Coronial

110 results for aggressive behaviour

SAhospital2020-07-16

Coroner's Finding: SHANKLAND Alistair Douglas

78y · Male·Subarachnoid haemorrhage (bilateral) and occipital fracture

…ned when he forcefully opened a bathroom door into his face while under an Inpatient Treatment Order for behavioural disturbance. He had been admitted following aggressive behaviour related to dementia progression. Desp…

psychiatrygeriatric medicineclonazepam
QLDaged care2019-02-12

Quayle, Betty Christine - Non-inquest findings

89y · Female·Blunt force head injury on a background of ischaemic and valvular heart disease

… with proper risk management, the death could have been prevented. Systemic failures included inadequate behaviour risk assessment, inconsistent incident recording, normalisation of aggressive behaviours, and insufficie…

geriatric medicinegeneral practicesystemcommunication
SAhospital2016-08-25

Coroner's Finding: KENNEDY Brian

70y · Male·general inanition on a background of advanced frontotemporal dementia

…ct inpatient treatment order. He was admitted to Flinders Medical Centre in January 2014 with escalating aggressive behaviours and medication non-compliance. He subsequently refused food and medication despite numerous i…

psychiatrygeriatric medicine
TASaged care2025-05-26

Coroner's Finding: de-identified GJ

94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …

…edictable and difficult to prevent given the resident's severe dementia, the coroner identified that the aggressive resident required earlier specialist assessment and more decisive management. Referrals to specialist se…

geriatric medicineorthopaedic surgerysystemdelayoxazepam
QLDmental health2004-09-30

Cif Lee Ja 20040930

23y · Male·compression of the neck, secondary to coronary arteriosclerosis

…g marked behavioral changes, he became increasingly agitated that evening. During attempts to manage his aggressive behavior, he was restrained by multiple staff members, handcuffed without medical authorization, placed …

psychiatryemergency medicineproceduralcommunicationdroperidol
ACThome2018-11-29

AN INQUEST INTO THE DEATH OF TANIA LOUISE KLEMKE

46y · Female·Multiple significant injuries with associated exsanguination caused by a determi…

…fordshire Terrier cross, Simba, during an attack on 25 October 2017. The dog had a documented history of aggressive behaviour and prior incidents, including a previous attack on Ms Klemke's ex-partner in August 2017. Tox…

methamphetamine
QLD2016-01-15

Berrill, Robert Charles - Non-inquest findings

Male·Multiple injuries due to a motorcycle accident

…as travelling at 54–80 km/h in a 60 km/h zone. Berrill's traffic history showed a pattern of risk-taking behaviour, including 15 previous speeding offences and prior similar incident in 2000. The coroner found that desp…

VIChome2022-04-07

Finding into death of Ms AA

31y · Female·Blunt head trauma

…te while sleeping. The relationship showed early warning signs including Mr BB's possessiveness, passive-aggressive behaviour regarding her past relationships, and questioning the relationship's meaningfulness, but no fo…

VICmental health2010-09-08

Finding into death of Brian O'Connor

73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …

…nnor, a 73-year-old man with vascular dementia, was admitted to a mental health inpatient unit following aggressive behaviour. He was placed on 15-minute observations due to Level 3 falls risk. Over several weeks, he sus…

psychiatryneurosurgerydiagnosticsystemfluphenazine
NSWaged care2020-03-03

Inquest into the death of Hazel BROCKETT

86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…

…cal and verbal aggression toward staff and residents. Multiple clinical failures prevented intervention: behaviours were inadequately documented and communicated to the GP; the assumption that pain caused aggression led…

geriatric medicinegeneral practicecommunicationdiagnosticbuprenorphine
VICaged care2010-09-08

Finding into death of Joan Hendrickson

78y · Female·Aspiration pneumonia, epistaxis, and trauma to the face

… aspiration pneumonia 10 days later. The coroner identified that a co-resident, JL, exhibited escalating aggressive behaviours over six months prior to the incident. The facility and JL's general practitioner failed to c…

general practicegeriatric medicinecommunicationsystem
WAhospital2008-07-28

Inquest into the Death of kidner

41y · Male·Head Injury in a Man with Acute Alcohol Intoxication; basal skull fracture with …

…fter brief assessment by a locum doctor who did not recognise the severity of injury, was intimidated by aggressive behaviour, and lacked CT scanning capability for diagnosis. The patient was released to friends despite …

emergency medicinegeneral medicinediagnosticcommunicationalcohol
VIChome2020-09-11

Finding into death of Mr A

44y · Male·compression of the neck consequent upon hanging

…er violence died by hanging. He had recently separated from his wife and was enrolled in a 18-week men's behaviour change program, having completed 17 of 18 sessions. He reported suicidal ideation and lowered mood but d…

general practicepsychiatrysystemdelayalcohol
WAcommunity2005-06-09

Inquest into the Death of Richard Stanley Tauwhare

25y · Male·gastro-intestinal haemorrhage due to erosive gastritis in association with acute…

…etamine toxicity. He had consumed a large dose of methylamphetamine (3.9 mg/L blood level), which caused aggressive and psychotic behaviour. After assaulting a friend while she was driving, he wandered naked on a street …

methamphetamine
VIC2014-05-21

Finding into death of Michael Patrick Ormsby

9y · Male·Motor vehicle accident related multi trauma

…no blame attached to any party. The tragic incident highlights the inherent risks of caring for severely behaviourally dysregulated children with autism in community settings. Enhanced environmental safeguards, such as …

paediatricsrisperidone
SAhospital2015-09-22

Coroner's Finding: MCATEER John Desmond

84y · Male·ischaemic heart disease on a background of advanced Lewy body dementia

…rt disease while detained under a Mental Health Act order. He was admitted to hospital for management of aggressive behaviour related to his dementia. During his admission he developed dehydration, hyponatraemia, and evi…

psychiatrygeriatric medicineolanzapine
WAhospital2016-02-05

Inquest into the Death of Pauline Margaret DODD

51y · Female·Ischaemic heart disease

…entially present from 1989) and appropriate medication might have ameliorated her course. The deceased's aggressive behaviour and refusal of examination significantly impeded cardiovascular assessment. The coroner found …

psychiatrycardiologydiagnosticolanzapine
VICaged care2020-11-05

Finding into death of Sylvia Valerie Woolford

88y · Female·Complications of fractured neck of femur

…r 6 weeks before dying on 12 July 2018. Clinical lessons include: adequate supervision and monitoring of aggressive residents is essential in locked dementia units; early recognition of assault-related injuries and their…

geriatric medicineorthopaedic surgerysystem
VICaged care2025-03-14

Finding into death of Maria Grazia Nardiello

90y · Female·Surgical repair of fractured neck of femur sustained in a fall complicated by CO…

…d care facility, complicated by COVID-19 infection. She was pushed by another resident with dementia and aggressive behaviour, falling in a corridor. The fracture was successfully repaired surgically, but Maria developed…

geriatric medicineorthopaedic surgerysystem
NSWhome2019-10-18

Inquest into the death of Aron MYERS

45y · Male·cardiac arrhythmia whilst being restrained, in the context of methamphetamine as…

…rrhythmias. In community settings, clinicians managing patients with schizophrenia, substance abuse, and aggressive behaviour should be aware of concurrent cardiac risks. Early psychiatric intervention and substance abus…

psychiatrycardiologymethamphetamine

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