2,612 results
92y · Female·decompensated congestive cardiac failure secondary to haemophilus influenzae low…
A 92-year-old woman with dementia, heart disease, and COPD died from decompensated congestive cardiac failure secondary to haemophilus influenzae lower respiratory tract infection. She was admitted to psychiatric care un…
90y · Male·pneumonia leading to atrial fibrillation leading to myocardial infarction
A 90-year-old man with lung cancer, dementia, and frontal lobe disease died from pneumonia leading to atrial fibrillation and myocardial infarction while on an inpatient mental health treatment order. He was admitted wit…
85y · Male·ischaemic heart disease
Eric Arthur Maggs, aged 85, died of ischaemic heart disease at Royal Adelaide Hospital. He was profoundly deaf from birth and had dementia. Admitted with acute chest pain and difficulty breathing, he became distressed an…
67y · Female·disseminated adenocarcinoma of the colon
A 67-year-old woman with metastatic colorectal cancer developed multiple cerebral metastases causing marked behavioural changes (irritability, disinhibition, aggression). She was appropriately placed on Mental Health Act…
61y · Male·Creutzfeldt-Jakob disease
Christopher Raymond Hausler, a 61-year-old man, died from Creutzfeldt-Jakob disease (CJD) at the Royal Adelaide Hospital on 13 March 2018 while subject to a Level 2 Inpatient Treatment Order. He presented with rapidly pr…
79y · Male·myocardial infarction
Brian Davies, 79, died of myocardial infarction while under an Inpatient Treatment Order for Alzheimer's dementia at Noarlunga Hospital. He presented with cognitive decline following his partner's death and developed agi…
79y · Male·combined cardiac, respiratory and renal failure as terminal events on a backgrou…
Graham Douglas Brown, a 79-year-old man with end-stage dementia, died at Noarlunga Hospital from combined cardiac, respiratory and renal failure. He was subject to a Level 2 Mental Health Act Inpatient Treatment Order at…
31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)
Bo Zhao, a 31-year-old business owner, died from combined drug toxicity (amitriptyline and metoclopramide) in a hotel room on 28 February 2019. He was facing serious criminal charges for fraud involving millions of dolla…
29y · Male·Unascertainable - likely drowning or accidental injury during terrain navigation…
Mikael Felsch, aged 29, died on 16 December 2015 in Wollemi National Park after becoming stranded in bushland. He had a significant history of suicide attempts and mental health issues exacerbated by methylamphetamine us…
67y · Male·Head injuries sustained from a fall from the upstairs landing in Goldsmith G Blo…
Ye Chiu, a 67-year-old Chinese-speaking prisoner on remand, died by suicide in prison on 6 February 2017 after falling head-first from a landing. He had a complex psychiatric history including anxiety, depression, hypona…
70y · Male·Cyanide Toxicity
Anthony Lansell Churches, a 70-year-old man with a history of substance use and criminal offences, died from cyanide toxicity after absconding from St Vincent's Hospital's Emergency Department. He had been placed on an i…
56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose
A 56-year-old man with depression, known to close friends but not formally disclosed to healthcare providers, deliberately ingested temazepam tablets accumulated over time and insulin stolen from his mother on 10-11 Nove…
79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…
A 79-year-old man with significant cardiovascular disease history (prior MI, triple bypass, hypertension, hypercholesterolaemia) was admitted to psychiatric care under an Inpatient Treatment Order following suicidal idea…
21y · Male·heroin toxicity
A 21-year-old man died from heroin toxicity while on home detention bail. He had been engaged in a methadone program and psychological treatment for heroin addiction, PTSD, depression and anxiety since June 2015. Despite…
40y · Female·hypoxic encephalopathy due to asphyxia from hanging
A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Despit…
54y · Male·Complications including hepatic encephalopathy, pneumonia and multi-organ failur…
Wayne Frederick Leese, a 54-year-old prisoner, died from complications of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 M…
17y · Male·Hanging
A 17-year-old male with a history of mental health concerns, prior suicide pact attempt, and escalating aggressive behaviour died by hanging shortly after being excluded from his home via a Family Violence Intervention O…
52y · Male·Polypharmacy overdose of amitriptyline and doxylamine in the context of underlyi…
A 52-year-old man with chronic facial pain, depression, obesity, cardiovascular disease and obstructive sleep apnoea died following restraint in ICU. He had ingested a polypharmacy overdose of amitriptyline and doxylamin…
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to…
Female·complications of anorexia nervosa
Angela Parragi died from complications of anorexia nervosa at Canberra Hospital while under a Community Care Order. The coroner found no basis that the quality of care, treatment or supervision under the order contribute…
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