Coronial

366 results for psychiatric admission assessment

VICmental health2015-10-15

Finding into death of Helen Maria Bryce

54y · Female·Hanging

…ession and anxiety in early 2011. After two suicide attempts, she was admitted to Austin Health's Acute Psychiatric Unit involuntarily. After 11 days of treatment and progressive day leave, she was approved for two nigh…

psychiatrygeneral practicecommunicationsystemcitalopram
WAmental health2000-01

Inquest into the Death of Steven Charles Indich

20y · Male·Ligature Compression of the Neck (Hanging)

…t acutely psychotic. Despite appropriate antipsychotic medication and close observation during his 3-day admission, he was not assessed as suicidal and no evidence of suicidal ideation was documented during this final a…

psychiatryintensive caresystemhaloperidol
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

…ts (doxepin, diazepam, fluoxetine). Critical failures included: inadequate investigation of her complex psychiatric history and previous Melbourne methadone treatment; escalating methadone by 35mg over 5 days (contrary …

general practiceaddiction medicinediagnosticmedicationmethadone
SAmental health2005-01-27

Coroner's Finding: ROBJOHNS Ronald Thomas

89y · Male·congestive cardiac failure due to ischaemic heart disease and aortic valve steno…

…severe depression, suicidal ideation, and self-neglect after multiple family bereavements. Six days into admission, he fell and sustained minor lacerations. He was found dead 10 hours later. Post-mortem revealed old sub…

psychiatrygeriatric medicinesertraline
TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

…cluding OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Despite being assessed as high-risk with a management plan requi…

psychiatryintensive carediagnosticsystem
VICcommunity2014-04-24

Finding into death of Mark Bethell

32y · Male·Valproic Acid Overdose

…rder, died from valproic acid overdose at a crisis accommodation facility. He was admitted to John Cade Psychiatric Unit following a benzodiazepine overdose on 13 March 2008. Despite a clear history of impulsive self-ha…

psychiatryemergency medicinediagnosticcommunicationsodium valproate
SAhospital2005-06-02

Coroner's Finding: GREEN Marie

64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…

…e overdose after ingesting 17 tablets of slow-release morphine (Kapanol) and diazepam. Initial emergency assessment by an intern was appropriate, but critical care gaps emerged. Dr P.'s observation that the patient was u…

emergency medicinegeneral medicinecommunicationdiagnosticmorphine
WAmental health2019-12-20

Inquest into the Death of Jason James Sutherland MALLETT

46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis

…ied from cardiac arrhythmia secondary to coronary arteriosclerosis and myocarditis while an involuntary psychiatric patient. He had significant unrecognised cardiac risk factors including metabolic syndrome, obesity, di…

psychiatrycardiologysystemcommunicationquetiapine
NSWmental health2021-04-16

Inquest into the death of Pamuk RONA

53y · Female·unascertained natural causes

Ms Rona, a 53-year-old woman with major depression, was admitted involuntarily to Bungarabee House psychiatric unit on 6 August 2018 after presenting with catatonic features, mutism, and refusal to eat or drink. Sh…

psychiatryemergency medicinelorazepam
WAhospital2022-01-25

Inquest into the Death of Carole LIVESEY

54y · Female·unascertained

…54-year-old woman with severe anorexia nervosa and major depression, absconded from Rockingham Hospital psychiatric unit on 3 October 2017 during an escorted walk in hospital grounds. She had been an involuntary patient…

psychiatrygeneral medicinecommunicationproceduralfluoxetine
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
VICmental health2015-08-06

Finding into death of WJ

39y · Female·Hypoxic brain injury secondary to hanging

…an with depression, anxiety, and substance use disorder was voluntarily admitted to Northern Hospital's psychiatric unit after presenting to ED with suicidal ideation. Despite documented suicidal thinking at admission, …

psychiatryintensive carediagnosticcommunicationduloxetine
VIChome2024-07-26

Finding into death of Mr KE

36y · Male·Neck compression secondary to hanging

… multiple risk factors, and severe depression. The psychotherapist appropriately conducted comprehensive assessment, identified need for psychiatric input, and attempted multiple referrals to psychiatrists who were unava…

general practicepsychologysystemcommunicationsertraline
SAhospital2009-08-12

Coroner's Finding: HOPE Maria Kate

55y · Female·hypoxic brain injury complicated by aspiration pneumonia

…o inform the treating doctor. Had this been communicated, Mental Health Act detention and transfer to a psychiatric facility would likely have occurred. The critical failures were: inadequate mental health assessment on…

general practicepsychiatrycommunicationdiagnosticolanzapine
WAhospital2013-02-14

Inquest into the Death of Marshall, Tracy Margaret

54y · Female·unascertainable

…s: early recognition and appropriate pharmacological treatment of psychotic symptoms, need for adequate psychiatric assessment and involuntary admission protocols, and importance of secure observation in patients with a…

psychiatryemergency medicinediagnosticcommunicationdiazepam
VIChome2011-08-15

Finding into death of James Martin Todd

41y · Male·Neck compression subsequent upon hanging

…ied by hanging on the morning of a scheduled psychology appointment. He had been referred by his GP for psychiatric care five days prior following a suicidal gesture, was prescribed antidepressants, and had completed an…

general practicepsychiatrysystemdelayparoxetine
SAhospital2004-07-15

Coroner's Finding: JOVANOVIC Katica

46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis

… from pulmonary thromboembolism secondary to bilateral deep vein thrombosis five days after involuntary psychiatric admission. She was severely withdrawn, refusing food, fluids, and mobilisation due to her acute psychot…

psychiatrygeneral medicinediagnosticcommunicationzuclopenthixol
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

…rs, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 August 2019 with acute psychosis requiring sedation with multiple CNS-de…

psychiatryemergency medicinediagnosticcommunicationdiazepam
TAScommunity2016-11-21

Coroner's Finding: Mr S

58y · Male·asphyxia

…al by his partner. In the emergency department he was triaged with sufficient safety concerns to warrant admission. A psychiatrist assessed him as moderate suicide risk but could not admit him due to insufficient mental…

general practiceemergency medicinesystem
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

…t (Dr H.) on 25 November 2010 who deemed him at low-to-moderate immediate risk and recommended continued admission. However, after reporting a suicide attempt by hanging in the shower on the night of 26 November, he was…

psychiatrygeneral practicediagnosticsystematomoxetine

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