Coronial

475 results for psychiatric admission

VICcommunityNew2026-05-29

Finding into death of EKU

53y · Female·Multiple injuries sustained in a fall from height

…a had progressive psychotic symptoms and suicidal ideation. In May 2024, she declined voluntary hospital admission due to housesitting commitments and was placed on a Community Temporary Treatment Order (CTTO). Despite …

psychiatrypsychologybrexpiprazole
TAShome2018-02-05

Coroner's Finding: Towns, Martin John

38y · Male·acute on chronic right hemisphere subdural haematoma

…ng personal losses in 2011. Towns was on fluoxetine and diazepam, and had recently been discharged from psychiatric admission following suicidal ideation. The coroner found it likely Towns fell and struck his right temp…

psychiatryneurosurgerysystemalcohol
VICprison2014-01-24

Finding into death of Adam Sasha Omerovic

40y · Male·Ligature compression of the neck in circumstances of being hanged

… 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 this high-r…

psychiatrycorrectional healthdiagnosticsystemescitalopram
VIC2012-09-21

Timothycaseypart1 127708

29y · Male·hanging

…rt Phillip Prison on 28 March 2008, 12 days after arrival. His death resulted from systemic failures in psychiatric assessment and care. At Melbourne Assessment Prison, Nurse T D assigned Casey a P3 rating despite six p…

psychiatrycorrectional healthdiagnosticcommunicationheroin
NSWcommunity2025-11-03

Inquest into the death of JF

60y · Female·multiple injuries

…story of suicide attempts, died by suicide at Redhead Headland on 12 February 2024. Despite three prior psychiatric hospitalizations and documented previous visits to cliff locations contemplating jumping, she did not e…

psychiatrygeneral practicesystemmirtazapine
SAhospital2020-11-02

Coroner's Finding: NIXON Viola Daphne

92y · Female·decompensated congestive cardiac failure secondary to haemophilus influenzae low…

…diac failure secondary to haemophilus influenzae lower respiratory tract infection. She was admitted to psychiatric care under an Inpatient Treatment Order due to severe dementia-related behavioural disturbance and medi…

psychiatryemergency medicine
VICmental health2015-09-24

Finding into death of Elaine Elizabeth Sykes

58y · Female·Multiple injuries sustained in collision with train (pedestrian)

Elaine Sykes, aged 58, was admitted to Dandenong Hospital with acute renal failure and severe mental health deterioration. After 47 days at Acacia Mental Health Unit, she demonstrated substantial improvement and was disc…

psychiatrygeneral medicinesystemcommunication
VIChome2009-12-01

Finding into death of Nicholas Raymond Lobo

60y · Male·Drowning; elevated blood ethanol level

…holas Lobo, aged 60, died by drowning with elevated blood alcohol (0.21%). He was discharged from acute psychiatric inpatient care to a rehabilitation facility on a Community Treatment Order after recent diagnosis of sc…

psychiatry
WAmental health2015-11-25

Inquest into the Death of Yvonne HENDERSON

Female·Multiple injuries

…lusional disorder who died in a motor vehicle collision on 6 December 2010 while on approved leave from psychiatric hospitalisation. She was an involuntary patient in Albany Hospital's mental health unit. The coroner fo…

emergency medicinegeneral medicinesystemcommunicationrisperidone
WA2008-07-07

Inquest into the Death of Kirsty Anne Slater

24y · Female·Ligature compression injury to the neck (hanging)

…6, nine days after absconding from Fremantle Hospital's Alma Street Clinic where she was an involuntary psychiatric patient. She had been admitted on 3 April 2006 with psychosis secondary to substance abuse. On 10 April…

psychiatryintensive carecommunicationsystemmorphine
WAmental health2018-09-19

Inquest into the Death of Wlodzimierz DUDEK

69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)

…male with bipolar affective disorder and suspected frontotemporal dementia, admitted involuntarily to a psychiatric hospital, choked on bread while eating breakfast unattended and suffered a cardiac arrest. Despite resu…

psychiatryemergency medicinecommunicationsystem
NSWcommunity2025-08-22

Inquest into the disappearance and suspected death of Habtom Ghilagaber

30y · Male·unknown - no postmortem examination performed

…absence of remains or postmortem examination. Critical clinical lessons include the importance of early psychiatric follow-up and involuntary detention protocols—Habtom had been hospitalised with schizophreniform psycho…

psychiatrypsychologysystemcommunicationantipsychotic medication
WAhospital2009-08-13

Inquest into the Death of Greeuw

45y · Female·aspiration of vomitus with bowel obstruction due to faecal impaction

…romazine, olanzapine, benztropine, lamotrigine), no physical examination was performed during her 11-day admission and no bowel chart was implemented. Critical gaps in care included: confusion between the general practi…

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
TAShome2018-09-07

Coroner's Finding: Dick, Braiden Taylor

18y · Male·asphyxia due to hanging

…ia, and bipolar disorder died by hanging. He had made previous suicide threats and had been admitted to psychiatric care. The death occurred shortly after his girlfriend ended their relationship. Toxicology detected MDM…

psychiatryMDMA
VIChospital2016-10-04

Finding into death of Damien Marius Van Der Korput

50y · Male·Hypoxic ischaemic brain injury in the context of hanging

…ession, anxiety, and ADHD died by hanging after an acute deterioration in mental state. He had previous psychiatric admission in 2012 for suicidality and was under regular psychiatric care. On the night of death, follow…

psychiatryemergency medicinecommunicationsystemalcohol
VIChospital2012-01-23

Finding into death of Elizabeth Maryanne Holley

52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…

Elizabeth Holley, 52 years old, was admitted involuntarily to a psychiatric ward with a history of three weeks of declining mental health and medication non-compliance. She receiv…

psychiatryintensive careolanzapine
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discon…

psychiatryaddiction medicinediagnosticmedicationmethadone
VIChospital2009-12-22

Finding into death of Jodi Joy McPaul

33y · Female·Hypoxic brain injury secondary to plastic bag asphyxia

…ia and chronic suicide risk, was admitted involuntarily to Frankston Hospital on 29 March 2007. Despite psychiatric team awareness of her vulnerability and previous suicide attempt, she died on 1 May 2007 from asphyxiat…

psychiatryintensive careolanzapine
VIChospital2022-10-11

Finding into death of Mr H

73y · Male·Infectious Exacerbation of Chronic Obstructive Airways Disease with the Contribu…

…tructive airways disease and Lewy body dementia, was admitted to hospital on 6 January 2021 following a psychiatric incident and was found to have pneumonia and severe infection. He died the following day. Clinical less…

geriatric medicinepsychiatrydelay
TAScommunity2023-05-08

Coroner's Finding: Johns, Ross Alexander

36y · Male·hanging, with contributing factors of alcohol dependence and depression

…on, and alcohol dependence. He was discharged from Northside Mental Health Unit on 9 June 2021 following admission for overdose and suicide attempt. The coroner found no deficits in his treatment or care, and that proce…

psychiatryemergency medicineprescription medications at therapeutic levels
167824

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.