2,600 results
60y · Male·Hypertrophy of the heart
A 60-year-old man with longstanding schizophrenia and severe emphysema died at a mental health facility from cardiac hypertrophy (heart weight 730g, normal 400-450g). He was found unresponsive on the ensuite floor at 2:3…
47y · Female·Pulmonary thromboembolism secondary to deep vein thrombosis
Fatima Lay, a 47-year-old woman with schizophrenia and developmental disability living in supported residential accommodation, died from pulmonary thromboembolism secondary to deep vein thrombosis. She collapsed in the b…
31y · Male·ligature compression of the neck (hanging)
A 31-year-old man with depression, suicidal ideation, and recent HIV diagnosis presented to emergency department after suicide attempt (carbon monoxide inhalation and diazepam overdose). Despite psychiatrists identifying…
60y · Female·hanging
Margaret McCall, a 60-year-old woman with chronic regional pain syndrome and longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pain management, with cessation of fentanyl …
42y · Male·Hanging
A 42-year-old male prisoner with a history of alcohol dependence, PTSD, and epilepsy died by intentional hanging in Cessnock Correctional Centre. Mental health assessments on reception and during detention found no suici…
34y · Male·Neck compression due to hanging
A 34-year-old man with a history of polysubstance abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual dia…
29y · Female·multi-lobe community acquired pneumonia and respiratory failure
Clare Louise Harrison, a 29-year-old woman with long-standing anorexia nervosa diagnosed at age 17, died from community-acquired pneumonia and respiratory failure after a final 21-day admission to Alice Springs Hospital.…
52y · Male·Multiple injuries and immersion leading to hypoxic brain injury and pneumonia
Male D, aged 52, died from multiple injuries and immersion leading to hypoxic brain injury and pneumonia sustained during an assault. The perpetrator, Y, was a patient with schizo-affective disorder admitted involuntaril…
48y · Male·Ischaemic Heart Disease
Victor John Russell, aged 48, died in prison of ischaemic heart disease (90-95% left anterior descending coronary artery narrowing). He had family history of early cardiac disease, prior borderline QTc prolongation on EC…
30y · Male·Heroin toxicity
David D'Angelo, a 30-year-old Aboriginal man with schizophrenia and polysubstance dependence, was admitted to The Alfred Psychiatric Unit involuntarily on 24 March 2010 for psychotic relapse. His symptoms improved rapidl…
40y · Male·combined drug toxicity in a man with asthma (undiagnosed) and sleep apnoea
Anthony Travaglini, a 40-year-old with schizoaffective disorder, severe sleep apnoea, and undiagnosed asthma, died from combined drug toxicity on a psychiatric high-dependency unit. Critically, his earlier clinical recor…
69y · Female·Asphyxiation consistent with hanging
A 69-year-old woman admitted to Hornsby Hospital with seizures and subacute encephalopathy developed rapidly fluctuating mental state including anxiety, depression, suicidal ideation, and cognitive impairment. While indi…
47y · Male·Drug toxicity in the setting of restraint
Robert Ferrier, aged 47, died from drug toxicity in the setting of restraint after ingesting excessive quantities of prescription antidepressants and other medications during a mental health crisis. The expert panel conc…
37y · Male·Hanging, self-inflicted with intention of taking own life
A 37-year-old man with schizophrenia and a history of medication non-compliance died by suicide while subject to a Psychiatric Treatment Order. He was last seen alive on 14 February 2010 and found hanging on City Hill on…
47y · Male·Toxic effects of phosphine gas
Jeremy Harding-Roots died from phosphine gas toxicity after deliberately exposing himself to the pesticide fumigant aluminium phosphide (Fumitoxin) during a siege at his former girlfriend's residence. Key clinical and pr…
29y · Male·Multiple drug toxicity
Shane John Robinson, a 29-year-old prisoner with complex medical conditions including Crohn's disease, pulmonary embolism, anaemia and schizoaffective disorder, died from multiple drug toxicity in prison. He had been pre…
42y · Male·Gunshot wound to the head
Michael Sweeney, aged 42, died from a self-inflicted gunshot wound to the head on 8 February 2013 while on parole. He attended his ex-partner's home in violation of a Domestic Violence Order to see their infant son. Afte…
71y · Male·Sepsis due to bronchopneumonia and sacral ulcer
Mr John Knight, aged 71, died from sepsis secondary to bronchopneumonia in a psychiatric inpatient unit after five months admission for frontotemporal dementia management. His complex behavioural and cognitive decline re…
34y · Male·Hanging
A 34-year-old man died by suicide by hanging whilst on remand in a correctional facility. He had disclosed his father's suicide 12 years earlier during initial assessment, but was not identified as self-harm risk. In the…
46y · Male·asphyxia by hanging
Peter Zovak, a 46-year-old with substance use history, presented to mental health services in November 2013 with first-episode psychosis. After initial hospital assessment and two CAT Team visits, his case was closed on …
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