167 results for “acute mental health deterioration”
51y · Female·Ischaemic heart disease
…ed with an infected breast lesion but resisted physical examination due to severe aversion to touch during acute psychiatric crisis. Cardiology input was sought but did not identify the extent of cardiac compromise. She…
62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …
…delusions about neighbour's chimney smoke. He was admitted to Launceston General Hospital on 17 July after acute deterioration, correctly diagnosed with major depression with psychotic features, and treated with Risperi…
Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…
Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital…
28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…
…man with schizophrenia, died from hypoxic brain injury sustained during restraint at Townsville Hospital's Acute Mental Health Unit on 13 April 2010. He had declined admission at ED on 28 March despite clear psychotic s…
76y · Female·Effects of fire in a woman with head and neck injuries
Mrs Emma Weidemann, aged 76, died from burns sustained in a fire deliberately set by her husband Rudolf at their home on 11 December 2019. Rudolf had recently been diagnosed with terminal cancer, experienced cognitive de…
22y · Male·Hanging
…renia and substance use disorder died by hanging in prison custody. He had been recently discharged from a mental health hospital to police custody following an alleged assault of another patient. Within a month of priso…
42y · Female·Ligature compression of the neck (hanging)
…man with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She experienced significant psychosocial stressors including her mother's dementia in Sydney, finan…
32y · Male·Head and neck trauma (train impact)
…ide attempts, died by suicide on railway tracks on 16 December 2008. He had been discharged from Peninsula Health community mental health services to GP care in April 2008 on antipsychotic depot injections, antidepressan…
28y · Male·hypoxic encephalopathy secondary to hanging
…iatric hospital. He had been admitted on 8 November 2003 after separation from his de facto wife triggered acute deterioration. He was discharged on weekend leave on 21 November and returned early on 22 November distres…
87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…
…a, died from intentional inhalation of tissue paper while admitted to Baringa aged psychiatry unit under a Mental Health Act order. Over 7-8 February 2013, she experienced escalating distress, disclosed prior sexual trau…
58y · Female·Enterococcus faecalis sepsis and acute renal failure
…-year-old woman with intellectual disability and schizophrenia, died from enterococcus faecalis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urinary retention pos…
51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …
…e disorder, died from opiate toxicity after cardiac arrest following his discharge from Concord Hospital's mental health unit on 18 March 2019. He had been involuntarily admitted under a court order and was assessed by t…
77y · Female·Venlafaxine toxicity in a woman with severe renal impairment and depression
77-year-old woman admitted to psychiatric ward with severe depression and catatonic features. Despite documented severe renal impairment and dehydration on admission, no medical review occurred over the weekend prior to …
61y · Male·asphyxial death due to hanging
…linic on 11 January 2018 with suicidal ideation and complex psychiatric presentation. Despite reported deterioration and ongoing suicidal thoughts, he was granted unescorted leave from 25-28 January 2018 over the Austra…
19y · Female·combined drug effect and myocarditis
…ing despite haloperidol's QT-prolonging effects. Inadequate observations at Graylands failed to detect deterioration. Clinical lessons: verify drug concentrations against source ampoules, clearly document medication err…
77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)
A 77-year-old man with dementia died from bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On …
41y · Male·complications in association with effects of fire, with terminal palliative care
Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by sui…
43y · Female·neck compression due to hanging
…pression with melancholic features, possible psychotic symptoms, and elevated self-harm risk. However, the acute crisis intervention service (EACIS) implemented community-based home visits instead, citing lack of availa…
43y · Male·suffocation by plastic bag (Neil Brooks); neck compression due to strangulation …
…ck of dedicated systems for identifying high-risk prisoners, and absence of statutory framework for prison health service. The coroner recommended systemic improvements including statutory codification of prison health s…
33y · Male·hanging
…after hospital discharge despite clinical recommendation). After hospital discharge, he wasn't reviewed by mental health clinicians, contrary to best practice expectations. Detention officers showed genuine concern but l…
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