Coronial

366 results for psychiatric admission assessment

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
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
WAhospital2024-05-06

Inquest into the Death of Devan Beau GINBEY

20y · Male·Hypoxic brain injury following ligature compression of the neck (hanging)

…with self-harm and active suicidal ideation with a stated plan. Despite appropriate initial medical and psychiatric assessment, he was placed in a noisy, inappropriate ED overflow area while awaiting a voluntary mental …

emergency medicinepsychiatrysystemdelay
NSWhospital2015-07-02

Inquest into the death of N

69y · Female·Asphyxiation consistent with hanging

…patient's highly changeable mood as a major suicide risk factor and made no documented plan for ongoing psychiatric supervision or review—instead making assumptions about staff oversight; (2) an Individual Patient Speci…

neurologypsychiatrydiagnosticcommunicationphenytoin
VICmental health2014-12-23

Finding into death of David John McLeod

58y · Male·Cardiomegaly and severe single vessel coronary artery atherosclerosis in a man w…

David John McLeod, a 58-year-old man with schizoaffective disorder, was admitted to a psychiatric inpatient unit on 21 August 2012 following mental health deterioration. He presented with signs of infe…

psychiatrygeneral medicinerisperidone
VICcommunity2016

Finding into death of XY

58y · Male·Combined drug toxicity (eucalyptus oil, alcohol, venlafaxine, quetiapine, propra…

…conded from his supported residential service and was found deceased. The coroner found Austin Health's psychiatric assessment and management suboptimal, highlighting failures to: utilise relapse prevention plans, antic…

psychiatryemergency medicinediagnosticcommunicationeucalyptus oil
VICmental health2011-12-02

Finding into death of Mark Ronald Connolly

27y · Male·HEAD INJURY SUSTAINED IN A MOTOR VEHICLE COLLISION (PEDESTRIAN)

…7, with paranoid schizophrenia and command hallucinations, was admitted to the Low Dependency Unit of a psychiatric hospital despite expressing intent to jump from a moving car and requesting High Dependency placement. …

psychiatrycommunicationsystemolanzapine
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
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
SAhospital2016-09-05

Coroner's Finding: HAZLETT Steven William

63y · Male·respiratory failure due to chronic denervation atrophy due to peripheral neuropa…

…e. He was admitted to hospital with progressive restrictive lung disease and muscle weakness. During his admission, he expressed suicidal ideation, underwent psychiatric assessment, and was managed with appropriate end-…

respiratory medicinepsychiatryhaloperidol
VIC2013-11-25

Finding into death of Rahul Prasad

28y · Male·Global cerebral ischaemic injury due to hanging

…d prisoner with a serious psychotic condition and documented suicide risk, was discharged from the Acute Assessment Unit on 7 May 2010 with an S3 (potential) risk rating after psychiatric assessment. Despite subsequent r…

psychiatryintensive carediagnosticcommunication
SAhospital2011-12-22

Coroner's Finding: SWAVLEY Matthew Tyson

39y · Male·cardiomegaly

…detention was lawful and appropriate, and that his sudden collapse could not have been foreseen. Medical assessment on admission included ECG showing sinus tachycardia attributed to dehydration, chest X-ray, and bloods. …

psychiatryemergency medicineolanzapine
VIChospital2025-04-11

Finding into death of QB T

64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…

QBT, a 64-year-old man with complex medical and psychiatric history including schizophrenia, COPD, and hypertension, was admitted to Bendigo Hospital on an Assessm…

psychiatrygeneral medicinediazepam
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
VICmental health2012-04-30

Finding into death of Travis Andrew McNees

18y · Male·Multiple injuries due to impact by train

Travis McNees, 18-year-old male, died by suicide on 4 October 2010 after absconding from Upton House psychiatric unit. He presented to ED on 29 September with paracetamol/panadeine overdose following relationship bre…

psychiatryemergency medicinecommunicationsystemparacetamol
NSWcommunity2015-01-23

Inquest into the death of XY

17y · Female·multiple blunt force injuries after being struck by a train

17-year-old X died by suicide on 18 December 2012 after being struck by a train. She received multiple psychiatric admissions and CAMHS outpatient care from July-December 2012 for suicidal ideation, overdose attempts, …

psychiatryemergency medicinefluoxetine
NSWhospitalNew2026-06-19

Inquest into the Death of Simon Myles Mackay

37y · Male·Neck compression and the complications thereof

Simon Mackay, age 37, was admitted as an involuntary psychiatric patient on 12 July 2022 for acute methamphetamine-induced psychosis with paranoia and aggression, compl…

psychiatryaddiction medicinepaliperidone
WAmental health2015-12-31

Inquest into the Death of Ruby Natasha NICHOLLS-DIVER

Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…

Five patients of Alma Street Centre's psychiatric unit died within 12 months (2011-2012). Three died by suicide within 24 hours of discharge; one disappe…

psychiatryemergency medicinecommunicationdiagnosticantidepressants
TASmental health2016-10-07

Coroner's Finding: Weily, Richard Maurice

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

…(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 on 7 Jul…

general practicegeriatric medicinesystemdelayamiodarone
SA2008-06-06

Coroner's Finding: FORSAITH Renald Lance

51y · Male·neck compression due to hanging

A 51-year-old man on remand in prison died by hanging in his cell. He had a psychiatric history including depression and a family history of suicide, but showed no signs of self-harm risk dur…

psychiatrycorrectional healthsystem
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