157 results for “chronic psychosis”
Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…
…e discharge planning and community follow-up for Butler; premature discharge of Simper despite continued psychosis; failure to apply for or renew CTOs; inadequate documentation of violent history; under-resourcing of co…
51y · Female·Complications of Huntington's disease
A 51-year-old woman with advanced Huntington's disease died from respiratory failure at a disability care facility. She was found with a blanket wrapped tightly around her head, though autopsy showed no evidence of neck …
11y · Male·unascertained
An 11-year-old child with Cornelia de Lange Syndrome and severe congenital heart disease died alone at home while his mother was intoxicated and unwell. He had complex care needs and was non-verbal. The Department of Com…
38y · Male·Toxic effects of morphine in a setting of benzodiazepine dependency
A 38-year-old man with chronic pain, mental illness, and benzodiazepine dependency died from morphine toxicity. He obtained multiple ben…
20y · Male·Ligature compression of the neck (hanging)
…eation, died by hanging in his cell at Casuarina Prison on 2 September 2004. He had been identified as at chronic risk of self-harm and was receiving mental health support. Critical failures in his care included: (1) re…
66y · Male·Complications of chronic lithium therapy
…a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but there was inadequat…
63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…
…neumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 August 2019 with acute psychosis requiring sedation with multiple CNS-depressing medications (diazepam, olanzapine, droperidol, promethaz…
27y · Male·Multiple injuries sustained after being struck by a train
Christopher Dewhurst, 27, died by suicide after being struck by a train while on ground leave from a psychiatric unit. He was a compulsory patient subject to a Temporary Treatment Order, admitted with suicidal ideation a…
27y · Male·Dextromethorphan toxicity
Mr ZJF, a 27-year-old man with a longstanding history of schizophrenia, polysubstance use disorder, and depression, died from dextromethorphan toxicity. He was subject to a Community Treatment Order at the time of death …
42y · Male·Multiple injuries sustained in motor vehicle crash
…ity Treatment Order died in a single-vehicle motor crash in rural Western Australia. He had poor insight, chronic medication non-adherence, and a pattern of acute relapses requiring repeated hospitalisations. In late Ma…
21y · Male·upper airway obstruction and plastic bag asphyxia
…de and self-harm (SASH) risk assessment. Despite completion of a two-month psychiatric assessment showing chronic self-harm risk and observed deterioration in isolation, his risk status was rapidly downgraded from S2 to…
25y · Female·Ligature Compression of the Neck (Hanging)
Natasha Quartermaine, a 25-year-old female prisoner at Bandyup Women's Prison in Western Australia, died by suicide via ligature compression of the neck on 27 August 2001. She had a long history of mental illness, person…
22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…
Laurence O'Brien, a 22-year-old with acquired brain injury from a childhood motor vehicle accident, died from mixed drug toxicity involving eight substances including prescribed opioids, benzodiazepines, and unprescribed…
31y · Male·Self-inflicted hanging
Samuel John Mills, a 31-year-old man with chronic schizophrenia, died by suicide in Lotus Glen Correctional Centre's medical ward in 2004. Staff provided a…
47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…
Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary p…
31y · Male·hanging
…hanging in custody on 2 April 2017 at the Metropolitan Remand and Reception Centre, Silverwater. He had a chronic treatment-resistant schizophrenic illness with extensive self-harm history. Following his psychiatric ass…
36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…
A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after…
38y · Male·Aspiration pneumonia
…lights critical system failures in prison health coordination, fragmented medical records, and absence of chronic disease surveillance that placed inmates at ongoing risk.
40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)
…died from ARDS. The coroner found sedation from multiple CNS depressants combined with his comorbidities (chronic obstructive airways disease, morbid obesity, undiagnosed coronary artery disease) likely triggered collap…
47y · Female·acute respiratory failure in the context of known underlying chronic obstructive…
Rita Alimankinni (Pukumani), aged 47, died from acute respiratory failure while an involuntary mental health patient in the Joan Ridley Unit. Her death was preventable. She had COPD, obesity, and received multiple high-d…
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