746 results for “psychiatric treatment”
38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia
…in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to prison on 20 July 2007 with stabilised clozapine therapy monitored through regular blood te…
21y · Female·Multiple injuries sustained from being struck by a train; death by suicide while…
…ese failures were not causative of her death but represented a loss of opportunity for intervention. The treatment provided was adequate but not optimal. Anorexia nervosa's insidious effects on both body and brain funct…
Unknown·Multiple causes: hanging (three cases); exposure in context of organic brain dam…
Four Anangu (Aboriginal) young men died between May 2003 and March 2004 on the Anangu Pitjantjatjara Lands in South Australia. Three deaths were by hanging (ages 19, 25, 27); one by exposure (age 35). Deaths were linked …
34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…
…ld Aboriginal man with post-traumatic epilepsy, organic brain damage from head injuries, alcoholism and psychiatric illness, died from aspiration pneumonia following a seizure. The death was preceded by discharge planni…
Unknown·Multiple injuries sustained in helicopter crash
… to divert or land at Coffs Harbour despite worsening conditions. The pilot had also failed to disclose psychiatric treatment and prescribed medications (Naltrexone, Diazepam, Valdoxan, Olanzapine) to his aviation medic…
53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…
A 53-year-old woman with schizophrenia died from transverse colon infarction secondary to mesenteric/retroperitoneal haemorrhage and incisional abdominal hernia during anticoagulation therapy. She was admitted to hospita…
27y · Male·Hanging
… adequately establish safety plans for the children in his care or verify he was receiving mental health treatment before closing their file. Police attendance on the day before his death did not identify or specificall…
24y · Male·Gunshot wound to the head
…th reinstatement. Risk reduction strategies discussed (secure storage, not shooting alone, psychological treatment) were not adhered to. The coroner identified a systemic gap: no clinical guidelines or structured risk a…
26y · Male·Plastic bag asphyxia in the setting of a vitiated atmosphere with inert gases
… long history of mental health issues including ADHD, depression and suicidal ideation. Following acute psychiatric admission to Ballarat Health Services (7-14 July 2016) where he was treated under a Temporary Treatment…
73y · Male·Neck compression in the circumstances of hanging
A 73-year-old man with severe depression and suicidal ideation died by hanging at a private psychiatric facility on 9 February 2019 during voluntary admission. He was assessed as low risk despite recent suic…
26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …
… include: recognising acute mental health deterioration requiring involuntary admission; ensuring rapid psychiatric assessment when police attend mental health emergencies; and documenting whether Mental Health Act obli…
45y · Female·haemorrhage due to traumatic rupture of the liver
A 45-year-old woman with a long history of bipolar disorder and personality disorder presented to the ED at 2:30 AM after cutting her wrist deeply with a carving knife. The treating casualty officer did not properly docu…
56y · Male·Hanging
…ted his presentation during assessment. The coroner found the Mental Health Act threshold for compulsory treatment appropriately applied but recommended updating guidelines to require family contact before discharge in …
44y · Male·Multiple traumatic injuries sustained in a fall from height
…ng 8-week review; there was no mechanism ensuring officers who disclosed serious alcohol abuse underwent treatment; the PMO incorrectly cleared him for full duties despite a police psychologist finding him unfit; and no…
17y · Female·multiple injuries due to impact by train
… despite mandatory reporting obligations and policies in place; (2) inadequate specialist assessment and treatment of trauma from sexual abuse across mental health services; (3) failure to provide information about spec…
71y · Male·Organ failure in an elderly man receiving palliative medical care for renal fail…
…ultiple comorbidities including COPD, early gastric carcinoma (treated with gastrectomy), diabetes, and psychiatric illness. His complex medical and mental health needs were managed through prison medical staff and exte…
25y · Male·Multiple injuries sustained in a fall from a height
…ssed, accepted voluntary admission, but left the Emergency Department while escorted for fresh air by a psychiatric nurse. Key lessons: mental health patients triaged but not seen should trigger proactive follow-up cont…
36y · Male·Multiple Sharp Force Injuries to Chest and Neck
…nted review may increase vulnerability; (3) ED presentations with substance use, suicidal ideation, and psychiatric history warrant formal assessment and GP communication even when patient appears stable; (4) overnight …
46y · Female·mixed drug toxicity
46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roommate), olanzapine, fluoxetine, oxycodone, and diazepam. She disclosed to her …
55y · Male·Septicaemia due to hydronephrosis and infection
…visits post-discharge. The coroner found no direct medical failures and acknowledged his right to refuse treatment, but identified systemic issues: healthcare providers misunderstood privacy legislation, limiting their …
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