Coronial

212 results for involuntary psychiatric admission

WAmental health2023-02-13

Inquest into the Death of Philip SULLEY

58y · Male·coronary artery arteriosclerosis (natural causes)

…elapse. He re-presented on 22 April 2020 with florid psychosis and was admitted to BMHU under a Form 6A involuntary treatment order. He collapsed on 27 April 2020 and could not be revived. The coroner found clinical car…

psychiatryemergency medicinecommunicationolanzapine
NSWmental health2024-03-06

Inquest into the death of RA

64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging

…dhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, she accessed a cord/drawstring and died by hanging. …

psychiatryemergency medicinesystemproceduralmirtazapine
NSWhome2018-04-26

Inquest into the death of FW

79y · Male·external neck compression as a result of hanging

… a Victorian Community Treatment Order (CTO) requiring fortnightly antipsychotic injections and regular psychiatric review before transferring to NSW. Once in NSW, critical failures occurred: his CTO was not implemented…

psychiatrygeneral practicecommunicationsystemrisperidone
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
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

…rioration, she was admitted to Busselton District Hospital on 18 August 2003 and transferred to Bentley Psychiatric Hospital on 21 August. Although assessed as a voluntary patient with protective factors (family support…

general practicepsychiatrycommunicationsystemmirtazapine
WAmental health2005-06-30

Inquest into the Death of Jessica Mary Dewhurst

20y · Female·Ligature compression of the neck

Jessica Mary Dewhurst, aged 20, died by ligature compression of the neck on 27 May 2003 in the secure ward of Swan Adult Mental Health Services. She had a history of depression, psychosis, substance abuse, and prior suic…

psychiatrygeneral medicinefluoxetine
WAhome2025-01-23

Inquest into the Suspected Death of Benjamin Jacob VAN TRIGT

38y · Male·electrical injury

…ion at home on 17 November 2022 while on a Community Treatment Order (CTO). He had experienced multiple psychiatric relapses requiring hospitalization, with the most recent admission ending 4 October 2022. Despite regul…

psychiatryemergency medicinepaliperidone
NTmental health2019-09-13

Inquest into the death of Daniel Alexander Bleaney

37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof

…ttempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatric ward, following assessment in the ED. He was assessed as highest risk for suicide but placed on 15-minu…

psychiatryemergency medicinesystemdiagnosticdiazepam
QLDmental health2006-09-08

Robinson, Terence James

54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus

… he developed profound sedation and neurological deterioration. Critical issues included: lack of daily psychiatric review in the Special Care Unit (he was not seen on day 3 post-sedation); delayed recognition of seriou…

psychiatryneurologydiagnosticcommunicationparoxetine
VIChospital2015-08-28

Finding into death of Moufid Sawan

61y · Male·Complications of cutaneous burns

…and extensive history of arson, suicide attempts and self-harm was admitted as a voluntary patient to a psychiatric inpatient unit and later made involuntary. Despite clinical concerns about his mental state, he was pro…

psychiatryemergency medicinecommunicationdiagnosticrisperidone
WAhome2021-05-10

Inquest into the Death of Andre Walter BOND

42y · Male·Upper airway obstruction (choking) in an obese man with atherosclerotic heart di…

…m upper airway obstruction (choking) on food while dining at home. He had been recently discharged from psychiatric inpatient care on a Community Treatment Order with a stable medication regimen including quetiapine, so…

psychiatryemergency medicinequetiapine
QLDhospital2008-12-15

Van Putten, Patricia

49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …

…d teacher, died by suicide via glyphosate ingestion on 18 February 2006, four days after discharge from psychiatric hospitalization for a serious self-harm attempt (throat laceration). She had complex comorbid Major Dep…

psychiatrygeneral practicecommunicationsystemdosulepin
SAmental health2011-07-13

Coroner's Finding: FARMER John Sydney

34y · Male·hanging

…y Farmer, aged 34, died by hanging at his home on 23 May 2008, six hours after being granted leave from psychiatric detention at Woodleigh House. He had attempted suicide by carbon monoxide poisoning two days earlier fo…

psychiatryemergency medicinediagnosticcommunicationcitalopram
VICmental health2024-08-09

Finding into death of Con Kostantinou

63y · Male·Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic …

…high risk and managed under Mental Health Act orders. Despite reasonable and appropriate care including psychiatric reviews, a CT brain scan, and septic screen, he suffered unexplained cardiac arrest on 29 March 2024 wh…

psychiatrygeneral medicinediazepam
NSWmental health2018-09-07

Inquest into the disappearance and suspected death of Christine Joyce Dorothy Young

40y · Female·The medical cause of death was unable to be determined. Manner of death: uninten…

… presentation on 21 April when she was found semi-naked at the airport – staff did not access her known psychiatric history despite police providing her name, missing a clear opportunity for admission; (2) inadequate ps…

psychiatryemergency medicinediagnosticcommunicationpaliperidone
QLDmental health2006-11-31

Jeffrey, Helen

38y · Female·Asphyxiation by plastic bag

…ied by asphyxiation using a plastic bag in Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal culpability. Key clinica…

psychiatryemergency medicinesystemcommunication
NSWmental health2025-03-31

Inquest into the Death of G.P.

41y · Male·Multiple traumatic injuries

…examined the death of a 40-year-old man who died by suicide following a fall from a cliff. He had three involuntary admissions to mental health facilities in a fortnight before his death. Critical clinical lessons inclu…

psychiatryemergency medicinediagnosticcommunicationlisdexamfetamine
WAmental health- 11 April 2014

Inquest into the Death of Aaron Luke PRISGROVE

32y · Male·ligature compression of the neck (hanging)

…-old man with depression, alcohol abuse, and acromegaly, died by hanging on 12 July 2011, shortly after involuntary admission to Graylands Hospital's Smith Ward. He had presented to Tom Price Hospital on 8 July followin…

psychiatryemergency medicinecommunicationsystemparacetamol/codeine
VICmental health2012-05-17

Finding into death of Peter Robin Tully

55y · Male·Hanging

Peter Tully, 55, died by hanging 4 days after discharge from his first psychiatric admission for major depressive disorder with suicidality. He had made 3 suicide attempts in the week be…

psychiatryemergency medicinecommunicationsystemvenlafaxine
WAhospital2019-03-08

Inquest into the Death of Seanpol Martin Padraig O'NEILL

30y · Male·methadone toxicity

…ar-old man with schizoaffective disorder, narcolepsy, and obesity died from methadone toxicity while an involuntary psychiatric patient. He was prescribed multiple sedating medications including methadone, benzodiazepin…

psychiatryemergency medicinecommunicationsystemmethadone
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