Coronial

366 results for psychiatric admission assessment

VICmental health2022-12-15

Finding into death of Christopher Traill

55y · Male·Hanging

Christopher Traill, a 55-year-old lawyer with alcohol dependence and depression, died by hanging in a psychiatric inpatient unit on 25 February 2017, just hours after admission as a compulsory patient. He used his bel…

psychiatryproceduralcommunicationdiazepam
WAhospital2016-02-05

Inquest into the Death of Pauline Margaret DODD

51y · Female·Ischaemic heart disease

…ied of ischaemic heart disease at Sir Charles Gairdner Hospital on 4 March 2014. She was an involuntary psychiatric patient with long-standing bipolar affective disorder, complicated by childhood rheumatic fever causing…

psychiatrycardiologydiagnosticolanzapine
SAcommunity2003-05-27

Coroner's Finding: GILLIES Wayne John

45y · Male·Bullet wound to the head - self-inflicted

…, the firearm would have been removed. This case highlights the duty to assess and act on deteriorating psychiatric risk and the need for clear medical education regarding firearms reporting obligations that differ from…

psychiatrygeneral practicecommunicationsystemvenlafaxine
TAShospital2022-03-18

Coroner's Finding: Campbell, Nancy

82y · Female·sepsis with septic shock due to ascending cholangitis

…rom sepsis with septic shock due to ascending cholangitis. She had gallstones identified on MRCP during psychiatric admission but was deemed high-risk for elective cholecystectomy and discharged without symptoms. She pr…

psychiatrygeneral medicineantipsychotic medication
TASmental health2016-08-16

Coroner's Finding: Pasinski, Alexander

59y · Male·asphyxia due to choking on food

Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and paranoid schizophr…

psychiatryintensive caresystemcommunicationamitriptyline
VIChospital2014-05-14

Finding into death of Palma Castro

26y · Female·compression of the neck consequent upon hanging

… 2011. She presented following a suicide attempt with overdose and was discharged to family care without admission despite clear suicidality indicators. Clinical lessons include: risk assessment tools must be updated at…

psychiatryemergency medicinecommunicationdocumentationalprazolam
SAcommunity2004-09-10

Coroner's Finding: CORNISH Peter Henry

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-…

psychiatryemergency medicinediagnosticsystemcannabis
VIC2012-09-21

Timothycaseypart1 127708

29y · Male·hanging

…rt Phillip Prison on 28 March 2008, 12 days after arrival. His death resulted from systemic failures in psychiatric assessment and care. At Melbourne Assessment Prison, Nurse T D assigned Casey a P3 rating despite six p…

psychiatrycorrectional healthdiagnosticcommunicationheroin
NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

…ssion, died by hanging in Cowdy ward at Royal Darwin Hospital on 14 September 2007, within 10 minutes of admission as an involuntary mental health patient. He had presented to hospital multiple times over 4 days with es…

psychiatryemergency medicinediagnosticsystemparoxetine
QLDhospital2007-01-10

West, Ian Leslie

26y · Male·bronchopneumonia following severe head injury

…ony on 31 December 2002. He had been admitted to Longreach Hospital on 30 December 2002 for involuntary psychiatric assessment and awaiting transfer to Rockhampton Mental Health Unit. Despite receiving multiple sedative…

psychiatryemergency medicinemedicationcommunicationacuphase
NSWmental health2025-09-29

Inquest into the death of BQ

23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging

…a Ward at Cumberland Hospital while detained as an involuntary mental health patient. She had a complex psychiatric history with schizophrenia and borderline personality disorder, substance use, and intellectual disabil…

psychiatryemergency medicinediagnosticcommunication
WAmental health2015-02-26

Inquest into the Death of Tracy Margaret MARSHALL

47y · Female·Ligature compression of the neck (suicide by hanging)

…e via ligature compression of the neck. Clinically, this case highlights the critical importance of risk assessment in patients with documented suicidal ideation, even those deemed voluntary patients. The decision to mai…

psychiatrysystemdelay
QLD2011-10-14

Death of a prisoner

34y · Male·Asphyxia consistent with plastic bag asphyxia

…rthur Gorrie Correctional Centre died by asphyxiation using a plastic bag on 3 September 2008. He had a psychiatric history with prior suicide attempts and was on olanzapine. He ceased taking antipsychotic medication 14…

psychiatrycorrectional healthsystemdelayolanzapine
SAmental health2004-07-30

Coroner's Finding: CURNOW Robert Norman

81y · Male·myocardial infarction

…at Glenside Hospital. He was admitted for aggression and cognitive deterioration. Over three weeks, his psychiatric medication (olanzapine, carbamazepine) was adjusted as he appeared to improve. He collapsed suddenly on…

psychiatrygeneral practiceolanzapine
VIChospital2015-07-09

Finding into death of Male D

52y · Male·Multiple injuries and immersion leading to hypoxic brain injury and pneumonia

…ner examined Y's clinical management and discharge planning. Key issues identified: inadequate forensic psychiatric assessment of Y's risk to others; premature cessation of sedating medications (olanzapine, diazepam) at…

psychiatryemergency medicinediagnosticsystemzuclopenthixol decanoate
VIChospital2011-05-24

Finding into death of Ruth Janet Younger

45y · Female·Complications of acute alcohol intoxication

…d in ICU from complications of acute alcohol intoxication. Clinical lessons include the need for careful assessment of discharge readiness in patients with acute psychiatric symptoms, enhanced monitoring during high-risk…

psychiatryintensive carediagnosticmethylated spirits
VICcommunity2023-01-04

Finding into death of Cameron Douglas Boyes

43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)

…idal ideation and sleep deprivation. His GP declined benzodiazepines and attempted to arrange voluntary psychiatric admission, which he refused. Police conducted a welfare check but determined he did not meet criteria f…

psychiatrygeneral practicecommunicationsystem
QLDcommunity2016-12-08

Floyd, Leah Elizabeth

48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…

…ailure to escalate wound deterioration, and loss of trust in providers due to inappropriate involuntary psychiatric admission and attempted restrictive practices. The patient refused hospital admission due to fear of no…

neurologypsychiatrycommunicationsystemdiazepam
QLDhospital2012-02-21

Vaggs, Lyji

28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…

…ned during restraint at Townsville Hospital's Acute Mental Health Unit on 13 April 2010. He had declined admission at ED on 28 March despite clear psychotic symptoms and self-harm risk. When readmitted on 13 April, init…

psychiatryemergency medicinediagnosticmedicationolanzapine
WAmental health2015-11-25

Inquest into the Death of Yvonne HENDERSON

Female·Multiple injuries

…lusional disorder who died in a motor vehicle collision on 6 December 2010 while on approved leave from psychiatric hospitalisation. She was an involuntary patient in Albany Hospital's mental health unit. The coroner fo…

emergency medicinegeneral medicinesystemcommunicationrisperidone
134519

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