113 results for “serious mental illness”
40y · Male·Ligature compression of the neck in circumstances of being hanged
…ent Prison cell on 23 March 2010. He had been remanded on armed robbery charges and was classified as P1 (serious psychiatric condition requiring intensive care) and S2 (significant suicide risk) on admission. Despite t…
22y · Female·Hypoxic-ischaemic encephalopathy due to asphyxia (mechanical asphyxiation by nec…
…an died from asphyxia following strangulation by her boyfriend with schizophrenia. The boyfriend was under mental health service care at Princess Alexandra Hospital. The coroner found his mental health treatment was not …
36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…
…itional supervision arrangements when moving a known absconding risk to an open ward. Systemic failures in mental health resource allocation and individual staff failures in patient observation contributed to this death.
43y · Male·acute neck compression due to hanging
…y Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehicle) and…
39y · Male·Effects of fire (self-immolation)
William Gourley, a 39-year-old Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on …
Male·neck compression due to hanging
…ths of emergency department assessments at Lyell McEwin Hospital. Both had been brought in by police under Mental Health Act section 57 but were not detained and discharged after minimal psychiatric evaluation. Robert Ca…
36y · Male·Ligature strangulation
…ing judge, he consistently refused engagement. Bloomfield could not be compelled to accept treatment under mental health legislation as he did not meet criteria for involuntary treatment—he had capacity to refuse and did…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
…ry 1997. He was subject to a Community Treatment Order and under case management. Critical failures in the mental health system contributed to his death: the Crisis Team failed to conduct a home visit or arrange police w…
39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…
Antonio Carmelo Galeano died in police custody on 12 June 2009 after a protracted struggle and multiple taser activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergen…
29y · Male·Hanging
…isolated prisoners), and a practice of isolating recalcitrant prisoners without proper authorization under mental health legislation. Recommendations included hourly observations, CCTV monitoring, formal staff induction,…
60y · Male·asphyxia sequential to hanging due to depression
…une 2006, he was discharged from Cairns Base Hospital Emergency Department with a plan to attend community mental health the following morning. However, he died by hanging on 28 June 2006. Key clinical lessons include: t…
33y · Male·Extensive burns sustained when former partner deliberately splashed petrol on hi…
…and systems abuse; explicit assessment of risk to receiving parent when children transition care; need for mental health specialist involvement in safety planning; importance of multi-agency information sharing to preven…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairn…
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