264 results for “conduct disorder”
20y · Male·Ligature compression of the neck (hanging)
… 30-minute observations after deterioration on 12–13 August, nursing observations were inadequate and not conducted according to hospital guidelines. Nurse Bone failed to ensure the deceased was properly sighted and doc…
48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)
Robert Harold Gerard, aged 48, died by hanging in Risdon Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suici…
51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…
…park while an inpatient at Royal Perth Hospital (RPH). She had severe treatment-resistant schizoaffective disorder, command hallucinations, liver cirrhosis, and required secure residential care. During a planned gastroen…
20y · Female·multi-organ failure due to polypharmacy overdose
A 20-year-old woman with depression and borderline personality disorder died from multi-organ failure following a large polypharmacy overdose (13 grams of paracetamol among 78 t…
17y · Male·hydrocarbon toxicity (petrol inhalation)
… reports. Caseworkers did not adequately prepare the Campbells with information about George's history or conduct regular, intensive engagement. Handovers between caseworkers failed to capture essential information. Bir…
35y · Male·neck compression due to hanging
A 35-year-old man with chronic depression, alcohol dependence and amphetamine abuse was detained at the Queen Elizabeth Hospital Emergency Department on 15 May 2006 after presenting intoxicated with suicidal ideation. He…
17y · Male·Suicide by self-inflicted hanging
RL was a 17-year-old Alice Springs teenager who died by suicide while under Northern Territory mental health services' care. Critical clinical lessons emerged: failure to inform his mother about mental health deteriorati…
43y · Male·acute right heart failure (cor pulmonale) complicating foreign body (microcrysta…
…rushing oral medications and injecting them intravenously. Clinicians prescribing psychostimulants should conduct thorough risk assessment and monitoring. Public education campaigns addressing the hazards of intravenous…
41y · Male·Septicaemia secondary to chronic peptic ulcer disease
Simon Cartwright, a 41-year-old man with schizophrenia and bipolar disorder, died in custody from septicemia secondary to chronic peptic ulcer disease. He had a documented ulcer his…
49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …
…lf-harm attempt (throat laceration). She had complex comorbid Major Depression and Borderline Personality Disorder with chronic suicidality. Discharge planning involved intensive community follow-up with daily nursing vi…
31y · Male·Gunshot wounds to the neck and chest
Liam Scorsese, 31, died from gunshot wounds inflicted by police during a confrontation at his estranged partner's parents' home in Queensland. He had a history of violence, substance abuse (methamphetamine, cocaine), and…
Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…
This coronial finding examined four police suicides in Tasmania between 2016-2020. Constable Hunt died by gunshot wound after being stood down from duty without welfare support; his personal phone was unlawfully seized, …
5y · Male·Presumed drowning
CS, aged 5 years 9 months, died by presumed drowning on 2 March 2017 in the Murray River, Moama NSW. His mother LS, who was mentally unwell and using ice, forcibly held him underwater. Multiple agencies—FACS, NSW and Vic…
30y · Male·asphyxia due to hanging (suicide)
…olice. Dr G. prescribed unrestricted diazepam (50 tablets) despite Mr Ryan's substance abuse history, and conducted only a 10-15 minute discharge assessment without reviewing the file. When Mr Ryan re-presented acutely …
46y · Female·Hepatic encephalopathy due to decompensated Child-Pugh C cirrhosis and meningiti…
This combined coronial finding examines three deaths at the Centre for National Resilience (CNR), a COVID-19 quarantine facility in Howard Springs. Ms Dick died from rapidly progressive melioidosis. David Hardy died from…
27y · Male·left temporal intracerebral haemorrhage due to arteriovenous malformation
…hile eating dinner in his cell and was discovered approximately 4 hours later at 8:15 pm by nursing staff conducting a medication round. Post-mortem examination confirmed rapid onset of symptoms with massive bleeding th…
27y · Male·compression of the neck due to hanging
…ode psychosis' was erroneous; longitudinal history showed likely relapsed psychosis with probable bipolar disorder. After discharge, psychiatric care was fragmented with poor communication between services. Theo presente…
31y · Male·Burns
31-year-old George Grimes with longstanding schizophrenia was found threatening self-immolation after consuming alcohol and missing antipsychotic medication. Despite police de-escalation attempts, he doused himself with …
52y · Male·Hanging
Cameron Richard Plant, a 52-year-old male, died by hanging in hotel quarantine on 11 April 2020, shortly after returning to Australia from Dubai. He was experiencing significant psychosocial stressors including marriage …
52y · Male·Neck compression (ligature strangulation)
Geoffrey Fardell, a 52-year-old man with schizophrenia, HIV, and substance abuse history, died from neck compression (strangulation) while in remand custody at Mid North Coast Correctional Centre. He was placed in a cell…
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