390 results for “mental health deterioration”
52y · Female·Multiple stab injuries
…ving she could manage Peter. Her GP was unaware of domestic violence concerns. Peter's GP had no record of mental health issues despite his critical deterioration. The coroner's systemic review highlights failures in: ea…
33y · Female·Hypoxic brain injury secondary to plastic bag asphyxia
…s with quality-of-life considerations in chronic psychiatric illness, the need to recognize early signs of mental state deterioration (noted in final days), and enhanced environmental control measures. Toxicology showed …
19y · Male·Hanging
…han had been assessed as low suicide risk on 24 December 2015 and again on 3 January 2016, there was a deterioration evident to cellmates between 20–22 January (withdrawn, depressed appearance). A formal psychiatric rev…
25y · Male·hanging (self-inflicted)
…ompared to clozapine. He was discharged on 18 December 2002 with residual psychotic symptoms while denying mental illness. Toxicology showed sub-therapeutic drug levels, suggesting non-compliance. The coroner identified …
61y · Female·Complications of pulmonary thromboembolism secondary to deep vein thrombosis
…and was placed on an Assessment Order due to ongoing suicidal behaviour. During her 5-day admission to the mental health unit, her physical health appeared stable though she exhibited suicidal ideation and hallucinations…
70y · Female·bronchopneumonia
…y unit. She had longstanding anxiety, depression, and eating disorder with recent significant physical and mental health deterioration. Pneumonia was diagnosed on 12 August 2014 with antibiotics commenced. She was referr…
82y · Male·Self-inflicted partial contact shotgun wound of the head
…loma died by self-inflicted shotgun wound. He had undergone intensive chemotherapy causing significant deterioration in physical health, mental state, and independence. Six weeks before death, he required tooth extracti…
23y · Female·blood loss from an abdominal stab wound and from incised injuries to the head
…ger, or depression to loved ones or medical practitioners. This case highlights the critical importance of mental health screening and intervention, particularly in individuals presenting with depression, social isolatio…
26y · Male·Gunshot wound to head
…on (particularly given baseline paranoia and anxiety), documented monitoring for breakthrough drug use and mental state deterioration, structured aftercare engagement rather than reliance on patient compliance, and early…
86y · Male·pulmonary embolism following deep vein thrombosis
…le admitted to the psychiatric unit at Launceston General Hospital on 26 May 2020. He was admitted under a Mental Health Act assessment order following a relapse of psychotic depression at his aged care facility. Clinica…
74y · Male·Hospital acquired pneumonia complicating chronic lung disease
…GORD. He was subsequently transferred to transitional care, then to a secure geriatric ward, and then to a mental health unit where he was placed on a Mental Health Act order for untreated psychotic disorder. His physica…
23y · Female·Unascertainable
…02 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, having become unwell after ceasi…
57y · Male·Multiple injuries sustained by being struck by a freight train
A 57-year-old man with 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive psychiatric management i…
72y · Male·Multiple stab and incised wounds to the chest and neck
…ere identified: the Community Corrections pre-sentence assessor lacked information about Woodruff's recent mental illness diagnosis and psychiatric referral; Forensicare's referral to Peninsula Health Mental Health Servi…
17y · Male·Suicide by self-inflicted hanging
RL was a 17-year-old Alice Springs teenager who died by suicide while under Northern Territory mental health services' care. Critical clinical lessons emerged: failure to inform his mother about mental health…
79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…
…, care appropriate, and no preventable factors. The clinical lesson emphasizes that acute neurological deterioration in psychiatric inpatients requires immediate emergency assessment and imaging, which was appropriately…
27y · Female·hanging
…ob loss, with two recent suicide attempts including hanging. Clinical failures included: inadequate environmental safety (patient retained a three-metre scarf capable of use as a ligature despite admission for suicidalit…
73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …
VA, a 73-year-old woman with mental health conditions and cardiac disease, died from congestive cardiac failure, coronary atherosclerosis, and…
52y · Male·hanging
…, aged 52, died by hanging in hotel quarantine on 11 April 2020. This case highlights critical failures in mental health screening, welfare monitoring, and escalation procedures. Recent personal stressors (marital separa…
46y · Male·cause of death cannot be determined
Trevor Besgrove, a 46-year-old man with complex mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, w…
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