Coronial

149 results for acute agitation

TASmental health2016-10-07

Coroner's Finding: Weily, Richard Maurice

85y · Male·Probable pneumonia following a hip fracture (comminuted fracture of right acetab…

…n Centre (RFC) mental health facility on 13 June 2013 under Mental Health Act provisions for management of acute psychiatric symptoms including agitation, confusion, and suicidal ideation. While at RFC, he fell from bed…

general practicegeriatric medicinesystemdelayamiodarone
NSWcommunity2026-05-19

Inquest into the death of Dion White-Cotterell

45y · Male·Multiple stab wounds

…s neighbour Benjamin Moore in an unprovoked attack outside their townhouse in Parramatta. Moore, suffering acute schizophrenia relapse with a long history of violence and substance abuse, was under Community Treatment O…

psychiatrysystemcommunication
VIChome2015-11-27

Finding into death of Sherry Ann Robinson

38y · Female·multiple stab injuries to the chest and abdomen

A 38-year-old woman was fatally stabbed by her former partner, Bradley Carolus, in May 2010. Three days before the homicide, Carolus had been apprehended by police under mental health legislation following a volatile epi…

psychiatryemergency medicinecommunicationsystemquetiapine
SAcommunity2010-10-28

Coroner's Finding: WALLACE James William

39y · Male·rhabdomyolysis complicating cocaine toxicity against a background of atheroscler…

A 39-year-old man with undiagnosed atherosclerotic coronary artery disease died from rhabdomyolysis complicating cocaine toxicity. He exhibited cocaine-induced excited delirium with erratic dangerous driving and bizarre …

emergency medicineintensive caremedicationcocaine
VICmental health2022-12-12

Finding into death of Scott Adam Brown

50y · Male·Hanging

A 50-year-old man with Parkinson's disease died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary to Parkinson's disease and its treatment…

psychiatryneurologysystemcommunicationmadopar
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

Mark Andrew Burnside, a 45-year-old man with intellectual disability and chronic mental illness, died of natural causes on 7 November 2001 at Royal Perth Hospital. He had been prescribed thioridazine (Mellaril) for appro…

general practicepsychiatrythioridazine
NSWhome2024-04-05

Inquest into the death of Todd McKenzie

40y · Male·gunshot wounds

…enia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. Todd became acutely psychotic, waving a knife and expressing paranoid delusions about people entering his home and police we…

psychiatryforensic medicinediagnosticcommunication
QLDaged care2026-02-17

Non-inquest findings into the death of Mr G

84y · Male·Complications of fracture left humerus neck due to fall due to hyperactive delir…

…d man with Alzheimer's disease and dementia-related behaviours developed a urinary tract infection causing acute delirium, atrial fibrillation, and multiple falls. After presenting to the emergency department with three…

geriatric medicineemergency medicinediagnosticcommunicationdonepezil
QLDhospital2016-09-15

Mr B, a 41 year old indigenous man - Non-inquest findings

41y · Male·Subdural haematoma

…uding severe headache (9/10), vomiting, pupil changes, and progressive drowsiness. A subdural haemorrhage (acute on chronic) was not diagnosed until transfer to a regional hospital, by which time he had deteriorated wit…

emergency medicineneurologydiagnosticcommunicationdiazepam
ACThospital2014-06-02

Findings Into The Death Of Mijo Galinec

69y · Male·asphyxia by hanging

…ory, suicidal ideation, or planned psychiatric transfer. Despite previous suicide attempt and increasing agitation, he absconded the next morning and died by suicide one week later. Key preventable failures included: in…

psychiatryemergency medicinecommunicationsystemolanzapine
QLDhospital2024-03-07

KLUMPER Joshua William

17y · Male·Hanging

…harm. Critical clinical lessons include: the ED presentation on 2 September 2017 for cannabis withdrawal agitation was appropriately managed; however, gaps existed in care coordination when transferring from CYMHS to pr…

psychiatryemergency medicinecommunicationsystemcannabis
TASmental health2026-04-13

Coroner's Finding: de-identified DR

41y · Male·asphyxia due to neck compression following ligature suspension (hanging)

…tressors including family violence, homelessness, and financial crisis. In October 2023, he presented with acute mania and psychosis, requiring compulsory psychiatric hospitalization. After three weeks inpatient treatme…

psychiatryemergency medicinediagnosticcommunicationolanzapine
NSWcommunity2021-06-08

Inquest into the death of Zhong Liu

54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…

54-year-old man with schizophrenia died after acute mental health crisis during police response. Contributing factors included: arrhythmogenic cardiomyopathy …

psychiatrygeneral practicemedicationcommunicationdoxepin
QLDmental health2018-02-05

Hitchins, Steven John; Gudge, Shawn Bradley Joseph

53y · Male·Steven Hitchins: plastic bag asphyxiation; Shawn Gudge: hanging

Two inpatient suicides in a Queensland mental health unit highlight systemic failures in environmental hazard management and observation practices. Steven Hitchins (age 53) died by asphyxiation with a plastic bag in 2014…

psychiatryemergency medicinesystemcommunicationrisperidone
WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

…al Health Act care. After two weeks of increasingly challenging management at Kalgoorlie Health Campus for acute psychotic exacerbation, he was transferred by RFDS to Fiona Stanley Hospital ICU, intubated due to severe …

psychiatryintensive caresystemdelayaripiprazole depot
VIC2011-11-23

Finding into death of Tyler Cassidy

15y · Male·Gunshot wound to the chest

Tyler Cassidy, a 15-year-old boy, was fatally shot by Victoria Police on 11 December 2008 during a mental health crisis. He had stolen two large kitchen knives from Kmart and made threatening statements, explicitly deman…

emergency medicinecorrectional healthcommunicationsystemalcohol
WAmental health- 11 April 2014

Inquest into the Death of Antoinette WILLIAMS

19y · Female·combined drug effect and myocarditis

A 19-year-old Aboriginal woman with alcohol and cannabis abuse died at Graylands Hospital from combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Roy…

psychiatryemergency medicinemedicationcommunicationhaloperidol
VIChospital2014-05-20

Finding into death of Angela Therese Thompson

51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia

Angela Thompson, a 51-year-old woman with Down syndrome and early-onset Alzheimer's dementia, died from aspiration pneumonia following a shoulder fracture. She was in DHS supported residential care when she suffered freq…

general practicepsychiatrysystemcommunicationescitalopram
QLD2007-11-28

Tanner, Marjorie Joyce

Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease

Marjorie Joyce Tanner, an elderly woman with Alzheimer's disease, presented to Maryborough Hospital with a three-day history of abdominal pain, distension, and vomiting. Initially diagnosed with simple constipation and t…

general medicinesurgerydiagnosticsystemmetoclopramide
VIChome2021-12-06

Finding into death of Daniel Charles Richards

48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male

Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant coronary artery disease with left ventricular hypertrophy and old …

psychiatryemergency medicinesystemcommunication
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