73 results for “mental state examination”
26y · Female·Hypoxic brain injury in the setting of immersion
…made in error, given her multiple risk factors: severe constipation, recent diazepam use, drowsiness, poor mental state, and possible medication withdrawal effects. The absence of constant supervision was the primary fac…
92y · Female·heart failure secondary to aortic stenosis, anaemia, atrial fibrillation and isc…
A 92-year-old woman with multiple comorbidities (aortic stenosis, anaemia, atrial fibrillation, ischaemic heart disease) died of heart failure four days after admission to aged care. She had been hospitalised for three m…
22y · Male·Multiple injuries from fall from height
…organic causes of psychosis; no functional assessment despite inability to self-care; absence of follow-up mental health services post-discharge; medication non-compliance post-discharge with heavy cannabis use (found at…
33y · Male·Mixed drug toxicity
…Critical gaps included failure to forensically examine his mobile phone and computer, insufficient witness statements regarding drug source and mental state, and inconsistent adherence to drug-death investigation protoc…
26y · Female·Toxicity to Pentobarbitone
…ation and had previously attempted suicide. She imported pentobarbitone from Mexico while hospitalized for mental health treatment. Two parcels containing pentobarbitone were intercepted by customs on 12 August 2015 but …
Male·Police use of lethal force; coroner found in each case the officers acted approp…
This multi-death inquest examined five police shootings in Queensland (2013-2014) where all deceased had mental health histories. The coroner found officers acted appropriately in each case but made 19 recommendations …
32y · Male·Gunshot wound to the head
Mark Bombardieri, a 32-year-old man with a complex history of criminal behaviour, mental health disorders, polysubstance abuse, and multiple psychiatric admissions, died by suicide on 6 March 201…
47y · Male·Compression of the neck arising from hanging
…wing a failed telehealth appointment on 20 September where he was verbally abusive to Dr E., the community mental health team discharged him on 21 September without escalating concerns to senior staff, without directly c…
48y · Female·Head injury
…ied from head injuries after being struck by a train on 30 October 2011 while on unescorted leave from the mental health unit at Kalgoorlie Regional Hospital. She was an involuntary patient under the Mental Health Act 19…
37y · Male·stab wound to the chest penetrating the heart
…psychiatrist with delusional paranoia—neither event prompted reassessment or hospitalization. On 21 April, mental health nurses visited after neighbour's crisis call; Mr Kolbig expressed he didn't want to die, hearing vo…
63y · Male·neck compression due to hanging
A 63-year-old man with treatment-resistant depression died by hanging. His wife had been maintaining a 'suicide watch' for six weeks prior to his death and telephoned his GP on the morning of his final appointment, expli…
69y · Female·bronchopneumonia complicating intracranial tumour (meningioma with obstructive h…
Mary Patricia Kruger, aged 69, died of bronchopneumonia complicating a massive subfrontal meningioma with obstructive hydrocephalus. Her death was preventable. During a November 2006 hospital admission for urinary tract …
29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath
…bbed himself repeatedly in the throat, causing fatal vascular injury to the carotid sheath. Post-mortem examination revealed brain abnormalities suggesting predisposition to seizures or drug-induced psychosis. Despite i…
Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…
…cue protocols were dangerously delayed (missing person not treated as emergency for 2+ days in 42°C heat); mental health services for Ryan and Cooper were reasonable but discharge planning from psychiatric detention inad…
22y · Female·compression of the neck consistent with hanging
…ah McKenzie, an Aboriginal woman, died by hanging on 13 March 2013 after a complex sequence of failures in mental health care and police procedures. She had reported her partner Shane Woods to police for serious crimes, …
29y · Female·Multiple injuries due to fall from height
A 29-year-old woman with rapidly deteriorating mental health presented to Ipswich Hospital ED triaged as ATS Category 3 requiring assessment within 30 minutes. …
28y · Male·Acute Dopamine Imbalance Syndrome
A 28-year-old man with first-episode psychosis presented with command auditory hallucinations after a motor vehicle accident. An EEG ordered to exclude organic causes showed very abnormal findings suggestive of partial s…
41y · Male·Multiple traumatic injuries
… 40-year-old man who died by suicide following a fall from a cliff. He had three involuntary admissions to mental health facilities in a fortnight before his death. Critical clinical lessons include: Dr J.'s diagnosis of…
60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression
Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit bathroom. Key clinical lessons include: communication difficul…
15y · Female·neck compression due to hanging
… saw a psychiatrist until too late. By June 2012, Dr G. prescribed fluoxetine but didn't escalate suicidal statements on final visit (5 July 2012). Michaela died by hanging 4 days later. The coroner found CAMHS operated…
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