Coronial

746 results for psychiatric treatment

WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

… was admitted to hospital on 31 October 2001 with severe tremors, fever, and dystonic reactions. Despite treatment with benztropine and benzodiazepines, he died suddenly of cardiac arrest on 7 November 2001. Post-mortem…

general practicepsychiatrythioridazine
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

…nduced acute organic brain syndrome. He was appropriately detained under the Mental Health Act to ensure treatment, re-admitted to RAH, and underwent emergency aortic and pulmonary valve replacement. Despite technically…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
ACThome2019-06-20

AN INQUEST INTO THE DEATH OFMARK ANTHONY O’BRIEN

58y · Male·Heroin toxicity

58-year-old man with chronic back pain, paranoid schizophrenia, and decades-long prescription opioid and benzodiazepine abuse died from heroin toxicity. He had been successfully withdrawn from opioids (MS Contin, Endone)…

psychiatrypain medicinesystemcommunicationheroin
SAhome2017-07-25

Coroner's Finding: MCKENZIE Deborah Francis

22y · Female·compression of the neck consistent with hanging

…al mental health assessment. Medical staff failed to obtain collateral information, wake her for proper psychiatric evaluation, or detain her under mental health legislation. That afternoon, three accused individuals sh…

general practiceemergency medicinediagnosticproceduralparacetamol
QLDmental health2007-05-25

Mental Health patient

Female·multiple injuries due to a fall from height (suicide by jumping from multi-store…

…car park on 21 September 2004, six days after admission to Belmont Private Hospital under an involuntary treatment order. She had attempted suicide in July 2004 and was discharged on 30 August 2004 against medical advic…

psychiatryemergency medicinecommunicationsystemmirtazapine
VIChome2022-07-08

Finding into death of X RR

29y · Male·Mixed drug toxicity (heroin and methamphetamine)

A 29-year-old man with a history of heroin and methamphetamine addiction died from mixed drug toxicity. He had suffered a work-related back injury leading to opioid dependence, complicated by anxiety and panic attacks. A…

addiction medicinegeneral practicesystemheroin
VICcommunity2017-07-07

Finding into death of SO

27y · Male·Mixed drug toxicity

…ecognize that brief periods of apparent improvement in mood and engagement during substance use disorder treatment do not eliminate imminent overdose risk, particularly following discovery of active drug use. Enhanced d…

psychiatryaddiction medicinedischargesystemheroin
VIC2016-02-26

Finding into death of Jonas Jvirblis

23y · Male·combined drug toxicity (oxymorphone, benzodiazepines, codeine, and morphine) in …

… and anxiety disorder, treated with benzodiazepines and antidepressants by multiple clinicians. Despite psychiatric and addiction medicine assessment recommending specialist management, he continued polysubstance use an…

psychiatryaddiction medicinesystemcommunicationoxymorphone
SAhospital2015-09-22

Coroner's Finding: WHETTERS Peter Richard Bertram

75y · Male·Multiorgan failure complicating mixed drug toxicity

…s contributed to death or that it was administered by another person. The deceased received appropriate psychiatric and medical assessment and treatment. His detention was lawful and played no role in his death. No clin…

cardiologyintensive caretemazepam
NSWcommunity2009-02-27

02anonfinding

54y · Male·Died by hanging while suffering from the effects of Post-traumatic Stress Disord…

…-year career and was diagnosed with Bipolar Disorder in 2003. From January 2007, he received appropriate treatment from a GP and clinical psychologist, but struggled with medication compliance and experienced persistent…

general practicepsychiatrylithium
VIChome2021-05-05

Finding into death of Aisha Devi Beck

39y · Female·Gunshot wound to the head

A 39-year-old woman with brief psychotic disorder experiencing suicidal and homicidal ideation killed her 4-year-old daughter and herself. She had been diagnosed with psychosis in 2015, treated with olanzapine, and disch…

psychiatrygeneral practicecommunicationsystemolanzapine
VIChospital2023-04-03

Finding into death of David Bramwell Van Vledder

48y · Male·Drowning

…essment. He re-presented within hours, was deemed not to meet Mental Health Act criteria for involuntary treatment, and was planning medical admission for investigation and alcohol detoxification. While awaiting assessm…

emergency medicinepsychiatrydiagnosticcommunicationsertraline
QLD2007-11-29

Mills, Samuel John

31y · Male·Self-inflicted hanging

…staff due to poor record management; mental health services were severely under-resourced with only one psychiatric session weekly for 400 prisoners; and the ward had multiple hanging points despite established evidence…

psychiatryemergency medicinesystemcommunicationmelleril
WAmental health2004-09

Inquest into the Death of Peter Daniel Mahoney

55y · Male·Immersion (Drowning) arising by way of suicide

Peter Daniel Mahoney, a 55-year-old man with treatment-resistant bipolar affective disorder, died by drowning on 13 June 2003 after absconding from Joondalup H…

psychiatrypsychiatrycommunicationsystemtemazepam
NSW2022-12-06

Inquest into the death of Jason RADFORD

48y · Male·Fatal cardiac arrhythmia which was the result of obstructive sleep apnoea

…ies including obesity, type 2 diabetes, and was on methadone for opioid substitution and olanzapine for psychiatric conditions. The coroner found his medical care was appropriate: his sleep apnoea was adequately managed…

cardiologygeneral practicemethadone
VICcommunity2017-08-25

Finding into death of Thomas Edward Mackenzie Hall

41y · Male·Injuries sustained in a motor vehicle incident (driver) in a man with coronary a…

…is mother's car unlicensed and at excessive speed into oncoming traffic. He had a documented history of psychiatric illness with multiple involuntary admissions, medication non-compliance, and recent suicidal ideation e…

psychiatryemergency medicinecommunicationsystemrisperidone
VIChome2025-05-02

Finding into death of Rory James Van Geleuken

31y · Male·compression of the neck secondary to hanging

…sed anxiety disorder, autism spectrum disorder, and ADHD, died by hanging. He had received mental health treatment since age 17, including psychiatric hospitalization and multiple medication trials. At the time of death…

psychiatrygeneral practiceescitalopram
VICpsychiatric inpatient unit2020-01-31

Finding into death of Damon Brenden Amiet

25y · Male·Injuries sustained when struck by a train (suicide)

…fective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpatient unit (IPU1) on 12 April 2013 following a serious suicide attempt by hanging. He died the next…

psychiatryemergency medicinecommunicationsystemolanzapine
SAhome2000-09-15

Coroner's Finding: DONAGHEY Luke Francis

26y · Male·.357 magnum gunshot wounds to the chest and abdomen

…oms to others, and instead advised the parents to withdraw support—advice described as 'poor' by expert psychiatric testimony. The GP had prescribed benzodiazepines which may have disinhibited behavior when combined wit…

general practicepsychiatrydiagnosticcommunicationhaloperidol
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

A 23-year-old male with treatment-resistant schizophrenia died by hanging while an involuntary patient in the High Dependency Unit of Roya…

psychiatryemergency medicinecommunicationsystemaripiprazole
131323338

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