73 results for “mental state examination”
48y · Male·Coronary atherosclerosis and minor trauma
…g life-threatening medication require documented capacity assessments; and multidisciplinary approaches to mental health in custody should be clearly communicated to custodial staff.
39y · Male·respiratory failure and cardiac arrest
…dministration. Despite these serious findings suggesting respiratory compromise, he was transferred to the mental health ward where acute medical support was unavailable. During admission processes there, he was placed i…
14y · Male·Loss of blood arising from incised wound to the left arm (cubital fossa)
A 14-year-old Aboriginal petrol sniffer brought to a remote outstation (Ilpurla) without pre-arrangement died from massive haemorrhage following a self-inflicted laceration to his arm. Clinical lessons: petrol sniffers i…
45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…
Mark Andrew Burnside, a 45-year-old man with intellectual disability and chronic mental illness, died of natural causes on 7 November 2001 at Royal Perth Hospital. He had been prescribed thiorid…
40y · Female·hanging
Leanne Howell, a 40-year-old woman with major depression and recent suicide attempts, died by hanging while on unescorted leave from an acute psychiatric unit. Critical protective conditions of her leave plan—including l…
Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…
…ssment; inadequate procedures for addressing longitudinal risk factors; poor integration between different mental health services; insufficient follow-up after discharge, particularly in the first 24-48 hours; and inadeq…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
Nigel Douglas Roberts, a 55-year-old man with chronic schizophrenia, COPD, and cardiomyopathy, died from cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and olanzapine) in the presence of adv…
58y · Female·Enterococcus faecalis sepsis and acute renal failure
Robena Lloyd, a 58-year-old woman with intellectual disability and schizophrenia, died from enterococcus faecalis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urin…
5y · Male·Presumed drowning
…9 months, died by presumed drowning on 2 March 2017 in the Murray River, Moama NSW. His mother LS, who was mentally unwell and using ice, forcibly held him underwater. Multiple agencies—FACS, NSW and Victoria Police, men…
25y · Male·Ligature compression of the neck (hanging)
David Peter Ellery, a 25-year-old man with long-standing amphetamine addiction and deteriorating mental health, died by hanging on 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal …
35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm
Eric Whittaker, a 35-year-old Aboriginal man, died from a subarachnoid haemorrhage caused by a ruptured cerebral artery aneurysm while in remand custody at Parklea Correctional Centre. On 2 July 2017, he made 20 emergenc…
43y · Male·Hanging
Mathew James Luttrell, a 43-year-old Aboriginal man with borderline personality disorder, chronic suicidal ideation and substance abuse, was admitted to Mildura Base Hospital following a suicide attempt on 11 November 20…
Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…
… months (March 2011-March 2012). Two died within 24 hours of discharge, demonstrating critical failures in mental health service delivery. Key clinical lessons: (1) Individual management and risk assessment plans must be…
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