Coronial

149 results for mental disturbance

SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

James Nicholson, aged 65, died from hypoxic ischaemic encephalopathy following a suicide attempt by hanging while an inpatient at Noarlunga Hospital on 18 August 2015. He had undergone extensive facial cancer surgery in …

oncologypsychiatrydiagnosticcommunicationdexamethasone
QLDcommunity2020-06-26

Nyholt, Nicole Sonia and Clark, Margaret Louisa

Female·Burns due to gas explosion due to motor vehicle collision with building

… of these seizure events due to communication gaps between hospital and primary care. He had deteriorating mental health and multiple concerning symptoms in the weeks before the incident. The coroner found he was medical…

emergency medicineneurologycommunicationsystem
WA2013-05-30

Inquest into the Death of Mcdonald, Charles Edward

38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia

A 38-year-old remand prisoner with schizophrenia on clozapine died suddenly in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to prison on 20 Jul…

psychiatrypharmacologycommunicationsystemclozapine
QLDprison2021-11-23

Row Row, Frederick Arthur James

34y · Male·Neck compression by hanging

…nsufficient consideration of contextual stressors, and systemic failures in maintaining appropriate environmental safeguards. The death was preventable through proper closure of identified hanging points and continuous s…

psychiatrypsychologydiagnosticcommunication
WAhome2007-12-03

Inquest into the Death of Tedeschi

14y · Female·Ligature compression of the neck (suicide)

Gabrielle Mia Tedeschi, a 14-year-old girl with longstanding oppositional and self-harm behaviours and subsequent depression, died by suicide on 14 October 2004 following a ligature compression injury sustained on 11 Oct…

psychiatrypsychologycommunicationdelayfluoxetine
SA2003-01-17

Coroner's Finding: ALLEN Craig Mark

29y · Male·Hanging

…isolated prisoners), and a practice of isolating recalcitrant prisoners without proper authorization under mental health legislation. Recommendations included hourly observations, CCTV monitoring, formal staff induction,…

correctional healthpsychiatrycommunicationsystemfluoxetine
SA2010-11-19

Coroner's Finding: PARKER Laura

40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…

…zures, medication non-compliance, 72-hour sleep deprivation); (2) inappropriate application of a community mental health management plan to a custodial setting, which recommended avoiding detention despite manifestations…

neurologypsychiatrydiagnosticcommunicationvigabatrin
QLDhome2022-07-12

Jack - Non-inquest findings

41y · Male·Stab wound to the chest

…ple relationships, died from a stab wound to the chest inflicted by his partner Sally during a domestic disturbance. Sally had a documented history of victimisation in prior relationships and used a knife in self-defenc…

forensic medicinecorrectional healthcommunicationsystemmethamphetamine
NTcommunity2026-01-23

Inquest into the death of Kumanjayi Johnson

45y · Male·Environmental exposure and dehydration

… English comprehension), traumatic brain injury, epilepsy and multiple medical conditions died from environmental exposure and dehydration after walking away from his supported independent living residence on 3 December …

geriatric medicinepsychiatrycommunicationsystem
178

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