390 results for “mental health deterioration”
34y · Female·Hanging with combined effects of ethanol and benzodiazepines
…al and assessed by psychiatric nurse Gary Cox about 4 hours after arrival. Mr Cox did not conduct a formal mental state examination or risk assessment despite knowing of her recent attempted hanging, focusing instead on …
77y · Female·Neck compression in the setting of blunt force trauma to the head
…e experiencing relationship stressors including potential separation, financial disputes, Mr B's declining health, and COVID-related isolation. Mr B appeared to have an undiagnosed mental health condition with documented…
36y · Male·Cerebrovascular accident (stroke) - massive intracranial haemorrhage
…vomiting (observed 8 times), requests to see a doctor, reports of headache and dizziness, and physical deterioration were not escalated to medical staff. The patient lay unresponsive on his cell floor for hours before d…
Female·Exsanguination following self-infliction of a wound with the intention of taking…
A woman with a long-standing history of mental health issues and previous suicide attempts (May 2008, September 2007, April 2008) died on 13 February 200…
17y · Male·Unascertained in the setting of volatile substance abuse
…latile substance abuse (chroming Rexona deodorant). He had a history of exposure to family violence, ADHD, mental health concerns including suicidal ideation, contact with child protection and youth justice systems, and …
54y · Male·Glioblastoma
Benjamin Goossens, a 54-year-old man in custodial supervision for a prior forensic mental health matter, died from glioblastoma at Austin Hospital following palliative care. He had a Grade 2 gliom…
75y · Female·pyelonephritis and pneumonia
Molly Jessie Smith, a 75-year-old woman with longstanding severe mental illness, died of pyelonephritis and pneumonia on 16 August 2009. She had been in state psychiatric care co…
67y · Female·metastatic carcinoma of the colon
…h 2016. She had a history of bipolar affective disorder managed at the Spencer Clinic and was subject to a mental health treatment order at the time of death. Her cancer had recurred despite initial successful surgery (r…
47y · Female·Stab wounds to the chest and neck
…fiable risk factors including recent separation, alcohol misuse, and financial difficulties. The husband's mental health had deteriorated following the separation. The coroner noted no prevention opportunities had been i…
55y · Male·positional asphyxia, with sedation as an underlying risk factor
…y his dangerous agitation, though the midazolam use remains debated among experts. Following transfer to a mental health intensive care unit at Hornsby Hospital, clinical deterioration occurred when Kevin slumped to the …
10y · Male·Unascertainable
… for such prolonged unconsciousness. Critically, Malachi had been failing to thrive with severe growth deterioration (weight dropping below 3rd percentile by 10 months), but was never medically assessed despite obvious …
39y · Female·Gunshot wound to the head
…ve management plan was provided addressing compliance strategies, crisis planning, or warning signs of deterioration. Mrs Beck began self-adjusting medication dosages without medical advice. Her GP had no clear guidance…
38y · Male·self-inflicted hanging
…Cowdy ward at Royal Darwin Hospital on 14 September 2007, within 10 minutes of admission as an involuntary mental health patient. He had presented to hospital multiple times over 4 days with escalating suicidal behaviour…
82y · Female·Acute bronchopneumonia
… to hospitalise was appropriately timed given the absence of respiratory distress or signs of critical deterioration. No preventable errors were identified.
55y · Male·gastrointestinal malignancy, probably carcinoma of the pancreas
…sferred from psychiatric care to a palliative care unit in November 2008 due to complex medical needs. His health deteriorated rapidly from March 2009, and he died from pancreatic cancer on 8 April 2009. The case illustr…
92y · Female·Consequences of an assault
…fter the facility failed to adequately monitor, assess, or escalate the aggressive resident's clinical deterioration, including escalating paranoid ideation, refusal of antipsychotic medications from July to September, …
43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)
…ld man, died in a high-speed motor vehicle collision after his engagement was called off. He had contacted mental health services on 23 March 2019 reporting suicidal ideation and sleep deprivation. His GP declined benzod…
15y · Female·Hanging
…2019. She had received treatment from a private psychologist from 2017-2018 within the constraints of a GP Mental Health Care Plan (6-10 sessions), which was insufficient for evidence-based eating disorder treatment (16-…
29y · Male·multiple gunshot wounds
A 29-year-old male died from multiple gunshot wounds inflicted by police Tactical Response Group (TRG) officers during a failed arrest operation. The deceased had stolen firearms, was suspected of being armed, and had ex…
80y · Male·inanition complicating end stage dementia
…ear-old man with end-stage dementia died from inanition (severe malnutrition/dehydration) while subject to Mental Health Act inpatient treatment orders. He had been admitted after becoming aggressive at home due to progr…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.