Coronial

212 results for involuntary psychiatric admission

NSWmental health2015-07-14

Inquest into the death of DA

34y · Male·Neck compression due to hanging

…mental health) was not adequately recognised—clinicians focused on addiction alone; (2) conversion from involuntary to voluntary status on day 1 lacked documented risk assessment and consultant psychiatrist input; (3) d…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
QLDcommunity2025-05-02

Non-inquest findings into the death of Mr T.

49y · Male·undetermined

…ing clinic staff while acutely psychotic, mental health services and police attempted to locate him for involuntary admission. Despite multiple home visits and coordination attempts, Mr T evaded contact and travelled to…

psychiatrysystemcommunicationclozapine
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

…y to his suicide. The treating team, influenced by concerns about his sexual re-offending risk, imposed involuntary depot medication without evidence of ongoing psychosis or demonstrated connection between antipsychotic…

psychiatryforensic medicinemedicationcommunicationrisperidone
WAmental health2004-09

Inquest into the Death of Peter Daniel Mahoney

55y · Male·Immersion (Drowning) arising by way of suicide

…d by drowning on 13 June 2003 after absconding from Joondalup Health Campus where he was detained as an involuntary patient under the Mental Health Act 1996. Prior to admission, he had drugged his wife with sleeping pil…

psychiatrypsychiatrycommunicationsystemtemazepam
SAhospital2004-07-15

Coroner's Finding: JOVANOVIC Katica

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

…isorder died 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 She was severely withdrawn, refusing food, fluids, and mobilisation due to her a…

psychiatrygeneral medicinediagnosticcommunicationzuclopenthixol
TAShospital2019-02-22

Coroner's Finding: Mansfield, Doreen

78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…

…uring her left femur, and died from complications on 2 August 2015. A falls risk assessment completed on admission classified her as medium-low risk based on accurate information showing no prior falls history. While cl…

psychiatryorthopaedic surgerysystemlithium
WAmental health2018-09-19

Inquest into the Death of Wlodzimierz DUDEK

69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)

…male with bipolar affective disorder and suspected frontotemporal dementia, admitted involuntarily to a psychiatric hospital, choked on bread while eating breakfast unattended and suffered a cardiac arrest. Despite resu…

psychiatryemergency medicinecommunicationsystem
NSWhome2011-10-14

Coroner's Finding: Adam Quddus Salter

36y · Male·Gunshot wound to chest

Adam Quddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself multiple tim…

general practicepsychiatrydiagnosticsystemefexor xr
VIChospital2012-01-23

Finding into death of Elizabeth Maryanne Holley

52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…

Elizabeth Holley, 52 years old, was admitted involuntarily to a psychiatric ward with a history of three weeks of declining mental health and medication non-compliance. She receiv…

psychiatryintensive careolanzapine
QLDmental health2009-12-16

Shishko, Peter

47y · Male·abnormal heart rhythm (arrhythmia) induced by atherosclerosis, occurring in the …

…r Shishko, a 47-year-old man with bipolar affective disorder, died in a mental health facility while in involuntary detention. He suffered a fatal cardiac arrhythmia on a background of severe coronary atherosclerosis, s…

psychiatrycardiologydiagnosticsystemdiazepam
VICmental health2011-10-14

Finding into death of Amanda Billie Jo Kennedy

26y · Female·compression of the neck consequent upon hanging

… multiple suicide attempts, died by hanging in the Northern Psychiatry Unit on 24 June 2010 while under involuntary psychiatric admission. She had presented to emergency with acute suicidality on 18 June, attended polic…

psychiatryemergency medicinecommunicationsystemquetiapine
VICcommunity2016

Finding into death of XY

58y · Male·Combined drug toxicity (eucalyptus oil, alcohol, venlafaxine, quetiapine, propra…

…conded from his supported residential service and was found deceased. The coroner found Austin Health's psychiatric assessment and management suboptimal, highlighting failures to: utilise relapse prevention plans, antic…

psychiatryemergency medicinediagnosticcommunicationeucalyptus oil
WAhospital2012-08-31

Inquest into the Death of Stone

62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …

… by paramedics. She was placed on a Form 1 mental health assessment order by Dr L.. However, the G Ward psychiatric unit had no bed capacity, and both available consultant psychiatrists declined to assess her—one citing…

emergency medicinegeneral practicesystemcommunicationmidazolam
WAhospital2020-05-26

Inquest into the Death of Nualla Christine REILLY

74y · Female·Multiple injuries sustained when struck by train

… by suicide after absconding from Fiona Stanley Hospital Emergency Department. She had been on extended psychiatric admission and transferred to transitional care, where she became acutely suicidal. In the ED, she was a…

psychiatryemergency medicinecommunicationsystemamitriptyline
WAmental health2015-12-31

Inquest into the Death of Michael Ronald THOMAS

Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…

…ischarged (Ruby Nicholls-Diver, Carly Elliott, Michael Thomas, Anthony Edwards) and one absconded while involuntary (Stephen Robson). Common failures included: inadequate individualised and risk management plans; poor i…

psychiatryemergency medicinediagnosticcommunicationantidepressants
QLDmental health2007-05-25

Mental Health patient

Female·multiple injuries due to a fall from height (suicide by jumping from multi-store…

…nd psychotic features died by suicide at a shopping centre car park on 21 September 2004, six days after admission to Belmont Private Hospital under an involuntary treatment order. She had attempted suicide in July 2004…

psychiatryemergency medicinecommunicationsystemmirtazapine
VIChospital2026-05-19

Finding into death of Edward Timothy Peterson

25y · Male·Head injury sustained on impact with a train

Edward Timothy Peterson, aged 25, was involuntarily admitted to Maroondah Hospital's psychiatric unit on 11 February 2021 with first episode psychosis. Clinical care by psychiatrist Dr C. was appropri…

psychiatrysystempaliperidone
QLDmental health2005-11-09

Community Mental Health Patient

20y · Male·hanging

A 20-year-old male with major depressive disorder and melancholic features was admitted to psychiatric hospital on 4 June 2003 under an indefinite involuntary treatment order by consultant psychiatrist Dr P…

psychiatrygeneral practicediagnosticcommunicationsertraline
VICmental health2015-10-15

Finding into death of Helen Maria Bryce

54y · Female·Hanging

…ession and anxiety in early 2011. After two suicide attempts, she was admitted to Austin Health's Acute Psychiatric Unit involuntarily. After 11 days of treatment and progressive day leave, she was approved for two nigh…

psychiatrygeneral practicecommunicationsystemcitalopram
SAhospital2005-04-07

Coroner's Finding: HARRIS Margret Lillian

48y · Female·Chronic Obstructive Airway Disease

… psychosis that rendered her unable to self-manage her medical conditions. She was admitted following a psychiatric crisis on 9 July 2002 and placed on a continuing detention order. Her condition progressively deteriora…

psychiatryrespiratory medicinediuretics
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