Coronial

88 results for acute psychotic illness

QLDmental health2006-11-31

Jeffrey, Helen

38y · Female·Asphyxiation by plastic bag

Helen Jeffery, aged 38, died by asphyxiation using a plastic bag in Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal …

psychiatryemergency medicinesystemcommunication
QLDhome2012-11-14

Galeano, Antonio Carmelo

39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…

… died in police custody on 12 June 2009 after a protracted struggle and multiple taser activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergency. Clinical lessons i…

emergency medicinepsychiatryproceduralcommunicationamphetamine
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

… to maintain the ITO, cessation of one-to-one nursing observation, non-implementation of recommended antipsychotic medication, and absence of proper psychiatric follow-up before discharge. Expert evidence confirmed the …

oncologypsychiatrydiagnosticcommunicationdexamethasone
SAhospital2000-11-20

Coroner's Finding: MIDDLETON Geraldine Ruth

45y · Female·haemorrhage due to traumatic rupture of the liver

…rupture. The coroner found inadequate mental state assessment, failure to recognize suicide risk despite psychotic symptoms and recent serious self-harm, poor documentation, lack of detention despite clear indications, …

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
VICmental health2015-02-02

Finding into death of CB

27y · Female·hanging

…isorder died by hanging while voluntarily admitted to a psychiatric inpatient unit. She had presented with acute suicidality following relationship breakdown and job loss, with two recent suicide attempts including hang…

psychiatryemergency medicinediagnosticcommunicationquetiapine
SA2006-04-28

Coroner's Finding: WALKER Darryl Kym

31y · Male·hanging (self-inflicted)

Darryl Walker, a 31-year-old Aboriginal man with chronic schizophrenia and diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on 1 June after …

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
NSWhome2022-09-13

Inquest into the death of Ian Fackender

47y · Male·Multiple gunshot wounds; discharged by police officer during enforcement of Comm…

…t Order breach enforcement operation in his home. He had severe, treatment-resistant schizophrenia and was acutely psychotic during the incident. Critical failures occurred throughout: inadequate risk assessment and pla…

psychiatryforensic medicinecommunicationsystemaripiprazole
NSW2021-05-12

Inquest into the death of Jack KOKAUA

30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …

…alth follow-up; and parole officer lost contact with him for seven days before death. His prescribed antipsychotic (Zuclopenthixol) dose had been missed, leaving him unmedicated for weeks. Multiple agencies failed coord…

emergency medicinepsychiatryproceduralcommunicationzuclopenthixol

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