138 results for “polysubstance use disorder”
30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…
Karl Steinhauser, a 30-year-old man with schizoaffective disorder and polysubstance misuse, died from pulmonary thromboembo…
38y · Male·Multiple gunshot wounds
A 38-year-old man with a history of methamphetamine use and mental health issues, subject to a violence restraining order, assaulted his father at home. The father…
36y · Male·hanging
A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxicated. Despite polic…
23y · Female·Hypoxic-ischaemic brain damage due to self-inflicted hanging with intention of t…
…cases with minimal resources), delayed CADAS assessment (scheduled one week post-release despite known drug use and suicide risk), failure to arrange mental health bail conditions despite documented suicidality in custo…
30y · Male·hanging
…erns, and without a documented discharge plan. The mental health assessment by a nurse practitioner did not use standardised assessment forms, did not adequately explore the patient's complex history, and failed to obta…
41y · Male·Ligature compression of the neck (hanging) and penetrating sharp force injury (s…
Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…
25y · Male·Dehydration with contributory causes of severe mental health conditions and hype…
Darren Higgins, a 25-year-old Wiradjuri man with treatment-resistant schizophrenia and polysubstance abuse disorder, died from dehydration and hyperthermia in Moira State Forest after absconding during e…
23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…
A 23-year-old man with bipolar disorder, polysubstance dependence, and chronic self-harm died by jumping from the Tasman Bridge hours after psych…
27y · Male·Multiple gunshot wounds
…. Critical clinical lessons include: early identification of escalating mental health crises with substance use; importance of comprehensive follow-up after acute psychiatric presentations; risk assessment in the contex…
27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…
…ortunity to intervene. Critical clinical and system factors in Tafari's case (22 years old, mental health disorder, substance misuse) were inadequately managed: he admitted drug use on parole but was not subjected to man…
47y · Female·ligature compression of the neck (hanging)
…ligature compression of the neck (hanging) on 13 August 2020. Ms Davis had significant history of substance use, mental health issues, and prior self-harm attempts. While physical health care was adequate, mental health…
25y · Male·Injuries sustained when struck by a train (suicide)
Damon Brenden Amiet, a 25-year-old with schizoaffective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpati…
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 …
28y · Male·Hanging
…ssion—he was discharged home with inadequate safety planning. Clinicians did not fully explore Dylan's drug use timeline, did not contact his girlfriend, did not provide written safety plans, and failed to adequately in…
14y · Female·ligature compression of the neck (hanging)
Child RK, aged 14, died by suicide while in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency de…
33y · Male·sharp force injuries of the neck
Malcolm Brown, a 33-year-old Aboriginal man with a history of methamphetamine use, mental health crisis, and self-harm threats, died from sharp force injuries to his neck on 29 June 2022 fo…
53y · Male·Gunshot wound to the left thigh with transection of femoral artery and vein; exs…
…re appears related to either patient manipulation or equipment issues with the MAT tourniquet model then in use; ambulance protocols should ensure constant visual monitoring of tourniquets without covering them; and the…
23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging
…ental health patient. She had a complex psychiatric history with schizophrenia and borderline personality disorder, substance use, and intellectual disability. Critical clinical lessons include: early access to comprehen…
20y · Unknown·Traumatic brain damage complicating gunshot wound to the head
…er had paranoid schizophrenia with antisocial personality traits, poor medication compliance, amphetamine abuse, and morbid jealousy directed at Ms Dinsdale. Despite intensive mental health involvement, threats of viole…
41y · Male·ligature compression of the neck (hanging)
Owen Weazel, a 41-year-old Wakka Wakka man with chronic mental health issues, substance use disorder and previous suicide attempts, was found hanging in his cell at Albany Regional Prison on 10 Augus…
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