125 results for “acute mental health episode”
84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…
… bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart disease while admitted to a mental health acute unit under a Temporary Treatment Order. He had multiple comorbidities including congestive he…
33y · Male·hanging
Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by…
45y · Female·haemorrhage due to traumatic rupture of the liver
…r cutting her wrist deeply with a carving knife. The treating casualty officer did not properly document a mental state examination, failed to detect signs of active psychosis (auditory hallucinations), and did not detai…
76y · Male·Upper airway obstruction by food bolus in a man with ischaemic heart disease
…s. Autopsy confirmed triple vessel coronary atherosclerosis. The coroner found no relationship between his mental health supervision status and the cause of death. Clinical lessons include recognition of dysphagia risk i…
26y · Male·bronchopneumonia following severe head injury
…h Hospital on 30 December 2002 for involuntary psychiatric assessment and awaiting transfer to Rockhampton Mental Health Unit. Despite receiving multiple sedative medications (Midazolam, Acuphase, Valproate, Clonazepam, …
42y · Male·Multiple injuries sustained in motor vehicle crash
… crash in rural Western Australia. He had poor insight, chronic medication non-adherence, and a pattern of acute relapses requiring repeated hospitalisations. In late May 2015, despite signs of relapse and non-complianc…
43y · Male·compression of the neck due to hanging
… to senior management despite being identified in audits. While the ITO was lawful and appropriate, environmental safety failures and inadequate observation frequency contributed to a preventable death in a facility deem…
45y · Male·coronary artery disease and mechanical asphyxia in a man using cocaine
… in police custody following physical restraint at a licensed bar. After consuming cocaine, he experienced acute paranoia and agitation, screaming that people were attacking him. Bar staff and patrons restrained him on …
47y · Female·risperidone toxicity
…d her risperidone dose from 3mg to 6mg daily without medical advice. On 16 October 2009, her GP recognised acute deterioration and attempted urgent referral to mental health services but encountered significant system b…
22y · Male·aspiration pneumonia complicating resuscitation for cardiac arrest due to neck c…
A 22-year-old male with acute psychosis was admitted to a mental health ward under a Level 1 treatment order. Despite half-hourly observ…
21y · Male·Compression of the neck consequent upon hanging
…hemical or physical restraint despite aggressive behaviour; inadequate communication between emergency and mental health teams; and insufficient acute psychiatric beds leading to prolonged ED stay. The coroner recommende…
23y · Male·hanging
…nging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicidal ideation and a reported self-harm attempt. Despite appropriate i…
Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain
…recognize or escalate concerning behavioral changes despite witnesses noting 'something was wrong'; (4) no mental health intervention occurred despite clear indicators of mental illness on the day of attack. While Ayad h…
58y · Male·coronary artery arteriosclerosis (natural causes)
Philip Sulley, 58, died of coronary artery arteriosclerosis on 27 April 2020 at Bentley Mental Health Unit. He presented to Royal Perth Hospital emergency department on 19 April 2020 with psychotic beh…
17y · Male·cranial and facial trauma
A 17-year-old male with acute schizophrenia died from cranial and facial trauma after running off a 15.6-metre cliff during a psychotic …
34y · Female·Multiple injuries sustained when she stepped off the ledge of a second-floor win…
… attending an intensive self-development course called 'The Turning Point' (14–18 December), she exhibited acute psychotic symptoms including bizarre behaviour and regression to child-like states. The coroner found expe…
24y · Male·complications of ligature compression of the neck (hanging)
Vincent Schwenke, a 24-year-old male of Maori descent, developed acute psychotic symptoms after ceasing cannabis use and was admitted to a secure mental health unit as an involu…
47y · Male·pulmonary thromboembolism and deep vein thrombosis
…und unforseeable and unlikely even with admission to a medical ward. No adverse findings were made against healthcare staff.
19y · Male·unable to be determined
Nazrawi Woldemichael, a 19-year-old with a history of severe mental illness, traumatic brain injury, suicidal ideation, and substance abuse, disappeared on 9 October 2016 fro…
78y · Male·Ruptured abdominal aortic aneurysm
…nsion; his antihypertensive medications were withheld based on a medical registrar's assessment showing no acute ischaemic changes on ECG. Echocardiography later revealed a mildly dilated aortic root. He died suddenly d…
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