Coronial

18 results for acute psychiatric exacerbation

VIChospital2012-06-06

Finding into death of Lewis Chetcuti

63y · Male·Respiratory failure due to acute exacerbation of chronic obstructive airways dis…

Lewis Chetcuti, 63-year-old involuntary psychiatric patient with longstanding schizophrenia and significant comorbidities including severe COPD, congestive…

psychiatryemergency medicine
SAcommunity2013-06-13

Coroner's Finding: EVANS Bernard Francis

57y · Male·multiple injuries from motor vehicle collision

…lanzapine under a Community Treatment Order. After failing a clinic appointment on 13 January, staff noted acute psychiatric symptoms (incoherence, rapid speech) and the CTO was revoked, making him liable for detention.…

psychiatryemergency medicinesystemdelaylithium
VICmental health2013-07-02

Finding into death of Long Ngoc Dinh

28y · Male·Drowning

…the need for robust absconding protocols, immediate and comprehensive search procedures when vulnerable psychiatric inpatients go missing, clear communication between mental health services, and consideration of enhance…

psychiatryforensic medicinesystemcommunication
VIChospital2011-10-26

Finding into death of John Threadgold

55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…

Mr John Threadgold, a 55-year-old man with extensive psychiatric history (schizoaffective disorder, substance dependency), chronic obstructive airways disease, and alco…

psychiatryemergency medicinecommunicationsystemantipsychotic medications
SAhospital2019-06-12

Coroner's Finding: CHEETHAM Robert Boyd

84y · Male·dilated cardiomyopathy with cardiomegaly due to pulmonary hypertension and valvu…

…while subject to a Mental Health Act detention order at Royal Adelaide Hospital. He had been admitted with acute congestive cardiac failure exacerbation, discharged to nursing care, but returned to hospital hours later …

cardiologypsychiatry
TAScommunity2018-06-12

Coroner's Finding: Osborn, James Lee

62y · Male·drowning

…une 2016 after a rapid deterioration in mental health. He had a long history of depression but experienced acute decompensation with paranoid delusions in the weeks before death, triggered by a petrol spill incident. Fo…

psychiatryemergency medicinesystemcommunicationolanzapine
WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

…al Health Act care. After two weeks of increasingly challenging management at Kalgoorlie Health Campus for acute psychotic exacerbation, he was transferred by RFDS to Fiona Stanley Hospital ICU, intubated due to severe …

psychiatryintensive caresystemdelayaripiprazole depot
TAScommunity2019-08-13

Coroner's Finding: Jeffrey, Angela Joy

53y · Female·Unable to determine; circumstances suggest death by suicide but body never recov…

…ela Joy Jeffrey, a 53-year-old woman with a long history of depression managed with antidepressants and psychiatric care, disappeared on 1 June 2016 from Bakers Beach, Tasmania. She had experienced a significant mood de…

psychiatrygeneral practiceantidepressant medication
VICmental health2014-02-10

Finding into death of Frank (Francesco) Sette

72y · Male·Cranial fracture and intracranial haemorrhage from self-inflicted fall

…and intracranial haemorrhage sustained when he deliberately threw himself backwards onto the floor of a psychiatric ward. He was an involuntary patient in the High Dependency Unit experiencing acute psychotic relapse wi…

psychiatrygeriatric medicinesodium valproate
SAhospital2011-12-02

Coroner's Finding: BINCH Joyce

82y · Female·acute pyelonephritis complicating base of bladder malignancy

Joyce Binch, 82, died of acute pyelonephritis from bladder malignancy while detained under mental health legislation. She was admitted wi…

psychiatrygeneral medicinerisperidone
NSWmental health2017-07-11

Inquest into the death of CCW

68y · Female·Hypoxic Ischaemic Encephalopathy as a result of Hanging

A 68-year-old woman with longstanding psychotic illness presented to ED with acute relapse, homicidal ideation toward her husband, and vague suicidal threats. Psychiatry assessed suicide ri…

psychiatrygeriatric medicinecommunicationsystemquetiapine
WAhospital2014-10-17

Inquest into the Death of Gillian Hanson

62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …

… died from hyponatremia (sodium level 114mmol/L) resulting in seizure and aspiration during involuntary psychiatric admission. She had been on escitalopram (SSRI) for depression and was admitted after refusing depot ant…

psychiatrygeneral practicediagnosticescitalopram
VIChome2013-07-16

Finding into death of Melanie Anne Reynolds

30y · Female·Mixed drug toxicity (propranolol, duloxetine and codeine)

…ngaged with Crisis Assessment and Treatment Team (CATT) following referral by her private psychiatrist for acute suicidal ideation. Key clinical lessons include: BPD patients may not disclose suicide plans despite appea…

psychiatryemergency medicinecommunicationsystempropranolol
WAhospital2026-04-01

Inquest into the Death of David John HATCHER

60y · Male·Pulmonary tuberculosis in a man with chronic obstructive pulmonary disease, with…

A 60-year-old man remanded in custody died from pulmonary tuberculosis complicated by severe COPD. Key clinical issues included: delayed diagnosis (TB not suspected at intake despite respiratory symptoms), patient's refu…

respiratory medicineinfectious diseasessystemdelaytb treatment
VIChome2019-08-15

Finding into death of Jovan Kozarov

62y · Male·Incised wound to the neck

A 62-year-old man died from an incised neck wound inflicted by his son during a psychotic relapse. The son, with a 15-year history of schizophrenia managed in the community, was experiencing worsening psychotic symptoms …

psychiatryforensic medicinecommunicationsystem
NSWcommunity2026-02-05

Inquest into the deaths at Westfield Bondi Junction Volume 1

40y · Male·Victims: fatal stab wounds from knife attack; Joel Cauchi: fatal gunshot wounds …

… Darchia) before being shot and killed by NSW Police Inspector Amy Scott. The inquest examined Cauchi's psychiatric care, particularly noting that his treating psychiatrist Dr B.-Lavack failed to adequately monitor him …

psychiatrygeneral practicecommunicationsystemclozapine
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

…nging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicidal ideation and a reported self-harm attempt. Despite appropriate i…

psychiatryemergency medicinecommunicationsystemaripiprazole
ACTcommunity1999-02-26

In The Matter Of The Death Of Warren Geoffrey Ianson

Male·Transection of the aorta with exsanguination caused by gunshot wounds to the mid…

Warren I'Anson died from gunshot wounds to the mid-back on 17 November 1995 during a police response to a mental health crisis. He had schizophrenia, recently experienced grief from his wife and friend's deaths, and was …

psychiatryemergency medicinecommunicationsystemdiazepam

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