Coroner's Finding: FISHER Judith Mary

62y · Female·ventricular fibrillation associated with congestive cardiomyopathy

A 62-year-old woman detained under the Mental Health Act for acute psychiatric deterioration (psychosis, confusion, paranoia) secondary to anxiety follo…

psychiatrycardiology
QLDhome2005-12-22

Partridge, Phillip Bruce

37y · Male·Self-inflicted stab wounds to the abdomen

Phillip Bruce Partridge, a 37-year-old man with schizophrenia who had ceased antipsychotic medication, died from self-inflicted stab wounds to the abdomen during a 36-hour police siege at his home. He had exhibited incre…

psychiatryforensic medicineolanzapine
TAShospital2021-08-23

Coroner's Finding: Cooper, Melanie Sarah 2021 TASCD 475

51y · Female·embolic infarcts complicating infective endocarditis

…infective endocarditis secondary to chronic intravenous opioid use. She presented with severe physical deterioration over three days including swollen feet, respiratory distress, confusion, and incontinence. Despite her…

intensive careinfectious diseasesdelaymorphine
NSW2023-07-20

Inquest into the death of Jean-Louis Langlois

50y · Male·Immersion, with alcohol intoxication and doxepin toxicity being significant fact…

Jean-Louis Langlois, a 50-year-old French-Australian man with significant mental health issues, alcohol dependence, and chronic social difficulties, was found deceased on Wanda Beach in J…

forensic medicinepsychiatrysystemdoxepin
ACTmental health2015-06-15

AN INQUEST INTO THE DEATH OF PETER ZOVAK

46y · Male·asphyxia by hanging

Peter Zovak, a 46-year-old with substance use history, presented to mental health services in November 2013 with first-episode psychosis. After initial hospital assessment and two C…

psychiatryemergency medicinediagnosticcommunicationcannabis
NSWcommunity2023-09-04

Inquest into the suspected death of Paula Lee DENTON

38y · Female·unknown

…h in October 2013 and receipt of a harsh letter from her mother's estate refusing her inheritance, Paula's mental state deteriorated significantly. Her last confirmed sighting was January 2014 at Dovedale property. Despi…

cannabis
WAcommunity2020-03-04

Inquest into the Suspected Death of Gordon COLLEY

38y · Male·Hallucination, dehydration and exposure, exacerbated by untreated mental illness…

…isappeared on 7 December 1997 from Mundiwindi Station near Newman, Western Australia. He was known to have mental health issues requiring anti-psychotic medication (Haloperidol) and held strong cultural beliefs. He belie…

psychiatrygeneral practicehaloperidol
VICcommunity2013-02-22

Finding into death of Geoffrey Wearne

54y · Male·Likely suicide by drowning; unascertained due to absence of body

…d for holistic understanding of a patient's background before providing counselling, and for monitoring of mental health deterioration during therapy.

general practicecommunicationsystem
VICmental health2025-07-14

Finding into death of Maxwell Bernard Howard

84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…

… bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart disease while admitted to a mental health acute unit under a Temporary Treatment Order. He had multiple comorbidities including congestive he…

psychiatryemergency medicinecarbamazepine
VIChospital2023-02-24

Finding into death of Justin Patrick Crome

39y · Male·Injuries sustained in a fall from the Camberwell train station bridge

…chizophrenia, died by suicide after jumping from a railway bridge on 13 February 2020. He had a history of mental illness since 2016, multiple psychiatric admissions, and police contact. Critical clinical lessons include…

psychiatryemergency medicinecommunicationdelaypaliperidone
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
WA2025-01-08

Inquest into the Suspected Death of Tanghui HUANG

41y · Male·Unascertained - may have resulted from injuries sustained in fall from vessel or…

…ay have deliberately jumped or accidentally fallen. Clinical lessons include the importance of recognising mental health deterioration in confined work environments, assessing suicide risk in workers with insomnia and su…

occupational and environmental healthpsychiatrysystemcommunicationtriazolam
QLDhome2011-02-09

Spicer, Phillip Glenn

53y · Male·Incised wound to the neck with consequential exsanguination from jugular vein la…

Phillip Spicer, 53, died from self-inflicted neck lacerations during a mental health crisis. He had recently moved to live with his son and presented with acute onset delusional though…

emergency medicinepsychiatrysystem
NSWcommunity2017-06-09

Inquest into the disappearance and suspected death of Katherine ACKLING-BRYEN

37y · Female·open finding - undetermined

…2013 hospitalisation during which she expressed suicidal ideation. Post-discharge, she received inadequate mental health follow-up with no ongoing therapy or strong therapeutic relationship established. She stopped psych…

psychiatrygeneral practicesystemcommunicationanti-psychotic medication
WAcommunity

Inquest into the Death of Sarah Jane RUTHERFORD

28y · Female·multiple injuries

…by patients with schizophrenia—her aunt had expressed concerns about the deceased's ability to conceal her mental state 10 days before death. The deceased likely stopped her medication in the days before suicide, which h…

psychiatryemergency medicinerisperidone
VICaged care2010-09-08

Finding into death of Nina Solyk

87y · Female·Sepsis

…art failure, and cerebrovascular disease died of sepsis on an aged psychiatry unit. She was admitted under mental health legislation following behavioural deterioration. On 11 March, she was diagnosed with urinary tract …

geriatric medicineinfectious diseases
VICaged care2022-09-02

Finding into death of Alan Joseph Wilson

55y · Male·Acute alcohol toxicity

…0.33%, sufficient to cause death. He had resided at the facility since 2016. During COVID-19 lockdowns his health improved due to restricted alcohol access, but after restrictions lifted in November 2020, his consumption…

geriatric medicinepsychiatrysystemalcohol
SAhospital2011-12-07

Coroner's Finding: LANGHANS Doris Merle

89y · Female·acute renal failure with severe electrolyte disturbance due to sigmoid volvulus …

…th severe vascular dementia died from acute renal failure due to sigmoid volvulus while detained under the Mental Health Act. She was admitted to hospital for management of aggressive behaviour secondary to dementia. On …

psychiatrygeneral medicine

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