746 results for “psychiatric treatment”
36y · Male·Combined effects of trihexyphenidyl (benzhexol) toxicity, amphetamine-type stimu…
…e dyskinesia), amphetamine-type stimulants, and dehydration with renal impairment. He was on a community treatment order for psychiatric care. Key failures: the deceased's GP did not adequately engage with the community…
43y · Male·The combined effects of subacute myocardial injury and methadone toxicity
Timothy Ricketts, a 43-year-old man with complex psychiatric and substance use history, died from combined subacute myocardial injury and methadone toxicity. He had…
Female·Miranda Howard: aspiration pneumonia complicating overdose of prescription medic…
…vernment failed to implement recommendations from a 2013 expert work group or national guidelines on BPD treatment, leaving both young women and families without access to specialist services available in other states.
56y · Female·acute pentobarbitone toxicity
…ic suicidality and recent stressors; examination of medication compliance and side-effects in depression treatment; and careful police investigation of ambiguous deaths to prevent evidence loss. The case highlights comp…
28y · Male·ligature compression of the neck (hanging)
…ed was documented as low self-harm risk despite being high risk for absconding. Clinical supervision and treatment were found to be appropriate. Key clinical lessons include the importance of documenting risk assessment…
41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…
…cking information about recent decline; (5) loss of mental health follow-up after relocation. Cauchi had treatment-resistant schizophrenia and was psychotic at time of attack. Coroner found Dr B.-Lavack's care involved …
31y · Male·Hanging
…deation, all in context of intoxication and relationship breakdown. While clinicians offered appropriate treatment including DBT referral and community follow-up, and could not have involuntarily detained him absent cap…
Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…
…ase and heart disease, died of restraint asphyxia following police restraint in hospital while awaiting psychiatric assessment. Both men became acutely agitated during restraint and ceased struggling suddenly, which sho…
39y · Male·Effects of fire (self-immolation)
William Gourley, a 39-year-old Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 202…
24y · Male·Massive blood loss caused by incised wounds of left upper extremity
A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He called for help twice via the cell alarm system at 9:17pm and 9:23pm, …
56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
…fter observable deterioration (increased alcohol use, mood lability, marital stress), he re-engaged with treatment and restarted antidepressants. Five weeks later, he remained in early medication phase with ongoing mood…
37y · Female·asphyxia due to hanging
… adjustment disorder, elevating suicide risk; (3) the transfer of care form to the Crisis Assessment and Treatment team was not sent, preventing timely community follow-up within 48 hours that might have identified clin…
Male·Multiple injuries due to train over-run (suicide by train)
Two separate suicides by train in July 2006 of young men admitted to Logan Hospital mental health services. Liam Wright (19) was transferred from the secure Acute Observation Area (AOA) to an open ward on 14 July 2006 de…
49y · Female and male·Gunshot wound to head inflicted by spouse
…de. Clinicians must routinely screen for domestic violence, engage specialist services, avoid concurrent treatment of victim and perpetrator without safeguards, seek collateral information from family members, and integ…
34y · Male·head and neck trauma (train impact)
…dality, died by stepping in front of a train on 15 December 2008. He had been discharged from inpatient psychiatric care on 12 November 2008 after refusing to return from overnight leave. Critical communication failures…
30y · Female·Fentanyl overdose caused by self-administration of intravenous Fentanyl
Katie Howman, a 30-year-old registered nurse in the Critical Care Ward at Toowoomba Base Hospital, died from an intravenous Fentanyl overdose on 21 December 2013. Autopsy findings of crystalline granulomas in the lungs i…
37y · Male·Respiratory arrest in association with medication drug effect and alcohol intoxi…
David James Lee, a 37-year-old Aboriginal man with schizophrenia, died on 15 July 2007 at Port Hedland Regional Hospital from respiratory arrest associated with medication effect and alcohol intoxication. He arrived at t…
29y · Male·Hanging
Craig Mark Allen, aged 29, died by hanging in cell 211 of Yatala Labour Prison on 16 October 2000, six days after admission for assault. Critical failures in prisoner management contributed to this preventable death. The…
49y · Male·Gunshot injury to the head
…onroy's firearms license (having written a supporting letter in 2008) but failed to inform Dr G. during psychiatric referral. Dr G. stated she would have strongly advised surrender of weapons had she known. The Coroners…
44y · Male·Gunshot wound to the head
Jason Smith, 44, was shot in the head by his uncle John Pozzebon in a family violence incident. The coroner found that while Pozzebon had a valid firearms license, his mental health had deteriorated significantly followi…
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