142 results for “severe chronic depression”
72y · Male·The available evidence does not allow for any finding to be made as to the cause…
…t psychotic episodes. In the months before his death, his physical health declined significantly following severe community-acquired pneumonia with septic shock. On the day of his death, Mr Robinson was discharged from h…
Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…
…anara Ken's disappearance (two-day delay in escalating search to emergency status despite extreme heat and severe disability); failure to implement disability respite services despite evidence of benefit; inadequate disc…
16y · Female·Adrenal insufficiency (Addison's Disease)
…l practice: Dr H. suspected glandular fever without confirmatory testing; Dr Y. (very junior) considered depression and chronic fatigue; Dr W. (postgraduate year 2 trainee) ordered investigations but did not recognise Ad…
60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…
A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to drain a pleural effusion on …
50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…
…t orders at Ward 2G of Royal Adelaide Hospital. Mark Furlan (50) died in 2018 after developing psychotic depression with suicidal ideation. The coroner found he should have been under continuous rather than close observa…
21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…
…tory including recent involuntary mental health admission (discharged 27 May 2007) for attempted suicide, chronic alcohol abuse, depression, and psychosis. Critically, physicians at Royal Perth Hospital did not access d…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…
Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court …
50y · Male·ligature compression of the neck (hanging)
Matthew Francis Leach, a 50-year-old man with longstanding alcohol dependence, depression, and a history of suicide attempts, died by ligature hanging in his cell at Hakea Prison shortly after b…
44y · Male·Cardiac arrhythmia on a background of hypertensive heart disorder, obesity, diab…
…; and failure to address painful ingrown toenails despite multiple requests. These failures were driven by severe under-resourcing: one GP attending one day per week for 6 hours serving 400-420 inmates, with overwhelming…
35y · Male·Hanging
…ature of his presentation. The deceased appears to have experienced some jaw discomfort but not documented severe pain proximate to death.
Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…
Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…
62y · Male·Cerebral ischaemic injury due to hanging
Gerard Helliar, a 62-year-old man with severe bipolar affective disorder, died from hanging in Frankston Hospital psychiatric ward on 16 November 2012 a…
Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…
…on duty; his death appeared unrelated to policing. Sergeant Cooke died by hanging after years of untreated severe PTSD from cumulative trauma exposure. The coroner identified failures in welfare protocols, fatigue manage…
2y · Female·drowning
…occurred: the child protection service had closed the case file prematurely in February 2015 despite known severe maternal mental illness and prior child removal; the community mental health team discharged the mother on…
28y · Male·Multiple injuries sustained when struck by a freight train
Jacob Taulelei, a 28-year-old man with long-standing depression, anxiety, and suicidal ideation, presented to St John of God Hospital on 5 February 2020 expressing inte…
46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)
…pengary State School for only five months. Clinical lessons include: untreated or inadequately monitored depression significantly increases suicide risk, particularly when multiple stressors accumulate; the importance of…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…
This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding histo…
Female·Miranda Howard: aspiration pneumonia complicating overdose of prescription medic…
…m multi-organ failure following hydrochloric acid ingestion. Both were initially misdiagnosed (psychosis/depression), experienced delayed BPD diagnosis, and received fragmented, inconsistent care across public and privat…
26y · Male·Multiple drug toxicity and bronchopneumonia
Daniel James Hall, aged 26, died on 31 July 2010 from multiple drug toxicity and bronchopneumonia after consuming approximately 10-12 OxyContin tablets over 24 hours, vastly exceeding the prescribed dose of one tablet ev…
25y · Male·hanging
…ears before developing tardive dyskinesia. His treating psychiatrist ceased the medication to address this severe side effect, and he relapsed with paranoia and suicidal ideation four months later. He was readmitted to h…
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