2,619 results
35y · Male·Clozapine toxicity
A 35-year-old Aboriginal man with schizophrenia and alcohol use disorder died from clozapine toxicity while residing at a non-clinical peer recovery facility. He presented with psychiatric distress on 10 December 2016, r…
52y · Male·Mixed drug toxicity
A 52-year-old man with multiple sclerosis, chronic pain, depression and history of suicidality died from mixed drug toxicity following an intentional overdose. He was prescribed multiple opioids (fentanyl, tramadol, oxyc…
21y · Male·Hanging
A 21-year-old Aboriginal man died by hanging following a tumultuous relationship involving family violence, substance abuse, and unmanaged mental health issues. He had attempted self-harm in May 2017 and was assessed as …
60y · Male·burn wounds and the consequences thereof
CD, a 60-year-old man with long-standing psychiatric history (schizophrenia/schizoaffective disorder) and alcohol use disorder, set his house alight on 19 September 2017 after becoming acutely unwell with paranoid ideati…
30y · Male·ligature compression of the neck (hanging)
Paul Strange, aged 30, died by suicide through ligature compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple…
34y · Male·self-inflicted hanging
34-year-old Jordan Allen died by suicide on 1 February 2018 after absconding from Alice Springs Mental Health Unit during supervised cigarette leave. He was acutely psychotic with persecutory delusions related to methamp…
24y · Male·self-inflicted hanging
Linden Alan Kunoth, a 24-year-old Aboriginal man, died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and command halluci…
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 psychiatric discharge. Despite two suicide attempts within 48 hours preceding as…
52y · Male·septicaemia caused by Streptococcus Milleri group pneumonia
Kurt Mellick Andriske, 52, died from septicaemia caused by Streptococcus Milleri pneumonia, with drug toxicity as a contributing factor. He was a complex patient with bipolar disorder, chronic pain, hepatitis B and C, an…
68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall
Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…
37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof
Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatric ward, foll…
34y · Male·Multiple injuries sustained when the car he was driving collided with a tree
A 34-year-old man with a history of depression and a previous suicide attempt died when he intentionally drove his car into a tree. He had been prescribed antidepressants by his GP following assessment for severe depress…
27y · Male·chest and abdominal injuries from single motorcycle crash
Jacob Wilson, aged 27, died from chest and abdominal injuries sustained in a motorcycle crash on 22 January 2018. He was travelling to a scheduled mental health appointment when he lost control of his motorcycle on a cur…
44y · Male·Hanging
Colin Wayne Blair, a 44-year-old Aboriginal man with a history of mental illness and substance use, died by hanging in the High Dependency Unit of Brisbane Correctional Centre on 13 November 2015. He was on hourly observ…
63y · Male·undetermined
James Clarke, a 61-66 year old man institutionalised for approximately 30 years at Whitby Falls Hospital in Western Australia, disappeared on 18 May 1966 and was presumed dead. The coroner established death beyond reason…
82y · Male·Complications associated with advanced chronic lung disease
Ivan Metcalfe, aged 82, died of complications from advanced chronic lung disease while in prison custody. He had multiple comorbidities including diabetes, ischaemic cardiovascular disease, and atrial fibrillation. He wa…
69y · Male·Chronic obstructive pulmonary disease and coronary artery atherosclerosis
James Ronald Chi, aged 69, died from chronic obstructive pulmonary disease and coronary artery atherosclerosis at Broome Hospital. He was an involuntary mental health patient with treatment-resistant bipolar disorder and…
60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…
A 60-year-old man with frontotemporal dementia, diabetes, and ischaemic heart disease died from sepsis secondary to pressure ulcers while subject to a Mental Health Act inpatient treatment order. He developed sacral and …
68y · Male·Ischaemic heart disease (operated); severe native coronary artery atheroma with …
Brian John Schulze, aged 68, died of ischaemic heart disease (operated) while subject to a Mental Health Act inpatient treatment order at Flinders Medical Centre. He presented with falls, confusion, and agitation followi…
18y · Female, female, male·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…
Three adolescent patients (aged 18 at death) died by suicide within four months of the Barrett Adolescent Centre (BAC) closure in January 2014. Caitlin had complex mental health needs including bipolar affective disorder…
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