Coronial

149 results for mental disturbance

VICcommunity2015-12-18

Finding into death of Paul Bermingham

38y · Male·Toxicity to methylamphetamine

…ur after consuming methylamphetamine within 12-24 hours prior. When police attended to apprehend him under Mental Health Act powers for his safety, he resisted physically during handcuffing. He lost consciousness during …

toxicologyemergency medicinemethamphetamine
WAhospital2005-06-30

Inquest into the Death of Daniel Allan Sullivan

48y · Male·Hypoxic brain injury following cardiac arrest in a patient with sigmoid colon vo…

Daniel Allan Sullivan, a 48-year-old man with chronic paranoid schizophrenia who had been an involuntary patient at Graylands Hospital for 23 years, presented to Sir Charles Gairdner Hospital on 13 June 2004 with abdomin…

emergency medicinegeneral surgeryclozapine
NSWhospital2024-01-30

Inquest into the death of Subash Subedi

26y · Male·Not able to be determined - skeletalised remains

… between February 2018 and April 2019. He presented to Westmead Hospital ED on 14 February 2018 with acute mental health symptoms, including disorientation and dehydration following cannabis use and a period of erratic b…

emergency medicinepsychiatrycommunicationsystemolanzapine
SAhospital2022-08-15

Coroner's Finding: Kelley, John Michael

83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…

…ith end-stage Alzheimer's dementia died from general inanition and aspiration pneumonia while subject to a Mental Health Act order in hospital. He had experienced two episodes of aspiration pneumonia during his admission…

psychiatrygeriatric medicineantibiotics
QLDhome2008-09-19

12 year old boy at Kowanyama

12y · Male·Suicide by hanging

…e boy had multiple vulnerabilities including fetal alcohol syndrome, intellectual disability, emotional disturbance, and prior behavioural concerns. Child safety officers, one of whom was untrained and inexperienced, in…

paediatricspsychiatrydiagnosticsystem
SA2016-09-22

Coroner's Finding: HENEKER Scott Maxwell

36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…

…sychiatric symptoms (paranoia, delusions) likely triggered by amphetamine use. He had signs of undiagnosed mental illness and was showing concerning behavioral changes in the weeks prior. Critical clinical lessons includ…

psychiatryemergency medicinedelaycommunicationmethamphetamine
SAhospital2016-09-12

Coroner's Finding: GREET Shirley Blanche

87y · Female·digoxin toxicity with hyperkalaemia

…ose in elderly patients with multiple comorbidities, where rapid drug absorption and severe electrolyte disturbances can lead to fatal arrhythmias despite appropriate antidotal therapy.

emergency medicineintensive caredigoxin
VICmental health2019-03-27

Finding into death of Robert Conkie Gray

75y · Male·Ischaemic Heart Disease and Cardiomegaly

Robert Conkie Gray, a 75-year-old man with significant cardiac disease (ischaemic heart disease, cardiomegaly, triple vessel coronary atherosclerosis with right coronary artery thrombosis), died suddenly on a psychiatric…

psychiatrycardiologyolanzapine
VICmental health2010-09-08

Finding into death of Brian O'Connor

73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …

Brian O'Connor, a 73-year-old man with vascular dementia, was admitted to a mental health inpatient unit following aggressive behaviour. He was placed on 15-minute observations due to Level…

psychiatryneurosurgerydiagnosticsystemfluphenazine
NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

…Key clinical lessons: MDMA intoxication combined with physical restraint, physiological stress, and environmental factors created a 'perfect storm' leading to fatal arrhythmia. Better inter-agency coordination, ambulance…

emergency medicinetoxicologysystemdelayMDMA
VIChospital2024-07-25

Finding into death of Nathan Ruan Roy Greenwood

18y · Male·Sodium nitrite toxicity

…ft) and had received psychology referrals, but faced significant waitlist delays (6 months) for specialist mental health services. Clinical lessons include: the importance of timely access to specialist mental health ser…

general practicepsychiatrysystemdelaysodium nitrite
VIC2020-10-29

Finding into death of Bo Zhao

31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)

…volving millions of dollars and had a documented history of suicidal ideation dating back to October 2017. Mental health assessments in 2017-2018 identified depression, anxiety, and despair but he did not engage with rec…

psychiatrygeneral practicedelayamitriptyline
SAhospital2014-11-28

Coroner's Finding: ANDERSON Joel Kenneth

50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…

…course was complicated by non-compliance, alcohol use during brief absconding episodes, and behavioural disturbance requiring psychiatric detention and restraint. The coroner found his detention lawful and medical treat…

gastroenterologyhepatologyspironolactone
NTmental health2005-08-26

Inquest into the death of Dale Vincent

27y · Male·multiple injuries after a fall from a height

Dale Vincent, a 27-year-old man with schizophrenia, absconded from Cowdy Ward mental health facility on 6 October 2004 while an involuntary patient under a 7-day detention order. He had been …

psychiatryemergency medicinesystem
NT2011-11-25

Inquest into the death of Bird

46y · Male·Acute hypoxic brain damage resulting from intentional self-inflicted hanging

… following self-inflicted hanging in custody. He had a history of physical health issues including HIV and mental health concerns including anger management difficulties. Despite appropriate mental health assessments, ps…

psychiatrypsychology
VIChome2013-10-07

Finding into death of Imanthi Mayakaduwage

17y · Female·Hanging

…c warning signs in adolescents is essential—Imanthi displayed depression, self-harm, sleep and appetite disturbance, and social withdrawal; (2) GPs assessing adolescent fatigue must screen for underlying psychiatric ill…

general practicepsychiatrydiagnosticcommunication
VICmental health2023-09-15

Finding into death of Daylon John Roeton

28y · Male·Hanging

Daylon Roeton, 28, died by hanging in a mental health seclusion room using a ligature made from blanket binding. He was admitted involuntarily after expr…

psychiatryemergency medicinesystemproceduralolanzapam
NSWhome2021-03-11

Inquest into the death of Chan Chen

35y · Female·Stab wounds to the chest

Chan Chen, 35, was killed by her husband Andrew Luo in their home through stab wounds to the chest. Luo had displayed increasingly erratic behaviour throughout 2019, including delusions of persecution, beliefs that Chen …

general practicepsychiatrydiagnosticcommunicationrisperidone
QLDhome2012-09-13

CMC

36y · Female·Excited delirium

…renaline that can be fatal even without severe injury. A triple-0 call was made at 8:21pm reporting the disturbance, but police did not respond before the fatal altercation occurred at 11:20pm. The coroner found the pol…

psychiatryforensic medicinesystemdelayalcohol
VICcommunity2022-11-15

Finding into death of Katica Perinovic

42y · Female·Multiple stab wounds

A 42-year-old woman with first episode psychosis was referred to community mental health services in November 2020 after acute onset of paranoid delusions. She was commenced on risperidone…

psychiatrygeneral practicediagnosticcommunicationrisperidone
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