Coronial

475 results for psychiatric admission

VICcommunity2016-02-12

Finding into death of ARCHIVE Finding Hunter Joseph Stewart

27y · Male·Combined drug toxicity (heroin, methadone, diazepam and amphetamines)

…olice custody for public intoxication. He was treated for alcohol withdrawal and managed as a voluntary psychiatric patient, with his mood improving during a 27-day admission. He was discharged with appropriate planning…

psychiatryaddiction medicinecommunicationsystemheroin
VIChospital2015-07-09

Finding into death of Male D

52y · Male·Multiple injuries and immersion leading to hypoxic brain injury and pneumonia

…ner examined Y's clinical management and discharge planning. Key issues identified: inadequate forensic psychiatric assessment of Y's risk to others; premature cessation of sedating medications (olanzapine, diazepam) at…

psychiatryemergency medicinediagnosticsystemzuclopenthixol decanoate
VIChome2017-04-19

Finding into death of Lauren Pilkington

20y · Female·Asphyxia secondary to inhalation of helium

…. She had a history of anxiety and previous suicide attempt, and was recently discharged from voluntary psychiatric admission at Delmont Private Hospital on 8 August 2016 after treatment for major depressive episode and…

psychiatrygeneral practicesystemdelayfluoxetine
NTmental health2003-12-19

Inquest into the death of Sarah Higgins

19y · Female·hypoxic encephalopathy as a result of attempted hanging

…chosis and depression died from hypoxic encephalopathy following attempted hanging while in involuntary psychiatric admission. She was on R15 (15-minute) observation status due to suicide risk, but observations were not…

psychiatrygeneral practicesystemcommunicationhaloperidol
VICmental health2019-03-27

Finding into death of Robert Conkie Gray

75y · Male·Ischaemic Heart Disease and Cardiomegaly

…galy, triple vessel coronary atherosclerosis with right coronary artery thrombosis), died suddenly on a psychiatric ward while under an Inpatient Temporary Treatment Order. He was found unresponsive during afternoon rou…

psychiatrycardiologyolanzapine
NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

…ssion, died by hanging in Cowdy ward at Royal Darwin Hospital on 14 September 2007, within 10 minutes of admission as an involuntary mental health patient. He had presented to hospital multiple times over 4 days with es…

psychiatryemergency medicinediagnosticsystemparoxetine
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
SAhospital2009-08-12

Coroner's Finding: HOPE Maria Kate

55y · Female·hypoxic brain injury complicated by aspiration pneumonia

…o inform the treating doctor. Had this been communicated, Mental Health Act detention and transfer to a psychiatric facility would likely have occurred. The critical failures were: inadequate mental health assessment on…

general practicepsychiatrycommunicationdiagnosticolanzapine
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…ression, substance misuse concerns, and self-harm behaviours. After one week, a psychiatrist recommended admission to a specialist mental health unit (Glenside). Critical failures occurred when a bed became available: a…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

…dah Hospital on 28 March 2025 from focal coronary artery disease and cardiomegaly during an involuntary psychiatric admission. He presented with acute psychosis from bipolar disorder requiring emergency response and Men…

psychiatryemergency medicinecommunicationsystemolanzapine
SAcommunity2004-09-10

Coroner's Finding: CORNISH Peter Henry

43y · Male·aspiration of vegetable matter with occlusion of the upper airway

…while experiencing a severe manic episode. In the two weeks before his death, multiple warning signs of psychiatric deterioration were documented: erratic behaviour, sleep deprivation, religious preoccupation, and fire-…

psychiatryemergency medicinediagnosticsystemcannabis
VIC2011-05-05

Finding into death of John Christianos (AKA-Christie)

39y · Male·unascertained

…tial care and has not been sighted since. He had a history of bipolar disorder, self-harm attempts, and psychiatric admission. No financial, medical, or administrative activity has occurred since his disappearance. The …

psychiatry
VICcommunity2023-01-04

Finding into death of Cameron Douglas Boyes

43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)

…idal ideation and sleep deprivation. His GP declined benzodiazepines and attempted to arrange voluntary psychiatric admission, which he refused. Police conducted a welfare check but determined he did not meet criteria f…

psychiatrygeneral practicecommunicationsystem
VICmental health2013-07-02

Finding into death of Long Ngoc Dinh

28y · Male·Drowning

…the need for robust absconding protocols, immediate and comprehensive search procedures when vulnerable psychiatric inpatients go missing, clear communication between mental health services, and consideration of enhance…

psychiatryforensic medicinesystemcommunication
ACThospital2026-05-12

Inquest into the death of Mr Deleman

69y · Male·peritonitis due to perforated bowel

…pital on 1 April 2024 with abdominal swelling. He was admitted to The Canberra Hospital and placed on a Psychiatric Treatment Order on 15 April 2024. Despite receiving appropriate psychiatric and medical care during his…

emergency medicinegastroenterologypaliperidone
VICmental health2023-06-22

Finding into death of Veronika (Veronica) Anastasia Kouros

31y · Female·Plastic bag asphyxia

… plastic bag asphyxia on 19 March 2018. Despite hospital procedures mandating removal of plastic bags on admission, she obtained a plastic bag and placed it over her head between 6:00-7:00 AM. She had been assessed as n…

psychiatrygeneral practicesystemproceduralquetiapine
VICcommunity2013-05-08

Finding into death of Marella Johnson

32y · Female·Bilateral haemothoraces with multiple rib fractures and fracture dislocation of …

… intoxicated with suicidal and homicidal ideation. Despite known flight risk (attempted fence scaling on admission day), she absconded on 18 February. She was found in Goornong on 19 February and, while attempting to fl…

psychiatryemergency medicinesystemdelayzuclopenthixol
TAS2022-02-24

Coroner's Finding: Scott, Paul Stephen

61y · Male·asphyxial death due to hanging

Paul Stephen Scott, aged 61, died by hanging while on leave from psychiatric inpatient care. He had been admitted to Spencer Clinic on 11 January 2018 with suicidal ideation and co…

psychiatrygeneral practicesystemcommunicationvenlafaxine
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

…diagnosed at age 17, died from community-acquired pneumonia and respiratory failure after a final 21-day admission to Alice Springs Hospital. She was found hypoglycaemic at home on 5 January 2015 and admitted with sever…

psychiatrygeneral medicineantibiotics
SAhospital2017-04-19

Coroner's Finding: RAYNER Augustine Durham

88y · Male·bilateral acute bronchopneumonia on a background of chronic obstructive airways …

…nkempt and homeless, detained due to aggressive behaviour and refusal of medical care, and was awaiting psychiatric ward placement when he suffered a sudden cardiac arrest. The coroner found the detention order lawful, …

psychiatrygeneral medicine
156724

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.