Coronial

366 results for psychiatric admission assessment

WAcommunity2018-07-12

Inquest into the Death of Shane Christopher FLANDERS

29y · Male·unknown, probably immersion

Shane Flanders, a 29-year-old man with a complex psychiatric history including personality disorder, substance abuse, previous suicide attempt, and drug-induced psy…

psychiatryemergency medicinediagnosticcommunicationdextroamphetamine
VICmental health2015-09-24

Finding into death of Elaine Elizabeth Sykes

58y · Female·Multiple injuries sustained in collision with train (pedestrian)

…are. While the discharge decision was found reasonable, the coroner identified a critical gap: Community Assessment and Treatment Team (CATT) services should have been provided given Dean's expressed concerns and imminen…

psychiatrygeneral medicinesystemcommunication
WA2018-03-08

Inquest into the Death of Moses SOKIRI

31y · Male·bronchopneumonia and hypoxic brain injury following ligature compression of the …

…n station on 12 October 2014. The deceased was in acute mental health crisis with a recent overdose and psychiatric admission, yet presented as calm and compliant during police assessment. A critical failure occurred wh…

psychiatryemergency medicinecommunicationsystemvenlafaxine
VICcommunity2011-12-16

Finding into death of Benita Judd

57y · Female·Multiple injuries

… his elevated mood settled during consultation; and he remained coherent and logical throughout. Expert psychiatric opinion supported Dr W.'s assessment that the driver was not psychotic or a danger to self or others. W…

psychiatry
VIC2012-09-21

Finding into death of Timothy Casey

41y · Male·Hanging

… died by hanging in Port Phillip Prison in March 2008. The coroner identified multiple system failures: psychiatric assessment referrals were not acted upon despite evidence of deteriorating mental state and suicidal id…

psychiatrycorrectional healthdiagnosticcommunication
VICcommunity2012-03-01

Finding into death of K

33y · Male·complications from blunt force trauma to head consequent upon being struck by a …

…ute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment (CAT) Team assessed him at 5pm and concluded he was not suicidal, diagnosing drug withdraw…

psychiatrygeneral practicediagnosticcommunicationmethadone
VICmental health2026-04-27

Finding into death of GM

Female·Fulminant hepatic failure due to paracetamol toxicity

…anorexia nervosa, borderline personality disorder, and chronic suicidality was admitted to St Vincent’s psychiatric inpatient unit on 28 July 2023. She reported ongoing suicidal thoughts but engaged well in safety plann…

psychiatryintensive careparacetamol
WAmental health2015-12-31

Inquest into the Death of Anthony Ian EDWARDS

Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…

Five psychiatric patients from Alma Street Centre (Fremantle Hospital) died by suicide within 12 months (March 2011-Marc…

psychiatryemergency medicinediagnosticcommunicationantidepressants
NSWmental health2018-09-07

Inquest into the disappearance and suspected death of Christine Joyce Dorothy Young

40y · Female·The medical cause of death was unable to be determined. Manner of death: uninten…

… presentation on 21 April when she was found semi-naked at the airport – staff did not access her known psychiatric history despite police providing her name, missing a clear opportunity for admission; (2) inadequate ps…

psychiatryemergency medicinediagnosticcommunicationpaliperidone
QLDhospital2017-09-07

Mr R - Non-inquest findings

63y · Male·Multiple injuries due to fall from height

…experienced severe pain, mood disturbance with suicidal ideation, and adjustment difficulties. Although psychiatric assessment documented suicidal thoughts during admission, the treating team considered him psychiatrica…

neurosurgeryneurologysystemcommunicationcitalopram
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
QLD2006-10-31

Ali-Haapala, Anita

20y · Female·injuries received from a fall from the viewing platform at Perriwen Lookout at M…

…ues, presented to Nambour Hospital on 17 May 2005 expressing suicidal ideation. She was admitted to the psychiatric ward with initial diagnosis of adjustment disorder with depressed mood and anxiety. On 20 May 2005, she…

psychiatrydelaysystem
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 health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

…liar, a 62-year-old man with severe bipolar affective disorder, died from hanging in Frankston Hospital psychiatric ward on 16 November 2012 after an involuntary admission for treatment-resistant depression with suicida…

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
TAShome2018-02-28

Coroner's Finding: Evans, Jillian and John

62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …

…is was very difficult; key learning points include importance of collateral history from family, timely psychiatric consultation, adequate dosing of antipsychotics when psychosis is diagnosed, and proper documentation o…

psychiatrygeneral practicediagnosticcommunicationrisperidone
VICmental health2017-05-18

Finding into death of Derek Hamilton

46y · Male·Cerebral ischaemia secondary to compression of the neck in circumstances of hang…

Derek Hamilton, a 46-year-old involuntary psychiatric patient with cluster B personality disorder and recurrent depression, died from cerebral ischaemia seco…

psychiatryintensive caresystemcommunicationmirtazapine
VICmental health2021-01-22

Finding into death of Mr LY

42y · Male·Multiple injuries sustained in a fall from a height

…m the Belford Road overpass during approved unescorted leave. Key clinical events included a concerning psychiatric review on 2 March 2017 where he made a conditional suicide threat (stating 'I'll just commit suicide' i…

psychiatry
QLDhospital2016-11-23

SPB - Non-inquest findings

36y · Male·hanging

…fter violent behaviour toward his father while intoxicated. Despite police concerns, family requests for admission, and his treating psychiatrist's recommendation for involuntary admission, he was discharged after brief…

psychiatryemergency medicinediagnosticcommunicationdiazepam
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
VIC2014-09-11

Finding into death of Lloyd Felman

58y · Male·Amitriptyline toxicity

…presentations, psychiatrists at both Monash and Alfred Hospitals assessed him as not meeting involuntary admission criteria under Mental Health Act, as he denied suicidal ideation, showed no acute psychiatric symptoms, …

psychiatryemergency medicineamitriptyline
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