264 results for “conduct disorder”
40y · Female·Sudden unexpected death in epilepsy (SUDEP) in a woman with schizophrenia
FM, a 40-year-old woman with epilepsy and schizoaffective disorder, died from sudden unexpected death in epilepsy (SUDEP) at her disability group home. She had been prescri…
57y · Female·Asphyxia - Inhalation of liquefied petroleum gas (LPG)
Mrs R, a 57-year-old woman with bipolar disorder, borderline personality disorder, and depression, died from asphyxia by inhalation of liquefied petroleum…
42y · Male·unascertained
…bly drowning near Somers Beach. An AHPRA investigation found his GP, Dr I., had engaged in unprofessional conduct by failing to adequately diagnose the extent of drug dependence and subsequently prescribing excessive do…
27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…
…elfare report from a friend who explicitly expressed fear Tafari would kill Gabriella, but police did not conduct an in-person welfare check after speaking to Gabriella by phone, missing an opportunity to intervene. Cri…
33y · Female·Hanging
…. The coroner highlighted that text-based communication between clinicians and patients limits ability to conduct thorough mental state assessment and recommended patients be informed of crisis service limitations and p…
21y · Female·Neck compression
Kira Shae James, a 21-year-old with psychosis, borderline personality disorder, and eating disorder, died by ligature at Thomas Embling Hospital while an involuntary inpatient under Me…
38y · Female·Multiple injuries sustained when struck by a train
…and neck. Subsequently, she reported being bullied and isolated by colleagues, with management failing to conduct a proper investigation. Her complaints were handled informally at departmental level rather than escalate…
44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…
Elizabeth Ferris, a 44-year-old woman with schizoaffective disorder and polysubstance use disorder, died from hypoxic ischaemic encephalopathy following cardiac arrest in th…
45y · Female·combined drug (tapentadol, nortriptyline, venlafaxine, codeine, oxycodone, queti…
…ath as misadventure rather than suicide. Clinical lessons include: GPs prescribing high-risk opioids must conduct regular risk-benefit assessments and monitor for substance abuse; timely provision of urine drug screens …
22y · Male·hypoxic ischaemic encephalopathy as a result of hanging
…y clinical lessons include: always obtain and review discharge summaries before cell placement decisions; conduct thorough post-hospitalisation assessments rather than cursory interactions; escalate concerns about seizu…
31y · Female·neck compression in the circumstances of hanging
…31-year-old accountant with longstanding depression, anxiety, bulimia nervosa, and borderline personality disorder (BPD), died by hanging in August 2015. She had experienced workplace difficulties with her manager Jade C…
40y · Male·Asphyxia caused by a seizure resulting from severe alcohol intoxication. Underly…
Paul Meech, a 40-year-old man with bipolar affective disorder, died of asphyxia caused by a seizure from severe alcohol intoxication while in police custody at Hervey …
0y · Female·unascertained
…eensland DCSSDS inadequately assessing an August 2018 notification of parental aggression, DCJ failing to conduct a review safety assessment after receiving information about untreated mental illness and violence, polic…
43y · Male·hypoxic brain injury caused by cardiac arrest due to unintentional drug poisonin…
A 43-year-old man with long-standing opioid use disorder and polysubstance dependence died from hypoxic brain injury following cardiac arrest caused by drug poiso…
37y · Male·hypoxic ischaemic encephalopathy secondary to hanging
A 37-year-old man with depression, suicidal ideation, and antisocial personality disorder died from hypoxic ischaemic encephalopathy following hanging while on home detention bail. He had been ar…
20y · Male·Multiple injuries from fall from height
Bailey Mackander, a 20-year-old Wiradjuri man with substance use disorder and anxiety, disclosed suicidal ideation to a prison psychologist. This led to his placement on a Risk In…
21y · Male·Suffocation from hanging
…e on remand awaiting trial for armed robbery charges. The coroner found that custodial officers failed to conduct proper 30-minute observations, with Mr Kelly appearing not to conduct any observations during the critica…
42y · Male·Ligature compression of the neck (hanging)
…e on remand. He had complex mental health needs including probable schizophrenia, anti-social personality disorder, and polysubstance use disorder. The coroner found the quality of mental health care provided was poor, a…
20y · Male·gunshot wound to the chest
A 20-year-old man with borderline personality disorder, who had made over 25 suicide attempts in the two years prior, died from a gunshot wound sustained during…
27y · Male·Cyanide toxicity
…scene. The coroner found the police response appropriate but criticised Bacto Laboratories for failing to conduct adequate enquiries to verify the false End User Declaration, highlighting regulatory gaps in Schedule 7 p…
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