2,600 results
61y · Male·Complications of cutaneous burns
A 61-year-old man with severe chronic schizophrenia 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 c…
75y · Female·exacerbation of end-stage chronic obstructive pulmonary disease
Judith Beverley O'Leary, 75-year-old woman with end-stage COPD, dementia, depression and multiple comorbidities, died from exacerbation of COPD with secondary respiratory tract infection. She was placed under guardianshi…
65y · Male·Multi-organ failure in a man with an ischaemic right leg treated with opioids
A 65-year-old man with multiple chronic conditions (COPD, cardiac failure, diabetes, obesity) was admitted with pneumonia and severe ischaemic right leg pain. Opioid analgesia for the leg pain precipitated delirium, requ…
79y · Male·cardiovascular degeneration
John Alfred Beasley, aged 79, died of cardiovascular degeneration at Resthaven aged care facility on 16 August 2012. He had multiple chronic conditions including Type 2 diabetes, hypertension, cerebrovascular disease wit…
83y · Female·right middle cerebral artery infarct/stroke
Mrs Arsho Balian, an 83-year-old woman with dementia, schizophrenia, diabetes and recurrent UTIs, suffered a right middle cerebral artery stroke while resident in aged care under a guardianship order. She was appropriate…
31y · Male·Hanging
Scott Matthew O'Connor, a 31-year-old male, died by suicide in the Maximum Security Unit of Arthur Gorrie Correctional Centre on 22 January 2013. He had been assessed as high-risk for self-harm and placed on 30-minute ob…
87y · Female·acute intracranial haemorrhage
An 87-year-old woman with dementia, hypertension, and DVT died from acute intracranial haemorrhage while an inpatient at a general hospital under a Mental Health Act detention order. She was on warfarin for DVT managemen…
79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…
A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 days of i…
81y · Male·Aspiration pneumonia complicating end stage fronto-temporal dementia on a backgr…
Murray Lawrence Abinett, aged 81, died of aspiration pneumonia complicating end-stage fronto-temporal dementia with chronic obstructive lung disease, ischaemic heart disease and chronic renal failure. He was detained und…
35y · Male·Unascertained, following autopsy. Likely drowning but circumstances undetermined…
A 35-year-old man with chronic alcohol dependence was admitted to the ED with acute alcohol withdrawal and auditory hallucinations. Despite presenting with objective signs of withdrawal (tremor, elevated BP, tachycardia,…
19y · Male·hanging
A 19-year-old male inmate with schizophrenia died by hanging at Long Bay Correctional Centre. Critical failures in mental health care contributed to preventability: despite initial referral in February 2013, he was never…
39y · Female·Hypoxic brain injury secondary to hanging
A 39-year-old woman with depression, anxiety, and substance use disorder was voluntarily admitted to Northern Hospital's psychiatric unit after presenting to ED with suicidal ideation. Despite documented suicidal thinkin…
30y · Male·Electrocution and multiple injuries from contact with high voltage arcing electr…
AC, a 30-year-old man, died from electrocution and traumatic injuries after climbing a high-voltage transmission tower during a police traffic stop in Wagga Wagga. He was speeding and became extremely distressed when adv…
24y · Male·Hypoxic-ischaemic encephalopathy due to or as a consequence of hanging
Jake Daniel Waterhouse, a 24-year-old man with bipolar disorder and anxiety, died by suicidal hanging at Ipswich General Hospital. He had a history of mental illness, had distanced himself from his biological family, and…
46y · Female·Multiple severe trauma suffered in a motor vehicle accident
A 46-year-old woman died in a head-on motor vehicle collision after her car drifted across the centre line on the Bass Highway. She had reported feeling tired earlier that morning and had intended to pull over to sleep. …
suicide
This coronial investigation examined a suicide cluster in Casey and Cardinia (Victoria) involving twelve young people aged 13-24 years in 2011-2012. The coroner found elevated suicide rates compared to previous years and…
39y · Male·combined drug toxicity
Phillip Buckley, 39, died from combined drug toxicity involving oxycontin, diazepam, alcohol and venlafaxine. He had been prescribed high-dose oxycontin (40-80mg daily) and diazepam by his GP Dr C. for 12 years without c…
76y · Male·contact range gunshot wound to the head, self-inflicted
A 76-year-old man with bilateral leg amputations maintained independent living until presenting with syncope. Hospital evaluation identified ischemic heart disease; he refused angiography and was discharged. Post-dischar…
57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…
A 57-year-old man with bipolar disorder died from head injury following a fall at Toowong Private Hospital. Critical failures in falls risk management were identified: no formal falls risk assessment was completed on adm…
30y · Female·Fentanyl overdose caused by self-administration of intravenous Fentanyl
Katie Howman, a 30-year-old registered nurse in the Critical Care Ward at Toowoomba Base Hospital, died from an intravenous Fentanyl overdose on 21 December 2013. Autopsy findings of crystalline granulomas in the lungs i…
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