264 results for “conduct disorder”
45y · Female·haemorrhage due to traumatic rupture of the liver
A 45-year-old woman with a long history of bipolar disorder and personality disorder presented to the ED at 2:30 AM after cutting her wrist deeply with a carving kni…
18y · Male·Multiple injuries sustained in motorcycle crash
…y blame attributable to drug intoxication impairing judgment and risk-taking behaviour rather than police conduct, which was reasonable and appropriate.
34y · Male·Gunshot injuries to chest and left shoulder
…rison in March and July 2021. After his mother reported severe paranoia in October 2021, a home visit was conducted but no follow-up occurred despite documented plans. The Armadale Community Mental Health Service provid…
41y · Female·Hanging
Patricia Webster, a 41-year-old with a history of major depressive disorder, was admitted to hospital on 8 October 2009 after stopping antidepressants. She was discharged on 21 Octo…
36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…
…lack of manager training and disciplinary processes, and a dysfunctional culture of tolerating serious misconduct as 'just Crumpy'. Proper internal investigation, adequate supervision, mental health intervention and eff…
42y · Female·Traumatic right subdural haematoma
A 42-year-old woman died from a traumatic right subdural haematoma sustained on 22 January 2015. She was found unresponsive at home with severe head and facial injuries after falls. Critical delays in medical assessment …
31y · Male·Hanging
Mr A, a 31-year-old man with a history of family violence, substance misuse, and mental health issues, died by hanging in April 2018. Key clinical lessons include: (1) the importance of regular, systematic mental health …
Male·Gunshot injury to the head
…rofessional, with negotiators showing skill and restraint. No adverse comments were made regarding police conduct. The coroner commended the police de-escalation and negotiation approach, noting this strategy successful…
41y · Male·complications in association with effects of fire, with terminal palliative care
Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by suicide on 1 November 2021 after self-immolating with …
Unknown·Multiple causes: Antony Way died from stab wounds to neck and trunk; Tania Simps…
Paul Rogers murdered his estranged partner Tania Simpson and her friend Antony Way by stabbing them at their Robina apartment on 15 May 2011. He then abducted their 5-year-old daughter Kyla, drove to NSW, and asphyxiated…
43y · Female·External neck compression due to self-inflicted hanging
…43-year-old NSW Police officer died by suicide on duty while suffering from work-related Major Depressive Disorder and PTSD. She had a suicide attempt in November 2012 that was not formally investigated as a new incident…
19y · Male·Hanging
…istant cells as recommended. Assessment Services follow-up on reported low mood in early December was not conducted. While clinical lessons focus on systematic information transfer between youth and adult systems, risk …
31y · Male·hanging
… misuse, was under financial and parenting stress, and had made previous suicide threats. Police officers conducting the removal observed him distressed and intoxicated but did not assess his mental health or consider w…
31y · Male·Hanging
…assessed as high-risk for self-harm and placed on 30-minute observations, but these observations were not conducted as required. Critical failures included: observations staff misinterpreting instructions regarding both…
50y · Male·plastic bag asphyxia in the setting of ethanol intoxication and blunt force head…
William Heddergott, 50, died from asphyxiation with head injuries while intoxicated, in circumstances suggesting his mother Erica (who pleaded guilty to murder) perpetrated fatal family violence. Clinical lessons include…
Female·Miranda Howard: aspiration pneumonia complicating overdose of prescription medic…
Two young women with borderline personality disorder (BPD) died by suicide after inadequate mental health care in South Australia. Miranda Howard (22) died fr…
47y · Male·Toxic effects of phosphine gas
Jeremy Harding-Roots died from phosphine gas toxicity after deliberately exposing himself to the pesticide fumigant aluminium phosphide (Fumitoxin) during a siege at his former girlfriend's residence. Key clinical and pr…
32y · Male·Cerebral oedema secondary to dialysis disequilibrium syndrome
…nd signs of dehydration; hospital teams lacked communication between renal and ICU specialists, failed to conduct risk assessment before escalating dialysis modality, and did not recognise early warning signs (headache)…
36y · Male·multiple injuries consistent with a fall from a height
A 36-year-old man with severe depression, social isolation, and recent life crises (job loss, marital breakdown, reduced child contact) posted suicidal messages on social media and stood on a cliff ledge. Police negotiat…
46y · Female·Hypoxic brain injury in the setting of plastic bag asphyxia
Michelle Williams, a 46-year-old woman with longstanding schizophrenia and depression, died from hypoxic brain injury due to plastic bag asphyxia while an involuntary inpatient in a psychiatric unit. On 27 August 2016, d…
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