167 results for “acute mental health deterioration”
26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …
Eduardo Concepcion, a 26-year-old man experiencing mental health crisis and acute intoxication, died from multiple gunshot wounds inflicted by Northern Territory Po…
30y · Male·unknown - no postmortem examination performed
…ly in 2020 via DNA), and inadequate policy frameworks. The case demonstrates how poor coordination between mental health services, university pastoral care, social work, and law enforcement can allow vulnerable foreign s…
31y · Male·self-inflicted hanging
… 2021. He was remanded on serious charges and initially placed 'at risk' following his court appearance. A mental health assessment on 14 July 2021 found no mental illness or acute suicide risk, leading to removal from '…
24y · Male·Multiple gunshot wounds
…ollowing an unprovoked assault on a tourist. He had presented five days prior to a psychiatrist who saw no acute psychotic symptoms and continued assertive community management. Critical systemic issues identified: exce…
43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)
…ld man, died in a high-speed motor vehicle collision after his engagement was called off. He had contacted mental health services on 23 March 2019 reporting suicidal ideation and sleep deprivation. His GP declined benzod…
85y · Male·end stage dementia
Lawrence George Harvey, aged 85, died from end-stage dementia while lawfully detained under the Mental Health Act at Noarlunga Hospital. He had experienced progressive dementia since 2013 with increasing aggre…
36y · Male·hanging
…after brief assessment by junior staff who attributed his presentation to alcohol intoxication rather than acute psychosis. He died by suicide hours later. Key clinical lessons: collateral history from family and treati…
84y · Female·Myocardial infarction
…his indicating possible myocardial infarction. Significant anaemia (Hb 72, down from 127) and signs of deterioration (oliguria, tachycardia, drowsiness) were not adequately escalated or investigated. No MERT call was ma…
50y · Female·acute heart failure in association with acute on chronic obstructive airways dis…
…zophrenia and multiple physical comorbidities including morbid obesity, asthma, and poor mobility, died of acute heart failure associated with acute-on-chronic obstructive airways disease (influenza A infection), focal …
54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…
54-year-old man with schizophrenia died after acute mental health crisis during police response. Contributing factors included: arrhythmogenic cardiomyopathy …
52y · Female·Multiple stab injuries
…ving she could manage Peter. Her GP was unaware of domestic violence concerns. Peter's GP had no record of mental health issues despite his critical deterioration. The coroner's systemic review highlights failures in: ea…
46y · Female·Hypoxic brain injury in the setting of plastic bag asphyxia
…ses were assisting in the HDU; failure to perform a required formal risk assessment despite observable deterioration in her mental state that morning; and inadequate environmental controls allowing plastic bags in the i…
46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis
…topsy. The coroner identified that while his psychiatric care was appropriate, better coordination between mental and physical health services, ongoing cardiovascular risk assessment, and implementation of pulse oximetry…
58y · Female·Multiple injuries sustained in collision with train (pedestrian)
Elaine Sykes, aged 58, was admitted to Dandenong Hospital with acute renal failure and severe mental health deterioration. After 47 days at Acacia Mental Health Unit, she demo…
64y · Male·Heart failure secondary to alcohol related liver disease, coronary obstructive p…
… An Inpatient Treatment Order was appropriately placed and confirmed by psychiatry. On 22 September, after acute deterioration with severe cardiac dysfunction (EF 15-20%), senior clinicians determined CPR would be non-b…
40y · Male·Unascertained; likely cardiac arrhythmia secondary to cardiomegaly and morbid ob…
…f unascertained cause. He had bipolar affective disorder, was on antipsychotic therapy, and presented with acute psychosis. Autopsy revealed morbid obesity, cardiomegaly, and cannabinoid use. The coroner found his death…
79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…
…sive therapy, and intensive supportive care, he continued refusing oral intake. His condition deteriorated acutely with dehydration, hypotension, respiratory failure, and sepsis. The coroner found that clinical staff pr…
25y · Male·Gunshot injury to the head
…volver under the influence of amphetamines, cannabis, benzodiazepines and other drugs. SK had engaged with mental health services following a suicide attempt in June 2021 and was referred to substance abuse treatment ser…
84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…
…4 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was placed on a Level 1 Mental Health Act order for post-operative delirium. On 29 December, he aspirated vomit, became hypoxic, and died…
19y · Male·Stab wounds to the neck and chest
…and substance use disorder, died by self-inflicted stab wounds on 1 December 2019. He had been admitted to mental health inpatient care on 18 November 2019 following overdose and suicidal ideation, and discharged 36 hour…
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