Coronial

125 results for acute mental health episode

VICmental health2022-03-30

Finding into death of B J

24y · Male·Hypoxic brain injury secondary to hanging

…tted on 4 January 2016 with suicidal ideation and assessed as very high risk. On 5 January, after becoming acutely aggressive and hostile, he was managed with sedation but not escalated to senior psychiatric review desp…

psychiatryemergency medicinecommunicationsystemquetiapine
NSWmental health2019-02-12

Inquest into the death of Kevin O’Halloran

55y · Male·positional asphyxia, with sedation as an underlying risk factor

Kevin O'Halloran, a 55-year-old with chronic schizophrenia, presented with acute severe behavioural disturbance related to medication changes and possible substance use. He received subst…

emergency medicinepsychiatrycommunicationproceduralmidazolam
SAhome2014-01-31

Coroner's Finding: HADLEY Duke Zenon

2y · Male·Asphyxiation due to neck and/or chest compression

… 2-year-old boy died from asphyxiation due to chest and neck compression inflicted by his mother during an acute manic psychotic episode. The mother had been admitted to psychiatric care in December 2008 with psychosis …

psychiatryemergency medicinecommunicationsystemrisperidone
WAhospital2025-06-30

Inquest into the death of Houston PEEL

29y · Male·ligature compression of the neck (hanging)

Houston Peel, a 29-year-old man, presented to Fiona Stanley Hospital ED at 4:35 am on 30 March 2023 with acute psychotic symptoms including auditory and visual hallucinations, bizarre behaviour, and paranoid ideation …

emergency medicinepsychiatrycommunicationdelayolanzapine
VICcommunity2023-12-08

Finding into death of Ricky James Broughton

47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…

…ed for involuntary psychiatric assessment. After moving from Geelong to Ballarat in February 2017, Ricky's mental health and housing needs were not adequately coordinated across services. His placement at boarding house …

psychiatrygeneral practicecommunicationsystemquetiapine
NSWpolice custody2026-03-20

Inquest into the death of Phillip Walton

48y · Male·cardiac arrhythmia which occurred in the context of physical exertion and hypoxi…

…hillip Walton, a 48-year-old with schizophrenia well-managed on clozapine for nearly 20 years, suffered an acute psychotic episode likely precipitated by cannabis use at a circus. After aggressive behaviour requiring po…

emergency medicineparamedicinediagnosticcommunicationclozapine
VIChospital2014-11-17

Finding into death of Allan Phipps

76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…

…operable due to high surgical risk. During his final admission, Mr Phipps was involuntarily detained under mental health legislation and treated for depression while managing multiple cardiac problems including anaemia a…

vascular surgerycardiologysystemdelayquetiapine
VICcommunity2016-09-06

Finding into death of Antonio D'Augello

63y · Male·Drowning

…ing antipsychotic medication in March 2016. During a collapse on 28 April, he was taken to Goulburn Valley Health ED where he was assessed as psychotic with poor insight but medically stable and discharged home with an o…

psychiatryemergency medicinecommunicationdelayolanzapine
TAShome2021-12-03

Coroner's Finding: Summers, Damian

42y · Male·hanging, an action taken by himself with the intention of ending his life

A 42-year-old man with acute psychosis was hospitalised for 26 days and discharged from a psychiatric facility to an isolated rural isl…

psychiatrygeneral practicecommunicationsystemolanzapine
NSWhome2021-07-07

Inquest into the death of Kimberley APPLEBY

56y · Female·acute pentobarbitone toxicity

56-year-old woman died from acute pentobarbitone toxicity in her Sydney apartment on 27-28 May 2016. She had a long history of mental health

psychiatrypsychologysystemproceduralpentobarbitone
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that d…

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
VIChome2026-01-13

Finding into death of Filippo Pignataro

52y · Male·Pulmonary thromboembolism

…romboembolism at home. He developed respiratory symptoms on 24 March, was managed in primary care with telehealth and face-to-face consultations, was hospitalised with bacterial pneumonia 31 March to 6 April, and collaps…

general practiceemergency medicineamoxicillin
NSWhospital2022-02-25

Inquest into the death of Carley METCALFE

41y · Female·unable to determine

…2017, three weeks after disappearing. She had presented to Lismore Base Hospital on 1-2 November 2017 with acute psychosis related to schizophrenia, having ceased antipsychotic medication and methadone. The mental healt…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
VIChome2022-08-31

Finding into death of B L

28y · Male·neck compression consequent upon hanging

…sonality disorder, substance use history, and recent suicidal ideation died by hanging. He was admitted to mental health services on 25 February 2019 after suicide threats and high-lethality attempts, then discharged on …

psychiatryemergency medicinecommunicationsystemsodium valproate
NSWhome2024-11-28

Inquest into the death of Michael Peachey

27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…

…Peachey, a 27-year-old First Nations man, died in custody following a police-initiated restraint during an acute psychotic episode. Over preceding days, his family repeatedly sought mental health intervention. On 20 May…

emergency medicinepsychiatryproceduralcommunicationdroperidol
VIChome2015-11-27

Finding into death of Sherry Ann Robinson

38y · Female·multiple stab injuries to the chest and abdomen

…Bradley Carolus, in May 2010. Three days before the homicide, Carolus had been apprehended by police under mental health legislation following a volatile episode triggered by an adverse family court decision. During his …

psychiatryemergency medicinecommunicationsystemquetiapine
VICaged care2011-09-05

Finding into death of Neil Charles Bethune

83y · Male·Ischaemic heart disease secondary to coronary atherosclerosis

…d no clinical care failures contributed to death. A family concern regarding failure to notify them of the acute episode during transfer was noted but found unrelated to the fatal outcome.

psychiatrygeriatric medicineoxazepam
QLDhospital2009-03-20

Wright, Liam John and Powell, Charles Michael

Male·Multiple injuries due to train over-run (suicide by train)

Two separate suicides by train in July 2006 of young men admitted to Logan Hospital mental health services. Liam Wright (19) was transferred from the secure Acute Observation Area (AOA) to an open …

psychiatryemergency medicinediagnosticcommunicationolanzapine
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

36y · Male·Multi-organ failure complicating injecting drug use

A 36-year-old man with a 13-year history of schizophrenia and substance abuse was admitted involuntarily to a psychiatric unit on 15 September 2012 after community deterioration. He improved over several weeks and was tr…

psychiatryintensive carecommunicationdelayheroin
WA2003-04-29

Inquest into the Death of Mark Anselo Ugle

36y · Male·Acute on Chronic Myocardial Infarction

… problems, seizures, and non-compliance with medication, died in East Perth Lockup on 9 December 2000 from acute on chronic myocardial infarction. He was lawfully arrested for breaching a violence restraining order and …

cardiologyemergency medicinecommunicationsystemmethamphetamine

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