76y · Female·Aspiration pneumonia complicating catatonia and depression in the setting of met…
Patricia Russell, a 76-year-old woman with metastatic bladder cancer, catatonia, and severe depression, died from aspiration pneumonia at St Vincent's Hospital. She was a compulsory pa…
89y · Female·aspiration pneumonia with respiratory failure complicating major depression with…
Louisa Betty Ryan, 89 years old with major depression with catatonia, atrial fibrillation, pulmonary oedema, diabetes and Parkinsonism, died from aspiration pneumonia with r…
53y · Female·unascertained natural causes
… missed opportunities. Death cause remained undetermined. The case highlights the challenges of managing catatonia in psychiatric settings. Post-incident, the health service implemented improvements including formal tra…
63y · Female·sepsis and pneumonia due to immobility with sacral ulcer resulting from schizoph…
…catatonic schizophrenia. She was admitted to Launceston General Hospital in February 2019 with fever and catatonia. Despite appropriate medical management including antipsychotic medications, benzodiazepines, electrocon…
39y · Male·Complications arising from widely disseminated primary pulmonary small cell carc…
…ly disseminated small cell lung cancer with hepatitis C cirrhosis. He presented with acute psychosis and catatonia in December 2018, receiving appropriate psychiatric care including ECT. During subsequent mental health …
73y · Female·pulmonary embolus
…l improvement in consciousness. Electroconvulsive therapy was administered for suspected depression with catatonia. The coroner found her medical care, supervision, and treatment whilst subject to Mental Health Act orde…
28y · Male·Acute Dopamine Imbalance Syndrome
…as determined to be acute dopamine imbalance syndrome (possibly neuroleptic malignant syndrome or lethal catatonia). Key failures: no urgent neurology consultation after abnormal EEG; discharge to community without neur…
47y · Male·pulmonary thromboembolism and deep vein thrombosis
Paul Finck, 47, an involuntary psychiatric patient with schizophrenia, died from pulmonary thromboembolism and deep vein thrombosis while admitted to the psychiatric ward. He presented with fever, tachycardia, elevated C…
23y · Female·unascertained
Olivia Gilfillan, aged 23, died between 1–5 February 2018 after nine years of psychiatric treatment for anorexia nervosa, obsessive-compulsive disorder, schizoaffective disorder, and borderline personality disorder. She …
29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…
…ged refusal to eat and drink from December 2004, initially attributed to psychiatric illness (depression/catatonia) rather than organic causes. An endoscopy showed Helicobacter pylori infection but this finding was not …
27y · Male·Effects of fire
Brendon Crippen, 27, died from severe burns sustained in a deliberately set fire at his family's property. He had recently absconded from a Tasmanian psychiatric unit where he was subject to a compulsory treatment order …
37y · Male·Combined effects of presumed heavy metal poisoning from an unknown material and …
A 37-year-old man with schizophrenia died between 14–18 August 2020 in bushland near Whiteman Creek NSW, from presumed heavy metal poisoning and freshwater drowning. He was experiencing a psychotic episode related to unm…
32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …
A 32-year-old woman with schizophrenia, well-controlled on clozapine, became pregnant. Poor communication between her general practitioners, community mental health service, and the hospital meant the hospital was unawar…
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