Coronial

212 results for involuntary psychiatric admission

VICmental health2013-06-18

Finding into death of Paul Allan Skinner

29y · Male·hanging

Paul Skinner, a 29-year-old with depression and recent suicide attempt, was admitted to a psychiatric inpatient unit on involuntary status. Despite being prescribed 15-minute observations by his treating p…

psychiatrycommunicationsystem
VIChome2024-06-11

Finding into death of Martin Page

39y · Male·most likely suicide; possibly accidental death from untreated epilepsy or natura…

… mental health monitoring in vulnerable individuals expressing suicidal ideation, management of complex psychiatric and neurological comorbidities, ensuring medication compliance in epilepsy patients, and police respons…

psychiatryneurologysystemdelay
TAScommunity2020-08-13

Coroner's Finding: Wright, Maria Rebekah

31y · Female·drowning, deliberately self-inflicted with intention of ending life

…nia on 14 August 2017. She had been discharged from Royal Hobart Hospital on 10 August following a 5-day admission for paracetamol and lamotrigine overdose, during which she required mechanical restraints and life-savin…

psychiatrypsychologyparacetamol
WAmental health2024-03-07

Inquest into the Death of Petya Evgenieva PETROVA-CIZEK

41y · Female·ligature compression of the neck (hanging)

Petya, a 41-year-old Bulgarian-born woman, died by ligature compression of the neck while an involuntary psychiatric patient at Bentley Health Service Ward 6 on 16 December 2020. She had been admitted followi…

psychiatrydiagnosticcommunicationescitalopram
WAmental health- 11 April 2014

Inquest into the Death of Amanda Alison GILBERT

47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…

…t disease, chronic renal failure, and hypoxic brain injury from a 1985 hanging attempt. She had been an involuntary patient at Graylands Hospital since 1987. The coroner found that staff provided appropriate care given …

psychiatrygeneral medicinesystemdelaylithium
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
WAmental health

Inquest into the Death of Vincent Tavita Tolai SCHWENKE

24y · Male·complications of ligature compression of the neck (hanging)

…ute psychotic symptoms after ceasing cannabis use and was admitted to a secure mental health unit as an involuntary patient. Despite initial improvement and no overt behavioural indicators of imminent suicide risk, he h…

psychiatryneurologyescitalopram
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

A 35-year-old man with treatment-resistant depression and complex psychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted…

psychiatryintensive caresystemcommunicationrisperidone
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

…t (Dr H.) on 25 November 2010 who deemed him at low-to-moderate immediate risk and recommended continued admission. However, after reporting a suicide attempt by hanging in the shower on the night of 26 November, he was…

psychiatrygeneral practicediagnosticsystematomoxetine
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

36y · Male·Multi-organ failure complicating injecting drug use

…ear-old man with a 13-year history of schizophrenia and substance abuse was admitted involuntarily to a psychiatric unit on 15 September 2012 after community deterioration. He improved over several weeks and was transit…

psychiatryintensive carecommunicationdelayheroin
VICmental health2011-07-22

Finding into death of Lionel Raymond Perry

44y · Male·Cardiomegaly

…use history, died from cardiomegaly (enlarged heart due to concentric ventricular hypertrophy) while an involuntary psychiatric inpatient. He presented with hypertension and withdrawal symptoms on admission; initial man…

psychiatryemergency medicinecommunicationdocumentationmethadone
VICcommunity2013-01-31

Finding into death of Stuart Beverley

31y · Male·Hanging

…disorder presented to mental health services after a suicide attempt on 30 March 2005, discharged after psychiatric assessment at Maroondah Hospital ED. Following several crisis presentations over the next week, he was …

psychiatryemergency medicinecommunicationdelaydiazepam
VICmental health2020-07-30

Finding into death of William Thomas Flanagan

57y · Male·Multiple injuries sustained by being struck by a freight train

…th 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive psychiatric management including regular ps…

psychiatrycardiologysystemvenlafaxine
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
NSWmental health2019-12-04

Inquest into the death of Mitchell FLOOD-SMITH

23y · Male·Multiple injuries sustained following collision with a train

A 23-year-old man with a history of schizophreniform disorder, depression, and previous suicide attempts absconded from a mental health triage facility after being involuntarily admitted. He had previously absconded in 2…

psychiatryparamedicinecommunicationsystemrisperidone
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

… longitudinal history showed likely relapsed psychosis with probable bipolar disorder. After discharge, psychiatric care was fragmented with poor communication between services. Theo presented to emergency twice in Janu…

psychiatrygeneral practicediagnosticcommunicationolanzapine
VICmental health2016-12-08

Finding into death of Joseph Pezzimenti

60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression

Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Depend…

psychiatryintensive carediagnosticcommunication
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
WAhospital2010-02-04

Inquest into the Death of Hudson

20y · Male·Ligature compression of the neck (hanging)

… abuse and previous sexual trauma, died by hanging on 13 August 2006 at Sir Charles Gairdner Hospital's psychiatric ward D20. He had disclosed sexual assault at age 14 and expected psychotherapy that was never provided.…

psychiatryemergency medicinediagnosticcommunicationcarbamazepine
VICmental health2012-04-03

Finding into death of Miles David Colman

21y · Male·Head injury sustained in fall from height

…sustained jumping from a 3-metre hospital courtyard wall on 1 January 2011. He had been admitted to the psychiatric unit 10 days earlier with paranoid delusions and command hallucinations telling him to commit suicide. …

psychiatryintensive carerisperidone
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