90 results for “possible psychiatric illness”
24y · Male·plastic bag asphyxiation
…n his cell at Canning Vale Remand Centre in Western Australia on 20-21 August 1997. He had a history of psychiatric illness, previous suicide attempts, and was on psychotropic medication (Stelazine, Zoloft). Hayes was a…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
… at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during transitions between healthcare systems—FJ lost access to private psychiatry when leaving im…
22y · Male·multi-organ failure secondary to heatstroke
Jon Edward Norman Clarke, a 22-year-old man with chronic schizophrenia-paranoid type managed with Clozapine 500mg daily plus Solian and Efexor XR, collapsed from heatstroke while working as a trolley boy on 27 January 20…
36y · Male·Gunshot wound to the forehead
…ry of forensic mental health order died by gunshot wound during a siege after police arrived to enforce psychiatric hospitalisation. The coroner found mental health care was appropriate—no objective signs of psychosis w…
36y · Male·Shotgun wound to the head
KE was a 36-year-old with longstanding psychiatric history including borderline personality disorder, substance abuse, and multiple previous self-harm inc…
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 thioridazine (…
45y · Male·bronchopneumonia and combined drug toxicity
…h Service. Clinical lessons include: (1) the difficulty managing patients with co-occurring severe mental illness and persistent substance abuse in community settings without integrated long-term residential facilities;…
26y · Male·Ligature Compression of the Neck (Hanging)
…-old remand prisoner at Hakea Prison, died by hanging on 11 July 2002. He had a history of serious mental illness, including psychotic episodes with delusional beliefs, and a previous suicide attempt. While in psychiatr…
43y · Male·aspiration of vegetable matter with occlusion of the upper airway
…while experiencing a severe manic episode. In the two weeks before his death, multiple warning signs of psychiatric deterioration were documented: erratic behaviour, sleep deprivation, religious preoccupation, and fire-…
25y · Female·self-immolation
…reats of self-harm and suicide attempts. Despite a pattern of escalating presentations over months, the psychiatric assessment failed to obtain collateral information from her family, who were present and able to provid…
36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…
Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He wa…
57y · Male·Neck compression and hanging
…s, his engagement with mental health services remained poor with persistent lack of insight. He refused psychiatric appointments in June-July 2024 but showed no overt suicidal ideation or self-harm. The coroner found no…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
…ne) in the presence of advanced emphysema and acute bronchopneumonia. He was admitted to Spencer Clinic psychiatric inpatient unit following an assault on staff at Karingal nursing home. During his 23-hour hospital admi…
48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)
…dal ideation. The coroner found his mental health care was reasonable but limited by grossly inadequate psychiatric staffing (described as the lowest in any developed country). Key clinical lessons include: individual s…
43y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
…his case highlights the complexity of determining causation when mental health conditions, uncontrolled psychiatric illness, and potential medical factors may all contribute to tragic outcomes.
48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male
…h crisis responses; (2) the importance of assuming underlying cardiovascular disease in those with mental illness; (3) de-escalation and communication training for police (PRIME training); and (4) paramedic-led emergenc…
Male·Darren Wallace: single gunshot wound to right side of neck. TBD: two self-inflic…
… on 14 November following serious threats at a pub. The coroner found that while TBD received intensive psychiatric treatment, his condition was significantly complicated by OMCG membership, which provided structure ini…
32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …
…titioners, community mental health service, and the hospital meant the hospital was unaware of her mental illness. After delivery, she stopped taking clozapine due to inadequate medication management by maternity staff.…
15y · Male·Electrocution
…September 2019. He had been experiencing suicidal ideation for months and was discharged from inpatient psychiatric care (Stepping Stones) on 19 August 2019 after a paracetamol overdose. Community mental health follow-u…
74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest. Hassan Khalif Shire Ali: gunshot wo…
On 9 November 2018, Hassan Khalif Shire Ali committed a premeditated ISIS-inspired terrorist attack in Bourke Street, Melbourne, using an improvised explosive device in his vehicle followed by a knife assault. He fatally…
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