Coronial

212 results for involuntary psychiatric admission

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
NSWmental health2021-04-16

Inquest into the death of Pamuk RONA

53y · Female·unascertained natural causes

Ms Rona, a 53-year-old woman with major depression, was admitted involuntarily to Bungarabee House psychiatric unit on 6 August 2018 after presenting with catatonic features, mutism, and refusal to eat or drink. Sh…

psychiatryemergency medicinelorazepam
SAhospital2020-06-25

Coroner's Finding: ASHTON Lorraine June

78y · Female·advanced dementia (end stage)

… She had Primary Progressive Aphasia diagnosed in 2014 following non-Hodgkin's lymphoma treatment. After admission to RGH on 23 August 2017 with escalating behavioural disturbances including agitation, aggression, and f…

psychiatrygeriatric medicineoxazepam
WAmental health2015-12-31

Inquest into the Death of Stephen Colin ROBSON

Unknown·Ruby Nicholls-Diver: ligature compression of neck (hanging); Carly Jean Elliott:…

Five psychiatric patients of Alma Street Centre died between March 2011 and March 2012. Two (Ruby Nicholls-Diver and Ant…

psychiatryemergency medicinediagnosticcommunicationclozapine
NSWmental health2024-08-30

Inquest into the death of Corey SELBY

48y · Male·Gunshot wound to the chest during a police operation

…tober 2022 threatening harm to himself and family, he was admitted involuntarily to Armidale Hospital's psychiatric unit but discharged as voluntary after 24 hours with a discharge plan for follow-up. An independent for…

psychiatrygeneral practicesystemduloxetine
VICmental health2014-11-17

Finding into death of Justin Peter Foster

40y · Male·unascertained

…man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton House) on 3 January 2012. He was admitted involuntarily on 30 December 2011 durin…

psychiatryforensic medicinecommunicationdiazepam
WAmental health2019-12-20

Inquest into the Death of Jason James Sutherland MALLETT

46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis

… disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and myocarditis while an involuntary psychiatric patient. He had significant unrecognised cardiac risk factors including metabolic syndrome,…

psychiatrycardiologysystemcommunicationquetiapine
NSWmental health2023-12-15

Inquest into the death of CC

33y · Male·Hanging

…isorder and psychosis, was admitted to the High Dependency Unit at Nepean Hospital on 7 June 2022 under involuntary mental health detention. Over eight days, he received appropriate psychiatric care including antipsycho…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
NThome2003-12-19

Inquest into the death of Sunjay Chandra

25y · Male·hanging (self-inflicted)

…d man with schizophrenia died by suicide while on a Community Management Order following discharge from psychiatric hospital. He had been effectively stabilized on clozapine for years, but in late 2001 requested dose re…

psychiatrypsychologycommunicationsystemclozapine
WAmental health2024-04-08

Inquest into the Death of Paul McLOUGHLIN

59y · Male·incised injuries to the neck

…abis use, died by suicide via incised neck wounds while on day leave from Graylands Hospital. He was an involuntary patient under a treatment order. His mental health appeared to be improving during his 17-day admission

psychiatryvenlafaxine
VICmental health2013-08-20

Finding into death of Hassan Yassin

35y · Male·Hanging

… man with schizophrenia, bipolar affective disorder, and PTSD, died by hanging after absconding from an involuntary psychiatric admission. On 10 January 2011, following a clinical review at Broadmeadows In-Patient Unit …

psychiatryemergency medicinecommunicationsystemrisperidone
VICmental health2018-05-17

Finding into death of Lucas Richard Towndrow

51y · Male·Injuries sustained in a train incident

Lucas Towndrow, a 51-year-old involuntary psychiatric patient at Latrobe Regional Hospital, died by suicide on a railway track on 13 December 201…

psychiatrydiagnosticcommunication
VIChospital2022-10-11

Finding into death of Mr H

73y · Male·Infectious Exacerbation of Chronic Obstructive Airways Disease with the Contribu…

…tructive airways disease and Lewy body dementia, was admitted to hospital on 6 January 2021 following a psychiatric incident and was found to have pneumonia and severe infection. He died the following day. Clinical less…

geriatric medicinepsychiatrydelay
WAhospital2013-02-14

Inquest into the Death of Marshall, Tracy Margaret

54y · Female·unascertainable

…s: early recognition and appropriate pharmacological treatment of psychotic symptoms, need for adequate psychiatric assessment and involuntary admission protocols, and importance of secure observation in patients with a…

psychiatryemergency medicinediagnosticcommunicationdiazepam
NSWcommunity2025-11-03

Inquest into the death of JF

60y · Female·multiple injuries

…story of suicide attempts, died by suicide at Redhead Headland on 12 February 2024. Despite three prior psychiatric hospitalizations and documented previous visits to cliff locations contemplating jumping, she did not e…

psychiatrygeneral practicesystemmirtazapine
VICcommunity2011-12-16

Finding into death of Benita Judd

57y · Female·Multiple injuries

… his elevated mood settled during consultation; and he remained coherent and logical throughout. Expert psychiatric opinion supported Dr W.'s assessment that the driver was not psychotic or a danger to self or others. W…

psychiatry
VIChome2009-12-01

Finding into death of Nicholas Raymond Lobo

60y · Male·Drowning; elevated blood ethanol level

…holas Lobo, aged 60, died by drowning with elevated blood alcohol (0.21%). He was discharged from acute psychiatric inpatient care to a rehabilitation facility on a Community Treatment Order after recent diagnosis of sc…

psychiatry
VIChospital2014-01-29

Finding into death of Renee Andrea Treen

24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway

Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-a…

psychiatrydiagnosticsystemrisperidone
ACTcommunity2015-06-30

INQUEST INTO THE DEATH OF MARK RODNEY JOLLIFFE

37y · Male·Hanging, self-inflicted with intention of taking own life

…ld man with schizophrenia and a history of medication non-compliance died by suicide while subject to a Psychiatric Treatment Order. He was last seen alive on 14 February 2010 and found hanging on City Hill on 15 Februa…

psychiatrycommunicationzuclopenthixol
VIChospital2015-04-02

Finding into death of Maria Teresa Nigro

53y · Female·hanging

…nadequately communicated at shift handover; (3) items capable of self-harm were not removed despite her involuntary status and recent suicide attempt; (4) an inexperienced enrolled nurse used non-standard observation te…

psychiatrycommunicationsystemsertraline
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