99 results for “assessment order under mental health act”
23y · Male·Multiple injuries sustained following collision with a train
A 23-year-old man with a history of schizophreniform disorder, depression, and previous suicide attempts absconded from a mental health triage facility after being invo…
38y · Male·ischaemic heart disease
…5% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarlunga Health Service after being detained by Dr J. at the Adaire Clinic on 22 Augu…
24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway
…the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent behaviour not weighted), delayed notification to police (1.35 ho…
78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…
Doreen Mansfield, a 78-year-old woman with bipolar affective disorder managed with lithium and ECT, was admitted to the Royal Hobart Hospital under a Mental Health Act treatmen…
27y · Male·compression of the neck due to hanging
…a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 2015 but discharged after only six days despite continued florid psychot…
51y · Male·unascertained; presumed sudden cardiac arrhythmia
Kenneth Stephens, a 51-year-old man with schizoaffective disorder, died from an unascertained cause while under involuntary psychiatric care. He presented with acute behavi…
51y · Male·Hanging
…tional and verbal abuse against his wife and children over two years. After a Family Violence Intervention Order was granted in February 2019, Mr A misinterpreted a Victoria Legal Aid letter as indicating the order was …
62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …
…ound Mr Evans was psychotic at the time of death. From May 2013, Mr Evans presented repeatedly to general practitioners with escalating anxiety and emerging delusions about neighbour's chimney smoke. He was admitted to …
79y · Male·external neck compression as a result of hanging
A 79-year-old man with bipolar affective disorder and a documented history of medication non-compliance died by suicide while living in rural NSW. He had be…
46y · Female·Hanging
…xiety, and alcohol dependence died by hanging. She was transported to Box Hill Hospital on 27 January 2016 under Mental Health Act section 351 following suicidal ideation and overdose of prescribed medications with alco…
26y · Male·neck compression due to hanging
A 26-year-old Aboriginal man with longstanding borderline personality disorder, substance abuse, and multiple suicide attempts died by hanging in a psychiatric …
43y · Male·hanging
…anging in a correctional centre cell containing an obvious ligature point (exposed metal railings). He was under extended supervision in the community when his 22-year-old son died in 2021, profoundly affecting his ment…
29y · Male·cardiac arrhythmia triggered by myocardial ischaemia arising from physical exert…
…story, prior methamphetamine use, and probable schizophrenia. Police attended to serve a domestic violence order after minimal information gathering. Critical missed opportunities for de-escalation existed from the init…
26y · Female·hypoxic ischaemic encephalopathy and bronchopneumonia in a woman with methylamph…
…ne, experiencing excited delirium, and suffering from self-harm and suicidality. Key clinical lessons: (1) Mental health welfare checks require direct conversation, not just observation; (2) The prone position for handcu…
11y · Male·Craniocervical trauma
…f Luke Geoffrey Batty, age 11, killed by his father Gregory Anderson on 12 February 2014 during a cricket practice. Luke was struck with a cricket bat and stabbed with a knife. The coroner found the death was not preven…
17y · Female·multiple blunt force injuries after being struck by a train
… The Coroner found that care provided by Hornsby Hospital and CAMHS was appropriate and compliant with NSW Health policies. Staff made reasonable decisions regarding discharge on 17 December 2012 following a reported ove…
48y · Female and male·Ms Dailler: blunt head trauma and multiple sharp force injuries including stab w…
…equently died by suicide. The case demonstrates systemic failures in police incident documentation, risk assessment processes, and information sharing between agencies. Key clinical lessons include: the importance of com…
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 observations, he hung himself using an el…
62y · Male·Multiple sharp force injuries intentionally inflicted by client during home visi…
Stephen James Douglas, a 62-year-old community mental health nurse, was killed on 28 November 2019 by his client Peter Kemball during a home visit. Kemball had …
3y · Male·fatal stab wounds to the heart inflicted by his aunt Natalia Perry during an app…
…ures included: inadequate flagging of her forensic status and prior child murder in the ED, lack of risk assessment regarding her unsupervised access to children, failure to inform family of her medication non-compliance…
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