113 results for “serious mental illness”
64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …
…plicit warnings on the night of death. The death was preventable had staff: (1) taken the specific threat seriously and separated the men, (2) escalated concerns to mental health services, or (3) received training in re…
26y · Male·Asphyxia in the setting of an irrespirable environment
…reventable through restricting access to these gases. The deceased had no identified medical conditions or mental health engagement, representing a previously healthy young adult in acute psychological crisis. The corone…
56y · Male·head injuries inflicted by blunt force trauma
…Asperger's syndrome) that was poorly managed in prison. Multiple systemic failures contributed: inadequate mental health screening and assessment time (10-15 minute reviews), poor information-sharing between correctional…
56y · Male·fatal cardiac arrhythmia due to complications from acute bronchopneumonia and ar…
…ia diagnosis would have been problematic without chest X-ray, and clinical staff had no reason to suspect serious illness. Care provided was deemed appropriate and adequate. Key learning: atypical presentations of serio…
76y · Male·pneumonia and exacerbation of chronic obstructive airway disease
…ment order was appropriately imposed when he attempted to leave despite severe delirium and acute medical illness. His condition deteriorated rapidly on 28 September with respiratory failure and pneumonia. The coroner f…
39y · Male·Unascertained
…ck and died from exposure to the elements. The case demonstrates the challenges of managing patients with serious mental illness in community settings and the importance of robust safety planning for high-risk activitie…
67y · Female·pulmonary thromboembolus due to deep vein thrombosis
Ms Procter, a 67-year-old woman with developmental delay and longstanding mental health issues, died from pulmonary thromboembolism following hip fracture su…
53y · Male·Cardiomegaly in a man with obesity and chronic liver disease
…idities including obesity, chronic liver disease with cirrhosis, cardiomegaly, hypertension, diabetes, and mental health conditions, died suddenly in hospital from cardiac rhythm disturbance. He was admitted to the psych…
61y · Male·self-inflicted hanging
… hanging. He had been incarcerated for 16 years following conviction for murder. Despite a conviction for serious crimes, he had become a well-regarded prisoner running animal breeding and rescue programs and working to…
35y · Male·hyponatraemia due to excessive consumption of water, against a background of psy…
…itoring, fluid restriction, and medication adjustments. However, expert witnesses unanimously agreed that serious mental illness requires treatment in forensic hospitals rather than prison hospitals. The prison model re…
26y · Male·Mixed drug toxicity (heroin, morphine, codeine combined with lorazepam, olanzapi…
…ned with benzodiazepines and antipsychotics) two days after absconding from escorted leave at St Vincent's Mental Health inpatient ward. He was a vulnerable patient with multiple previous absconsions typically to use sub…
28y · Female·acute streptococcus pneumonia meningitis with left-sided otitis media as anteced…
…n, the junior doctor diagnosed only otitis media with behavioral distress, completely failing to consider serious life-threatening illness. No blood tests or CT imaging were ordered to investigate further. She was inapp…
20y · Female·stab wound to the neck
…consultation needed for complex risk cases; and health record information can be disclosed to police when serious risk of harm exists, even if not imminent.
29y · Male·Multiple drug toxicity
…te. Key clinical lessons include the challenges of managing complex polysubstance-dependent patients with serious chronic illness, particularly in custodial settings, and the difficulty distinguishing genuine medical ne…
19y · Male·Ruptured aorta post motor vehicle incident
…, 19, died by motor vehicle collision in circumstances indicating suicide after discharge from involuntary mental health care. He had made three serious suicide attempts within 7 days (overdoses, wrist laceration, car pa…
75y · Male·Hanging
Kelvin Davidson, a 75-year-old man with complex psychiatric history including prior self-harm and attempted hanging, was admitted to Baringa Aged Psychiatric Unit on 27 September 2007. He engaged in wrist-cutting self-ha…
46y · Male·Complications of diabetic nephropathy
…ative care; and coordinated care between psychiatric and medical teams managing complex patients with both mental health and serious physical illness.
42y · Female·hanging
…ischarge at BAL 0.2% without contacting Dr K. for collateral information. Expert evidence established that mental health assessment should not be precluded by intoxication, and that collateral information from her psychi…
55y · Male·Immersion (Drowning) arising by way of suicide
…03 after absconding from Joondalup Health Campus where he was detained as an involuntary patient under the Mental Health Act 1996. Prior to admission, he had drugged his wife with sleeping pills and retrieved a cricket b…
29y · Male·Mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) in a morbidly …
Shane Jarrett, a 29-year-old with schizophrenia and substance abuse history, died from mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) complicated by morbid obesity. During psychiatric hospitalization, …
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