366 results for “psychiatric admission assessment”
61y · Male·asphyxial death due to hanging
Paul Stephen Scott, aged 61, died by hanging while on leave from psychiatric inpatient care. He had been admitted to Spencer Clinic on 11 January 2018 with suicidal ideation and co…
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…
31y · Male·Injuries sustained in a fall from height
… with recently diagnosed HIV and Pneumocystis carinii pneumonia, died by suicide during a 4-day hospital admission. Despite requesting psychiatric assessment three times and displaying clear signs of psychological distr…
42y · Male·hanging, an action taken by himself with the intention of ending his life
A 42-year-old man with acute psychosis was hospitalised for 26 days and discharged from a psychiatric facility to an isolated rural island where his partner and children had left. He had poor insight into …
40y · Male·Ligature compression of the neck in circumstances of being hanged
… long history of depression, substance abuse, and prior suicide attempts, died by hanging in a Melbourne Assessment Prison cell on 23 March 2010. He had been remanded on armed robbery charges and was classified as P1 (se…
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…
57y · Male·Neck compression and hanging
…treatment via injection (paliperidone) but ceased antipsychotic medication in May 2024. Despite multiple admissions to Thomas Embling Hospital over 5.5 years, his engagement with mental health services remained poor wit…
33y · Female·hanging
…ning attempt. The coroner found that discharge was inappropriate and would likely have been prevented by admission. The psychiatric medical officer failed to adequately consider the patient's longitudinal history of dep…
28y · Male·Multiple injuries sustained when struck by a freight train
…sing intent to jump in front of a train. Despite being assessed as moderate risk and deemed suitable for admission, he was discharged due to lack of available beds. He re-presented on 7 February 2020 with ongoing severe…
43y · Female·Combined drug toxicity (tapentadol, sertraline, gabapentin, periciazine, carbama…
A 43-year-old woman with complex psychiatric history including schizoaffective disorder, borderline personality disorder, and chronic suicidality di…
36y · Male·hanging, with contributing factors of alcohol dependence and depression
…on, and alcohol dependence. He was discharged from Northside Mental Health Unit on 9 June 2021 following admission for overdose and suicide attempt. The coroner found no deficits in his treatment or care, and that proce…
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…
37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…
Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discon…
31y · Female·Plastic bag asphyxia
… plastic bag asphyxia on 19 March 2018. Despite hospital procedures mandating removal of plastic bags on admission, she obtained a plastic bag and placed it over her head between 6:00-7:00 AM. She had been assessed as n…
38y · Female·neck compression due to hanging
…ging in Adelaide Women's Prison on 23 May 2001 whilst remanded in custody. She had a complex history of psychiatric illness, drug and alcohol abuse, and multiple suicide attempts. Despite comprehensive documentation fro…
14y · Male·head injuries when struck by a train
…ir relationship. His presentation to Monash on 9 November 2010 with suicidal ideation was assessed by a psychiatric nurse (Nurse Sebille) rather than a child and adolescent psychiatrist as requested by his GP. The asses…
Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…
…es for involving carers, clearer discharge planning, earlier follow-up post-discharge, and adequate risk assessment and management documentation could have assisted in preventing these deaths.
29y · Female·multi-lobe community acquired pneumonia and respiratory failure
…diagnosed at age 17, died from community-acquired pneumonia and respiratory failure after a final 21-day admission to Alice Springs Hospital. She was found hypoglycaemic at home on 5 January 2015 and admitted with sever…
24y · Female·hypoxic brain injury secondary to hanging
…ression, substance misuse concerns, and self-harm behaviours. After one week, a psychiatrist recommended admission to a specialist mental health unit (Glenside). Critical failures occurred when a bed became available: a…
26y · Male·Not able to be determined - skeletalised remains
… use and a period of erratic behaviour. He was briefly assessed by nursing staff but discharged without psychiatric review. Community mental health follow-up was arranged but failed due to inability to contact him (no p…
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