Coronial

475 results for psychiatric admission

SAcommunity2003-05-27

Coroner's Finding: GILLIES Wayne John

45y · Male·Bullet wound to the head - self-inflicted

…, the firearm would have been removed. This case highlights the duty to assess and act on deteriorating psychiatric risk and the need for clear medical education regarding firearms reporting obligations that differ from…

psychiatrygeneral practicecommunicationsystemvenlafaxine
SAhospital2004-07-15

Coroner's Finding: JOVANOVIC Katica

46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis

… from pulmonary thromboembolism secondary to bilateral deep vein thrombosis five days after involuntary psychiatric admission. She was severely withdrawn, refusing food, fluids, and mobilisation due to her acute psychot…

psychiatrygeneral medicinediagnosticcommunicationzuclopenthixol
WAmental health- 26 May 2014

Inquest into the Death of Marjorie Mary DONE

84y · Female·unascertained; possible causes include cardiac arrhythmia, myocardial infarction…

An 84-year-old woman with a 50-year history of serious mental illness died suddenly at a psychiatric unit while under involuntary Mental Health Act status. She was found unresponsive in the TV lounge appr…

psychiatrygeriatric medicineanti-psychotic medications
TASmental health2016-08-16

Coroner's Finding: Pasinski, Alexander

59y · Male·asphyxia due to choking on food

Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and paranoid schizophr…

psychiatryintensive caresystemcommunicationamitriptyline
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
WAmental health2004-11-26

Inquest into the Death of Ray

23y · Female·Unascertainable

… 23, died on 17 December 2002 at Bentley Hospital in Western Australia while detained as an involuntary psychiatric patient under the Mental Health Act. She was admitted on 14 December with suspected schizophrenia, havi…

psychiatryintensive careolanzapine
VICmental health2012-05-17

Finding into death of Peter Robin Tully

55y · Male·Hanging

Peter Tully, 55, died by hanging 4 days after discharge from his first psychiatric admission for major depressive disorder with suicidality. He had made 3 suicide attempts in the week be…

psychiatryemergency medicinecommunicationsystemvenlafaxine
VICmental health2022-12-15

Finding into death of Christopher Traill

55y · Male·Hanging

Christopher Traill, a 55-year-old lawyer with alcohol dependence and depression, died by hanging in a psychiatric inpatient unit on 25 February 2017, just hours after admission as a compulsory patient. He used his bel…

psychiatryproceduralcommunicationdiazepam
SAhospital2014-05-19

Coroner's Finding: SGAMBATO Raffaele

84y · Male·malnutrition in conjunction with heart, liver and kidney failure

…nd behavioural disturbance was admitted to Royal Adelaide Hospital following a fall. He displayed acute psychiatric symptoms with threats of violence and suicide, requiring Mental Health Act detention. Despite discussio…

cardiologypsychiatrymorphine
QLDhospital2012-02-21

Vaggs, Lyji

28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…

…ned during restraint at Townsville Hospital's Acute Mental Health Unit on 13 April 2010. He had declined admission at ED on 28 March despite clear psychotic symptoms and self-harm risk. When readmitted on 13 April, init…

psychiatryemergency medicinediagnosticmedicationolanzapine
VIChome2011-08-15

Finding into death of James Martin Todd

41y · Male·Neck compression subsequent upon hanging

…ied by hanging on the morning of a scheduled psychology appointment. He had been referred by his GP for psychiatric care five days prior following a suicidal gesture, was prescribed antidepressants, and had completed an…

general practicepsychiatrysystemdelayparoxetine
NSWhome2014-08-13

Inquest into the death of Sean Leigh MacWilliam

16y · Male·asphyxia due to hanging, self-inflicted, with aspiration of gastric contents as …

…l health line had no information about Sean's history, and police responders were unaware of his recent psychiatric admission. On the evening of release, when Sean requested to visit a friend and police initially promis…

psychiatryemergency medicinecommunicationsystemfluoxetine
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
WAmental health2015-02-26

Inquest into the Death of Tracy Margaret MARSHALL

47y · Female·Ligature compression of the neck (suicide by hanging)

Tracy Margaret Marshall, a 47-year-old woman admitted to Nickol Bay Hospital as a voluntary patient due to deteriorating mental state and suicidal ideation, left the hospital on 21 February 2011. She drove to a remote lo…

psychiatrysystemdelay
QLD2011-10-14

Death of a prisoner

34y · Male·Asphyxia consistent with plastic bag asphyxia

…rthur Gorrie Correctional Centre died by asphyxiation using a plastic bag on 3 September 2008. He had a psychiatric history with prior suicide attempts and was on olanzapine. He ceased taking antipsychotic medication 14…

psychiatrycorrectional healthsystemdelayolanzapine
VICcommunity2019-04-29

Finding into death of William Willms

63y · Male·Unknown

…y 1973 at age 63 after boarding a bus to Lilydale railway station. He had recently self-discharged from psychiatric admission for endogenous depression and suicidal ideation. Despite extensive police investigations over…

psychiatrygeneral practicesystemdelay
TAScommunity2018-06-12

Coroner's Finding: Osborn, James Lee

62y · Male·drowning

…tion with paranoid delusions in the weeks before death, triggered by a petrol spill incident. Following psychiatric admission and discharge from Royal Hobart Hospital on 24 June, he declined community mental health foll…

psychiatryemergency medicinesystemcommunicationolanzapine
NSWmental health2025-09-29

Inquest into the death of BQ

23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging

…a Ward at Cumberland Hospital while detained as an involuntary mental health patient. She had a complex psychiatric history with schizophrenia and borderline personality disorder, substance use, and intellectual disabil…

psychiatryemergency medicinediagnosticcommunication
VIChome2024-07-26

Finding into death of Mr KE

36y · Male·Neck compression secondary to hanging

…e depression. The psychotherapist appropriately conducted comprehensive assessment, identified need for psychiatric input, and attempted multiple referrals to psychiatrists who were unavailable. An ED assessment one wee…

general practicepsychologysystemcommunicationsertraline
VIChospital2011-05-24

Finding into death of Ruth Janet Younger

45y · Female·Complications of acute alcohol intoxication

… Clinical lessons include the need for careful assessment of discharge readiness in patients with acute psychiatric symptoms, enhanced monitoring during high-risk periods post-discharge, and consideration of vulnerabili…

psychiatryintensive carediagnosticmethylated spirits
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