Coronial

85 results for acute psychiatric episode

WAhome2005-07

Inquest into the Death of taylor

29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath

Louis Bernard Taylor, a 29-year-old Aboriginal male, died from a penetrating wound to the neck inflicted by himself on 23 August 2002. Recently released from prison after four years incarceration, Louis was attempting to…

psychiatrygeneral practicecannabis
NSWhospital2022-02-25

Inquest into the death of Carley METCALFE

41y · Female·unable to determine

…2017, three weeks after disappearing. She had presented to Lismore Base Hospital on 1-2 November 2017 with acute psychosis related to schizophrenia, having ceased antipsychotic medication and methadone. The mental healt…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

36y · Male·Multi-organ failure complicating injecting drug use

…ear-old man with a 13-year history of schizophrenia and substance abuse was admitted involuntarily to a psychiatric unit on 15 September 2012 after community deterioration. He improved over several weeks and was transit…

psychiatryintensive carecommunicationdelayheroin
WAmental health2023-02-13

Inquest into the Death of Philip SULLEY

58y · Male·coronary artery arteriosclerosis (natural causes)

…He collapsed on 27 April 2020 and could not be revived. The coroner found clinical care appropriate: no psychiatric error was made in discharging him on 19 April; he refused physical assessment while agitated at BMHU, m…

psychiatryemergency medicinecommunicationolanzapine
TAS2022-02-24

Coroner's Finding: Scott, Paul Stephen

61y · Male·asphyxial death due to hanging

Paul Stephen Scott, aged 61, died by hanging while on leave from psychiatric inpatient care. He had been admitted to Spencer Clinic on 11 January 2018 with suicidal ideation and co…

psychiatrygeneral practicesystemcommunicationvenlafaxine
SAcommunity2006-12-13

Coroner's Finding: ELDRIDGE Michael and GERARD David

Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…

…; under-resourcing of community teams; bed pressure driving early discharge decisions; and insufficient psychiatric review prior to discharge. Both deaths were preventable with more assertive detention, adequate medicat…

psychiatryemergency medicinecommunicationsystemzuclopenthixol deconate
VICcommunity2023-12-08

Finding into death of Ricky James Broughton

47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…

…treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatric assessment. After moving from Geelong to Ballarat in February 2017, Ricky's mental health and housing n…

psychiatrygeneral practicecommunicationsystemquetiapine
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

…scharge request. The ED registrar's reassessment seven hours later was wholly inadequate without proper psychiatric evaluation. The ART clinicians did not adequately consider voluntary psychiatric admission. While St Vi…

psychiatryemergency medicinediagnosticcommunicationquetiapine
TAShome2018-02-28

Coroner's Finding: Evans, Jillian and John

62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …

…delusions about neighbour's chimney smoke. He was admitted to Launceston General Hospital on 17 July after acute deterioration, correctly diagnosed with major depression with psychotic features, and treated with Risperi…

psychiatrygeneral practicediagnosticcommunicationrisperidone
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

…, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on 15 July 2020 with…

psychiatryemergency medicinecommunicationsystemketamine
VIChome2011-09-13

Finding into death of Rosa Sinapi

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…

psychiatrygeneral practicesystemdelayrisperidone
NTmental health2019-09-13

Inquest into the death of Daniel Alexander Bleaney

37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof

Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was resc…

psychiatryemergency medicinesystemdiagnosticdiazepam
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

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…

psychiatryemergency medicinecommunicationsystemaripiprazole
NSWhome2021-07-07

Inquest into the death of Kimberley APPLEBY

56y · Female·acute pentobarbitone toxicity

56-year-old woman died from acute pentobarbitone toxicity in her Sydney apartment on 27-28 May 2016. She had a long history of mental health…

psychiatrypsychologysystemproceduralpentobarbitone
VIChome2014

Finding into death of Kathy Louise Tranter

48y · Female·head injuries from multiple blunt force trauma including punching, elbowing and …

A 48-year-old woman, Kathy Tranter, was killed by her 20-year-old son who was an involuntary psychiatric patient at Orygen Youth Health (OYH) with acute paranoid schizophrenia. The son was granted overnight l…

psychiatryemergency medicinediagnosticcommunicationrisperidone
VICmental health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

…liar, a 62-year-old man with severe bipolar affective disorder, died from hanging in Frankston Hospital psychiatric ward on 16 November 2012 after an involuntary admission for treatment-resistant depression with suicida…

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
QLDPodcast2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

…ior criminal history and background checks were appropriate, systemic failures in recognizing and managing acute mental health crises in non-traditional settings were evident.

psychiatryemergency medicinesystemcommunicationcannabis
VIChospital2015-08-28

Finding into death of Moufid Sawan

61y · Male·Complications of cutaneous burns

…and extensive history of arson, suicide attempts and self-harm was admitted as a voluntary patient to a psychiatric inpatient unit and later made involuntary. Despite clinical concerns about his mental state, he was pro…

psychiatryemergency medicinecommunicationdiagnosticrisperidone
WAhospital2025-06-30

Inquest into the death of Houston PEEL

29y · Male·ligature compression of the neck (hanging)

Houston Peel, a 29-year-old man, presented to Fiona Stanley Hospital ED at 4:35 am on 30 March 2023 with acute psychotic symptoms including auditory and visual hallucinations, bizarre behaviour, and paranoid ideation …

emergency medicinepsychiatrycommunicationdelayolanzapine
VICcommunity2016-09-06

Finding into death of Antonio D'Augello

63y · Male·Drowning

Antonio D'Augello, a 63-year-old man with schizophrenia and acquired brain injury, died by drowning in an irrigation channel four days after discharge from emergency care. He had deteriorated after stopping antipsychotic…

psychiatryemergency medicinecommunicationdelayolanzapine

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