Coronial

212 results for involuntary psychiatric admission

VIChome2013-04-12

Finding into death of Cody Jackson

15y · Male·asphyxiation by hanging

…services including Child Protection, Youth Justice, and the Adolescent Forensic Health Service. Despite psychiatric assessments identifying depression, anger issues, and trauma, psychiatrists recommended involuntary adm…

psychiatrypsychologysystemdelay
VIChome2014

Finding into death of Kathy Louise Tranter

48y · Female·head injuries from multiple blunt force trauma including punching, elbowing and …

A 48-year-old woman, Kathy Tranter, was killed by her 20-year-old son who was an involuntary psychiatric patient at Orygen Youth Health (OYH) with acute paranoid schizophrenia. The son was granted…

psychiatryemergency medicinediagnosticcommunicationrisperidone
QLDmental health2013-01-25

SH and AW

25y · Female·Chest injuries due to fall from height

Two psychiatric inpatients (SH, 25-year-old female; AW, 24-year-old male) died by suicide by jumping from the Buranda c…

psychiatrydiagnosticcommunicationhaloperidol
WAcommunity2017-09-06

Inquest into the Death of James Michael Chee Ming YUNG

42y · Male·Multiple injuries sustained in motor vehicle crash

…015, despite signs of relapse and non-compliance, the treating team opted for outpatient management over admission due to bed unavailability and the patient's extreme fear of hospitalisation. The patient absconded to Me…

psychiatryemergency medicinedelaysystempaliperidone depot
QLDmental health2013-07-02

Saccu, Jonathan Clarence

20y · Male·Multiple injuries due to contact with a train

…mental health unit and was fatally struck by a train approximately 3 hours later. He was admitted on an involuntary treatment order after suicidal ideation and had previously absconded the same day but returned voluntar…

psychiatrydiagnosticcommunicationdiazepam
VICcommunity2015-09-24

Finding into death of GC

42y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…ncerns about his risk to self and others, he was assessed as not meeting Mental Health Act criteria for involuntary treatment two days before his death. Mental health services attempted limited outreach without success.…

psychiatryemergency medicinesystemdelaycannabis
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

… Veltman, 49, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on 15 Ju…

psychiatryemergency medicinecommunicationsystemketamine
VICmental health2022-12-15

Finding into death of Kira Shae James

21y · Female·Neck compression

…derline personality disorder, and eating disorder, died by ligature at Thomas Embling Hospital while an involuntary inpatient under Mental Health Act orders. She had a lengthy history of self-harm (39 documented episode…

psychiatrypsychologyproceduralcommunication
VICmental health2013-02-25

Finding into death of Joy Apostolopoulos

41y · Female·Multiple injuries due to impact by train

…ith schizophrenia and depression, died by suicide when struck by a train after absconding from a locked psychiatric ward at Alfred Hospital. She had been on escorted leave, became acutely agitated upon returning home, a…

psychiatryemergency medicinecommunicationsystemclozapine
VIChospital2016-08-22

Finding into death of Alison Rae Wolinski

36y · Female·Hanging

A 36-year-old woman with borderline personality disorder and alcohol use disorder died by hanging approximately one month after discharge from St Vincent's Hospital. She had been admitted involuntarily following threats …

psychiatryemergency medicinecommunicationsystemvenlafaxine
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

A 23-year-old male with treatment-resistant schizophrenia died by hanging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2…

psychiatryemergency medicinecommunicationsystemaripiprazole
VIChospital2024-05-24

Finding into death of Jacob William Kennedy

36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…

Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He wa…

psychiatryaddiction medicinemedicationproceduralmethadone
NTmental health2019-09-27

Inquest into the death of Linden Kunoth

24y · Male·self-inflicted hanging

Linden Alan Kunoth, a 24-year-old Aboriginal man, died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and comma…

psychiatrydiagnosticsystemaripiprazole
WAcommunity2020-02-03

Inquest into the Death of Jose DA SILVA

34y · Male·unascertained; most likely immersion after swimming at City Beach

…ng behavioural changes as potential warning signs, and assessing suicide risk in patients with comorbid psychiatric illness and substance misuse.

psychiatrygeneral practiceolanzapine
WAhome2022-04-13

Inquest into the Death of Boris DRLESKI

45y · Male·bronchopneumonia and combined drug toxicity

…se in community settings without integrated long-term residential facilities; (2) documentation gaps in psychiatric assessments after August 2018 with no recorded face-to-face reviews; (3) limited therapeutic options av…

psychiatryemergency medicinecommunicationsystemzuclopenthixol decanoate
WAcommunity2025-06-09

Inquest into the Death of Joyce Gladis CLARKE

29y · Female·gunshot wound to the abdomen

…er 2019. Four days prior, she was appropriately discharged from Sir Charles Gairdner Hospital following involuntary mental health admission for drug-induced psychosis; acute symptoms had resolved. The discharge was clin…

psychiatryemergency medicinesystemmethamphetamine
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

…ical lessons include: the importance of considering the full context of a patient's presentation over an admission period rather than a single day's apparent improvement; the necessity of involving family, drug and alco…

psychiatryemergency medicinediagnosticcommunicationheroin
NSWcommunity2025-10-31

Inquest into the disappearance and suspected death of Sana Salman

34y · Female·not able to be determined - body not found

Sana Salman, a 34-year-old woman with bipolar disorder and schizoaffective disorder, went missing on 1 September 2022 after being discharged from Northern Beaches Hospital on 22 August 2022. She had been admitted for a p…

psychiatrysystemcommunicationclozapine
NSWhome2014-04-24

Inquest into the death of SS

50y · Female·Cyanide toxicity

A 50-year-old woman with complex mental illness including depression, anxiety, and borderline personality disorder died from cyanide toxicity after ingesting potassium cyanide obtained from Sigma-Aldrich. She made four a…

psychiatrypsychologysystempotassium cyanide
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

…March 1998 at Graylands Hospital from acute cardiac dysrhythmia of uncertain aetiology. During his final admission in February 1998, he developed severe behavioural disturbance resistant to anti-psychotic medication, pr…

psychiatryintensive caremedicationflupenthixol decanoate

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