654 results for “mental health issues”
31y · Male·Self-inflicted hanging
… of death; Mills denied self-harm intent and appeared well immediately before his death. However, systemic issues were identified: previous high-risk assessments from 1998–1999 were not available to 2004 staff due to poo…
77y · Female·Asphyxia from manual strangulation and smothering
… asphyxia from manual strangulation and smothering. The perpetrator had never been assessed or treated for mental health issues before the incident, though he had held delusional beliefs since 2003 that significantly wor…
60y · Male·Hypertrophy of the heart
A 60-year-old man with longstanding schizophrenia and severe emphysema died at a mental health facility from cardiac hypertrophy (heart weight 730g, normal 400-450g). He was found unresponsive o…
68y · Male·bronchopneumonia with underlying Chronic Obstructive Pulmonary Disease
Robert Gordon Britten, a 68-year-old forensic patient under the Mental Health (Forensic Provisions) Act 1990, died of bronchopneumonia with underlying chronic obstructive pulmon…
46y · Female·Acute lymphoblastic leukaemia
…hantelle Adele Cartier, a 46-year-old woman who had been a resident at Thomas Embling Hospital (a forensic mental health facility) for 10 years, died from acute lymphoblastic leukaemia in November 2012. She was diagnosed…
21y · Male·combined effect of a cocktail of drugs causing central nervous system depression…
Paul Fennessy, a 21-year-old with polysubstance addiction and mental health issues, died from positional asphyxia following a drug overdose on 6 January 2010. He presented to …
70y · Female·bronchopneumonia
…y unit. She had longstanding anxiety, depression, and eating disorder with recent significant physical and mental health deterioration. Pneumonia was diagnosed on 12 August 2014 with antibiotics commenced. She was referr…
47y · Female·ligature compression of the neck (hanging)
…re compression of the neck (hanging) on 13 August 2020. Ms Davis had significant history of substance use, mental health issues, and prior self-harm attempts. While physical health care was adequate, mental health manage…
13y · Female·Multiple injuries due to motor vehicle accident
…ADHD. The coroner found the youth workers acted appropriately and no police pursuit occurred. Key systemic issues included insufficient therapeutic residential care options, fragmented mental health services, lack of per…
25y · Male·Unable to be determined
…in those bereaved by parental suicide, particularly with pre-existing sleep disruption, hopelessness about mental health treatment, and recent psychosocial stressors. Early intervention by mental health services followin…
51y · Male·Neck compression from hanging
…ttempts, and domestic violence in his relationship died by hanging on 29 January 2021. He had presented to mental health services on two occasions in January 2021 with expressed suicidal ideation and posted online suicid…
48y · Male·hanging
…rly when individuals are found in isolated locations with vehicles present over extended periods. Enhanced mental health screening and engagement with support services may have been beneficial, though the coroner did not…
43y · Male·head, chest and abdominal injuries sustained when intentionally stepping into th…
Adrian Steven Lacroix, a 43-year-old man with a long history of mental health problems, severe depression, and suicidal ideation since 2013, died by suicide on 6 March 2021. On …
23y · Female·Multiple head and neck injuries
…with a male colleague. Singh had risk factors including substance abuse (alcohol and cannabis dependence), mental health conditions (anxiety disorder, depression, panic attacks), and had disengaged from psychological tre…
82y · Male·Complications of atherosclerotic heart disease with atrial fibrillation in a man…
…until June 2012, when he was admitted to Austin Hospital following a cataract operation with deteriorating mental state. In August 2012, he was transferred to Kingston Centre's Biala Ward as an involuntary psychiatric pa…
46y · Male·cause of death cannot be determined
Trevor Besgrove, a 46-year-old man with complex mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, w…
46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)
…atric care during employment transfers; and recognition that formal disciplinary processes (even for minor issues like missing money and internet usage) can catastrophically impact vulnerable individuals. While Mr Woods …
48y · Male·Multiple injuries
…ding domestic conflict, employment difficulties, financial strain, and immigration uncertainty. Police and health services should collaborate on identifying and supporting high-risk individuals.
59y · Female·Ligature strangulation
… lack of public awareness of family violence definitions and barriers to third-party reporting as systemic issues. Key prevention recommendations include expanding community education on family violence, establishing Sup…
27y · Female·Complications of multiple blunt force injuries
…to adequately investigate family violence incidents, showed possible credibility bias related to Jessica's mental illness, and did not pursue breaches of the Family Violence Intervention Order. Community Correctional Ser…
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