Coronial

273 results for acute mental illness

SAmental health2020-12-15

Coroner's Finding: BARTON Stephen John

43y · Male·blunt neck trauma from compression of the neck

…t neck trauma inflicted by roommate Lindon Sekrst in a psychiatric ward. Both were detained patients under Mental Health Act orders. Sekrst, a 23-year-old with paranoid ideation, had been in ED for 3 days before admissio…

psychiatryemergency medicinediagnosticsystemrisperidone
SAhospital2012-11-14

Coroner's Finding: Fell Michael Terence and Aufiero Sonia Lidia

carbon monoxide poisoning

…d from carbon monoxide poisoning on 31 December 2008. Sonia Aufiero, aged 28, was a detained patient on an acute psychiatric ward (Ward C3) at Royal Adelaide Hospital under a 28-day mental health detention order. Michae…

psychiatry
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

… 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was t…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
VICmental health2012-04-03

Finding into death of Miles David Colman

21y · Male·Head injury sustained in fall from height

…bservations were all appropriate and reasonable given his clinical improvement. Suicide risk prediction in acute psychosis remains challenging; despite family support and appropriate care, the impulsive fatal act could …

psychiatryintensive carerisperidone
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-discontinuing methadone, the treating te…

psychiatryaddiction medicinediagnosticmedicationmethadone
VICcommunity2023-12-08

Finding into death of Ricky James Broughton

47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…

…ed for involuntary psychiatric assessment. After moving from Geelong to Ballarat in February 2017, Ricky's mental health and housing needs were not adequately coordinated across services. His placement at boarding house …

psychiatrygeneral practicecommunicationsystemquetiapine
VIChome2025-06-24

Finding into death of Jessica Geddes

27y · Female·Complications of multiple blunt force injuries

…r Robert Rickerby through multiple blunt force injuries on 6 November 2020. The autopsy revealed extensive acute, subacute and chronic injuries inconsistent with accidental trauma, indicating prolonged abuse. Jessica ha…

general practicepsychiatrydiagnosticsystemmethamphetamine
NSWhospital2023-03-03

Inquest into the death of Irene Charlish

68y · Female·Complications of a fall with contributing factors of respiratory failure, respir…

…are was deemed appropriate; no preventable errors were identified. The case highlights challenges managing acutely unwell psychiatric patients refusing care.

emergency medicinepsychiatryclozapine
TASmental health2019-01-04

Coroner's Finding: Roberts, Nigel Douglas

55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…

…e to mixed prescription drug sedation (clozapine and olanzapine) in the presence of advanced emphysema and acute bronchopneumonia. He was admitted to Spencer Clinic psychiatric inpatient unit following an assault on sta…

psychiatryemergency medicinemedicationdiagnosticclozapine
VIChome2021-02-25

Finding into death of MrP

24y · Male·Gunshot wound to the head

…nes or structured risk assessment framework exists for determining fitness to hold firearms in people with mental health diagnoses or suicide history. Medical practitioners must rely on unstructured professional judgment…

psychiatrygeneral practicediagnosticsystemmethylphenidate
VIC2017-05-25

Finding into death of ED

42y · Male·Hypoxic/ischaemic encephalopathy; cardiac arrest; cardiomegaly

… schizophrenia died from hypoxic-ischaemic encephalopathy following an out-of-hospital cardiac arrest at a mental health community care unit. He had been admitted voluntarily for alcohol rehabilitation and was clinically…

psychiatryemergency medicinerisperidone
NThospital2024-04-05

Inquest into the death of Xysz Tacdliwaazy @Josh Ngalarina

22y · Unknown·sudden death associated with volatile substance inhalation (butane and propane)

A 22-year-old Yolngu person with a well-documented history of volatile substance abuse (VSA) and mental illness was involuntarily admitted to Royal Darwin Hospital for acute psychosis. Due to COVID-19 bed-block…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VICcommunity2017-08-25

Finding into death of Thomas Edward Mackenzie Hall

41y · Male·Injuries sustained in a motor vehicle incident (driver) in a man with coronary a…

…s car unlicensed and at excessive speed into oncoming traffic. He had a documented history of psychiatric illness with multiple involuntary admissions, medication non-compliance, and recent suicidal ideation expressed 1…

psychiatryemergency medicinecommunicationsystemrisperidone
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

…sessment for depression and suicidality, given documented depression history and lack of treatment. Better mental health screening and support could potentially have identified risk.

forensic medicinegeneral practicesystemdelaybenzodiazepines
VICcommunity2024-10-04

Finding into death of T K

18y · Female·Mixed drug toxicity

…charge, unavailable supported youth residential services, homelessness, and insufficient LGBTIQA+-specific mental health supports. While clinical care during admissions was comprehensive, the transition to community with…

psychiatrygeneral practicesystemdelaytramadol
WAhome2021-03-25

Inquest into the Death of FJ (Name Subject to Suppression Order)

35y · Female·multiple injuries sustained in fall from sixth-floor balcony

…sors, especially those with poor insight into their condition; (3) failure of communication between GP and mental health services—Dr B. made multiple referrals to Mirrabooka Clinic but received no engagement; (4) the hig…

psychiatrygeneral practicecommunicationsystemlithium
SAhospital2005-04-07

Coroner's Finding: MULVINSKAS Anna

79y · Female·pulmonary oedema and electrolyte imbalance, both secondary to renal failure

…ious with severe metabolic disturbance and dangerously abnormal electrolytes. Dr B. detained her under the Mental Health Act to enable urgent electrolyte correction via IV calcium and potassium. The coroner found the det…

general medicinenephrologycalcium
QLD2019-05-08

Malone, Terrence Michael

54y · Male·incised wound to the neck

…ust be reassessed in custody despite recent low-risk assessments in hospital; (2) integrated assessment of mental health and substance use is essential—his separate treatment as siloed issues in hospital and prison contr…

psychiatryemergency medicinediagnosticcommunicationalcohol
NSWcommunity2021-08-18

Inquest into the death of A F

24y · Male·multiple stab wounds to the chest that he inflicted upon himself

… intervention when psychiatric symptoms re-emerge or medication is discontinued, and close liaison between mental health services and primary care. Home visits and family engagement might have prevented relapse. The deat…

psychiatrygeneral practicesystemcommunicationlurasidone
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

Mark Andrew Burnside, a 45-year-old man with intellectual disability and chronic mental illness, died of natural causes on 7 November 2001 at Royal Perth Hospital. He had been prescribed thiorid…

general practicepsychiatrythioridazine
1891014

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