Coronial

204 results for acute mental health issues

NSWmental health2025-08-13

Inquest into the death of Allyson Bailey

42y · Female·pneumonia with diffuse alveolar damage in the setting of mixed drug toxicity (Ba…

…olar damage complicated by mixed drug toxicity (baclofen and pregabalin toxicity) whilst in seclusion in a mental health unit. Critical clinical failures included: inappropriate transfer from ICU to a mental health ward …

emergency medicineintensive carediagnosticcommunicationbaclofen
VIChospital2014-02-10

Finding into death of Glenn Stewart Hayes

36y · Male·Hypoxic/ischaemic encephalopathy and hanging

…career. In the preceding days, he displayed severe mood swings, aggressive behaviour, and anger management issues related to amphetamine and cannabis use. He explicitly stated suicidal intent to multiple contacts. Clinic…

intensive careemergency medicinediagnosticsystemmethamphetamine
QLDcommunity2016-05-03

Foster, Troy Martin

32y · Male·gunshot wounds to the trunk

…bstance abuse and violence, died following a police shooting. On 24 November 2014, he was detained under a Mental Health Act Emergency Examination Order after telling police he intended to kill himself. At Gold Coast Uni…

psychiatryemergency medicinecommunicationsystemalcohol
WAhome2004-10-28

Inquest into the Death of Kelly

33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…

…n 2 April and suffered cardiorespiratory arrest. The coroner found the death accidental, not suicidal. Key issues identified included: the deceased's long-standing prescription drug and alcohol abuse despite attempts by …

general practicepsychiatrysystemthioridazine
SAhome2003-04-11

Coroner's Finding: YIALAS Dimitrios

23y · Male·neck compression due to hanging

…ad a long history of substance abuse and behavioural problems, with multiple presentations to hospital and mental health services. In March 2001, he was admitted for acute psychosis but discharged against medical advice.…

psychiatrygeneral practicecommunicationsystemamitriptyline
NSW2025-01-16

Inquest into the death of Tammy Michelle Shipley

47y · Female·hyponatraemia arising from primary polydipsia and complications of schizoaffecti…

…022 for minor shoplifting offences. Critical failures included: NSW Police failed to record her documented mental health history in custody records despite having multiple recent interactions with her showing mental illn…

psychiatryemergency medicinediagnosticcommunicationbuprenorphine
SAhospital2020-11-02

Coroner's Finding: MILOCCHI Guiseppe

90y · Male·pneumonia leading to atrial fibrillation leading to myocardial infarction

…disease died from pneumonia leading to atrial fibrillation and myocardial infarction while on an inpatient mental health treatment order. He was admitted with hospital-acquired pneumonia and acute kidney injury following…

emergency medicinepsychiatryantibiotics
VICmental health2014-02-18

Finding into death of Chantelle Adele Cartier

46y · Female·Acute lymphoblastic leukaemia

…hantelle Adele Cartier, a 46-year-old woman who had been a resident at Thomas Embling Hospital (a forensic mental health facility) for 10 years, died from acute lymphoblastic leukaemia in November 2012. She was diagnosed…

oncologyhaematology
VIChospital2021-05-10

Finding into death of Karim Aarras

45y · Male·Blood loss due to multiple self-inflicted incised injuries

Karim Aarras, a 45-year-old man with longstanding mental health issues, chronic pain, and substance use disorder (methamphetamine), presented to police in a severe…

psychiatryemergency medicinemethamphetamine
WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

… exhibited frustration by head-banging when told he must remain in custody. Critical information about his mental state, medication non-compliance, and self-harming behaviour was inadequately communicated between SERCO (…

psychiatryforensic medicinecommunicationsystemmethamphetamine
VICaged care2015-05-18

Finding into death of Krizan Vuksan

75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…

…an Vuksan, a 75-year-old man with chronic schizophrenia, hypertension, and cardiac risk factors, died from acute myocardial infarction secondary to ischaemic heart disease while residing in a mental health aged care fac…

psychiatrygeneral practicecommunicationsystemolanzapine
TAShome2016-08-01

Coroner's Finding: Margaret Nicol Foran

77y · Female·Asphyxia from manual strangulation and smothering

Margaret Nicol Foran, aged 77, was killed by her son while he was experiencing an acute psychotic episode at her home in Launceston, Tasmania, between 22-23 April 2012. The cause of death was as…

NSWcommunity2018-10-24

Inquest into the death of Michael Joyce

28y · Male·Multiple injuries sustained from fall from cliff

… Joyce, 28, died after stumbling and falling from a cliff at Dunningham Reserve, Coogee while experiencing mental disturbance. He had a history of insomnia-related mental health issues (previous psychosis, hospitalisatio…

emergency medicinepsychiatrytemazepam
SAhospital2013-09-04

Coroner's Finding: BUGG Linda Edith

92y · Female·acute myocardial infarction

Linda Edith Bugg, aged 92, died of acute myocardial infarction at Royal Adelaide Hospital on 24 October 2009. She was admitted from Howard House wi…

cardiologypsychiatry
VIChospital2013-12-19

Williamernestjolly 486312pdf

66y · Male·End stage chronic obstructive pulmonary disease

…tal as a security patient with paranoid schizophrenia and anxiety. In September 2012, he was admitted with acute COPD exacerbation causing severe respiratory failure and hypoxemia. After assessment by a respiratory phys…

respiratory medicinepsychiatry
SAhospital2018-02-29

Coroner's Finding: EVANS Wendy Marion

76y · Female·end-stage liver failure with encephalopathy due to hepatic cirrhosis

…ged 76, died from end-stage liver failure with encephalopathy due to hepatic cirrhosis. She presented with acute psychosis in February 2015 and was found to have extensive cerebrovascular disease, severe cerebellar atax…

psychiatryhepatology
TAScommunity2021-10-15

Coroner's Finding: Lacroix, Adrian

43y · Male·head, chest and abdominal injuries sustained when intentionally stepping into th…

Adrian Steven Lacroix, a 43-year-old man with a long history of mental health problems, severe depression, and suicidal ideation since 2013, died by suicide on 6 March 2021. On …

psychiatryemergency medicinealcohol
QLDhome2022-01-18

Lewis, Daniel Patrick

36y · Male·Gunshot wounds to the chest and abdomen

…e responded to a domestic violence call. Lewis had a history of brain injury from age 11, substance abuse, mental health issues including PTSD and drug-induced psychosis, and was prescribed antipsychotics. On the day of …

psychiatryemergency medicinecommunicationsystemalcohol
NSWhospital2017-04-19

Inquest into the death of Heidi COX

58y · Female·consequences of acute subdural haemorrhage

Heidi Cox, 58, died from acute subdural haemorrhage after suffering interpersonal violence, likely at the hands of her long-term partner …

emergency medicineintensive carequetiapine
SAhospital2014-05-19

Coroner's Finding: SGAMBATO Raffaele

84y · Male·malnutrition in conjunction with heart, liver and kidney failure

…ailure, and behavioural disturbance was admitted to Royal Adelaide Hospital following a fall. He displayed acute psychiatric symptoms with threats of violence and suicide, requiring Mental Health Act detention. Despite …

cardiologypsychiatrymorphine
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