746 results for “psychiatric treatment”
32y · Male·plastic bag asphyxia
…and a history of explosive-making offences. He was subject to concurrent bail conditions and a Community Treatment Order requiring depot risperidone injections and forensic counselling. Smith rejected his mental illness…
67y · Male·Ligature Compression of the Neck (Hanging)
…ory of depression exacerbated by chronic pain from a 2000 motor vehicle accident, and required multiple psychiatric admissions. On 18 December 2003, he disclosed to nursing staff that he had attempted to prepare a noose…
34y · Male·Gunshot injuries to chest and left shoulder
…ical failures preceded his death: despite clear risks when unmedicated, he was not placed on a Community Treatment Order (CTO) and did not receive prescribed depot antipsychotic medication following releases from prison…
52y · Male·consistent with plastic bag asphyxia
Frederick Williamson, a 52-year-old man with chronic treatment-refractory schizophrenia, was found dead in the bathroom of his room at Austin Health's Secure Extended …
50y · Male·Gunshot wounds to the chest
…he importance of structured community mental health follow-up for terminally ill patients with comorbid psychiatric illness, the challenges of engaging isolated patients in palliative care, and the need for integrated c…
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
…noid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to a patient with poor denti…
72y · Male·Multiple stab and incised wounds to the chest and neck
…rrections pre-sentence assessor lacked information about Woodruff's recent mental illness diagnosis and psychiatric referral; Forensicare's referral to Peninsula Health Mental Health Services was not communicated to Com…
63y · Male·Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic …
…high risk and managed under Mental Health Act orders. Despite reasonable and appropriate care including psychiatric reviews, a CT brain scan, and septic screen, he suffered unexplained cardiac arrest on 29 March 2024 wh…
15y · Male·multiple blunt force injuries as a result of being hit by a train
AB, a 15-year-old boy with depression and suicidal ideation, was prescribed Lexapro (escitalopram) by his GP despite it not being registered for use in adolescents. The coroner identified significant failures in clinical…
58y · Male·coronary artery arteriosclerosis (natural causes)
…re-presented on 22 April 2020 with florid psychosis and was admitted to BMHU under a Form 6A involuntary treatment order. He collapsed on 27 April 2020 and could not be revived. The coroner found clinical care appropria…
38y · Male·Multiple injuries
Damian Kay, aged 38, died from multiple injuries after jumping from the 16th floor of a hotel on 22 September 2010, with a blood alcohol concentration of 0.71%. The death occurred in the context of recent relationship br…
52y · Male·Unascertained
…utside despite guideline recommendations that newly admitted patients should not be granted leave until psychiatric assessment. After displaying elevated mood with 'grand plans' to drive to Cairns, he was appropriately …
63y · Male·Drowning
…on early intervention, with inadequate escalation of a deteriorating patient known to require compulsory treatment previously.
21y · Male·multiple injuries from fall from water tower
A 21-year-old man with acute psychosis was admitted involuntarily to a psychiatric ward after being found climbing a power pole. After 8 days, despite being assessed at moderate suicide …
Male·Suicide: hanging (Al-Akabi, Saunders); diving from balcony (Rauluni)
Three immigration detainees died by suicide at Villawood Detention Centre in Sydney within three months in 2010. Josefa Rauluni (Fijian) jumped from a balcony on 20 September after being informed of imminent removal desp…
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…
55y · Male·exsanguination resulting from self-inflicted wounds to left brachial artery and …
Saxon George Hyatt, 55, died by suicide in Risdon Prison on 14 January 2019 through exsanguination from self-inflicted wounds to his brachial artery and wrists. He had a long history of mental health conditions including…
48y · Male·Cardiomegaly and fatty liver in a man with alcohol intoxication
… noted Mr Karastavrou would have met criteria under the subsequently enacted Severe Substance Dependence Treatment Act 2010. Clinical care was not found to be preventable.
53y · Female·self-inflicted hanging
…ted to her deterioration. Clinical lessons include: maintaining proper documentation, engaging family in treatment, continuing specialist management during medication changes, recognizing early warning signs of crisis, …
51y · Female·drowning
…nse was timely and appropriate. Clinical lessons include the importance of engagement with mental health treatment, earlier recognition of escalating psychotic symptoms, and the challenges of managing patients who decli…
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