746 results for “psychiatric treatment”
Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…
Five young adults died by suicide within 12 months (March 2011 to March 2012), all connected to Alma Street Centre mental health services at Fremantle Hospital. Four were discharged (Ruby Nicholls-Diver, Carly Elliott, M…
23y · Male·compression of the neck, secondary to coronary arteriosclerosis
…l authorization, placed prone on the floor, and subjected to physical pressure on his back. Intravenous psychiatric medications were administered. The autopsy found fatal internal injuries to the neck from broad applica…
45y · Female·Multi-drug toxicity
…pressants despite documented drug and alcohol dependence, 15+ prior overdoses, cognitive impairment and psychiatric vulnerability. Critical failures included: lack of pain assessment justifying opioids; prescribing outd…
30y · Female·Mixed drug toxicity (propranolol, duloxetine and codeine)
… from mixed drug toxicity (propranolol, duloxetine, codeine). She had engaged with Crisis Assessment and Treatment Team (CATT) following referral by her private psychiatrist for acute suicidal ideation. Key clinical les…
19y · Female·Hanging
… they did not offer trauma-focused cognitive-behavioural therapy or other evidence-based trauma-specific treatments. The coroner found that best-practice care for child sexual abuse survivors requires specialized trauma…
49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …
…d teacher, died by suicide via glyphosate ingestion on 18 February 2006, four days after discharge from psychiatric hospitalization for a serious self-harm attempt (throat laceration). She had complex comorbid Major Dep…
50y · Male·ligature compression of the neck (hanging)
…s (court appearances, sentencing) in prisoners with mental health histories; the need for comprehensive psychiatric assessment rather than fragmented services; and system-level failures in coordinating custodial and hea…
28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…
…or at least one day before death, possibly contributing to suicidality. The coroner found the quality of treatment and care at Graylands was reasonable and appropriate, and concluded the manner of death was suicide.
24y · Male·Multiple gunshot wounds
Mohamad Ikraam Bahram, a 24-year-old man with schizophrenia managed under a community treatment authority, died after being shot by police on Mary Street Brisbane following an unprovoked assault on a …
47y · Female·Multiple injuries from being struck by a train; death determined to be suicide
…om Bosnia, died by suicide by stepping in front of a train on 1 May 2012. She was subject to a Community Treatment Order at the time. Critical clinical lessons include: (1) discharge planning from inpatient psychiatric …
23y · Male·Neck compression as a result of hanging
…dicated for months before arrest. Critical failures in his mental health care included: delayed initial psychiatric assessment (3 weeks), inadequate intake screening that failed to establish rapport or document symptoms…
18y · Male·Hypoxic brain injury following cardiac arrest due to neck compression from hangi…
…1) recognition that volatile substance inhalation can cause acute behavioural disturbance presenting as psychiatric emergency; (2) the Mental Health Act 2009 provisions allowing assessment of persons with serious effect…
46y · Male·self-inflicted hanging
…a voluntary mental health patient. He had been admitted for the second time on 5 December 2003 following treatment in Brisbane. Although he had expressed suicidal ideation and documented a near-hanging attempt on 8 Dece…
36y · Female·head injury
…While reinstitution of medication occurred later, the patient's illness had deteriorated beyond adequate treatment response. The coroner found the death was not preventable on balance of probabilities, but identified mu…
36y · Male·acute neck compression due to hanging
…ed by his partner, the second fatal. He had engaged inconsistently with available mental health and drug treatment services. The coroner found DCS provided appropriate support and made no recommendations. Clinically, th…
56y · Male·Hanging
Chao Liang Mai, a 56-year-old remanded prisoner with documented psychiatric history and previous suicide/self-harm risk flags, died by hanging in a prison cell on 27 November 2018…
13y · Female·complications of a head injury sustained when she deliberately stepped in front …
…opriate community care despite fragmentation from repeated hospital admissions and the patient's initial treatment reluctance; Perth Children's Hospital appropriately managed acute presentations but faced a significant …
24y · Male·neck compression secondary to hanging
…owles, a 24-year-old with schizophrenia, died by suicide on 24 June 2024 while on an inpatient temporary treatment order at Kerferd Unit mental health service in Victoria. He was granted one hour of unescorted leave aft…
25y · Female·injuries sustained by jumping from the Tasman Bridge
A 25-year-old woman with longstanding borderline personality disorder, chronic suicidal ideation, and substance abuse died by jumping from the Tasman Bridge on 4 January 1996. She presented to the Emergency Department on…
28y · Male·Multiple head, facial and spinal injuries sustained in a single vehicle motorbik…
…lement consistent risk mitigation strategies including regular face-to-face reviews, urine drug screens, treatment agreements, and dose reduction plans; (5) the combination of high-risk medications and documented impuls…
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