Coronial

390 results for mental health deterioration

VIChome2013-05-21

Finding into death of John Crivera

31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine

…idn't attend. If collateral evidence (blood levels) had been obtained in October when concerns arose about mental deterioration, the team would have detected non-compliance, prevented dose reductions, and potentially ave…

psychiatryemergency medicinediagnosticcommunicationquetiapine
SAhospital2017-04-19

Coroner's Finding: RAYNER Augustine Durham

88y · Male·bilateral acute bronchopneumonia on a background of chronic obstructive airways …

…ve pulmonary disease and chronic schizophrenia died of bilateral acute bronchopneumonia while subject to a Mental Health Act detention order at a teaching hospital. He was admitted after being found unkempt and homeless,…

psychiatrygeneral medicine
NSWcommunity2018-07-27

Inquest into the disappearance and suspected death of Kellie Anne Levitski

38y · Female·Unable to be determined

…March 2014 from her father's property near Bega, NSW. She had schizoaffective disorder requiring intensive mental health support, depot antipsychotic injections, and multiple medications. Discharged from Canberra Hospita…

psychiatrysystemdelay
NSWcommunity2025-08-08

Inquest into the death of Stephen Douglas

62y · Male·Multiple sharp force injuries intentionally inflicted by client during home visi…

Stephen James Douglas, a 62-year-old community mental health nurse, was killed on 28 November 2019 by his client Peter Kemball during a home visit. Kemball had …

psychiatrygeneral practicediagnosticsystempaliperidone
WAhome2018-03-22

Inquest into the Death of Aileen Helen QUARTERMAINE

60y · Female·effects of fire in a woman with alcohol effect

…schizophrenia died in a domestic fire on 26 July 2014. The day before, her son sought help from police and mental health services after noticing signs of mental health deterioration. Police attended but failed to identif…

psychiatryemergency medicinecommunicationdiagnosticpaliperidone
SAhospital2011-11-03

Coroner's Finding: BALLARD Margaret Dawn

76y · Female·aspiration of gastro-intestinal contents as a result of small bowel obstruction …

…ent diagnostic weight given to severe collapse, inadequate observation period, and failure to escalate deterioration at the receiving facility. Vulnerable psychiatric patients require senior clinician review and higher …

emergency medicinepsychiatrydiagnosticcommunicationsodium valproate
TAScommunity2018-06-12

Coroner's Finding: Osborn, James Lee

62y · Male·drowning

James Lee Osborn, aged 62, died by drowning in the Derwent River on 30 June 2016 after a rapid deterioration in mental health. He had a long history of depression but experienced acute decompensation with parano…

psychiatryemergency medicinesystemcommunicationolanzapine
WA2022-02-10

Inquest into the Suspected Death of Naing Aung YAN

28y · Male·unascertained; manner of death: suicide

…nd death occurred by suicide, though the precise cause remains unascertained. The case highlights risks of mental health deterioration in maritime workers during prolonged sea deployments.

VIChome2017

Finding into death of Harold George Nolan

73y · Male·Stab wound to the neck

…ome. Ms Nolan was his full-time carer following his 2013 stroke and was experiencing severe carer fatigue, mental health deterioration, financial stress, and paranoid thinking. She had been referred to a private psycholo…

general practicepsychiatrycommunicationdelayantidepressants
SAhospital2007-04-12

Coroner's Finding: McINERNEY Harold Leslie

84y · Male·lower respiratory tract infection complicating congestive cardiac failure

…ed from lower respiratory tract infection complicating congestive cardiac failure while detained under the Mental Health Act at Queen Elizabeth Hospital. He was admitted for bleeding ulcers and subsequently detained due …

general medicinepsychiatryhaloperidol
NThospital2011-06-24

Inquest into the death of Leo Kauka Simukka

48y · Male·subdural haemorrhage

A 48-year-old man with chronic alcoholism, diabetes, and poor general health died from subdural haemorrhage. He was found unresponsive at home after a day spent drinking heavily, with…

emergency medicineneurosurgerydiamicron mr
VICcommunity2023-11-24

Finding into death of Geelong Youth Suicide Cluster Finding

Male·suicide

… temporally, spatially, and socially clustered with shared risk factors including relationship breakdowns, mental health deterioration, family stressors, educational difficulties, and substance use. Most were engaged wit…

psychiatrygeneral practice
SAmental health2022-07-08

Coroner's Finding: Cardwell, Phillip David

53y · Male·lung abscess with empyema

…53-year-old man with schizophrenia died from lung abscess with empyema while an involuntary inpatient at a mental health facility. He had been readmitted with a respiratory infection and was treated with intravenous anti…

psychiatryemergency medicinedelayclozapine
TAScommunity2019-08-13

Coroner's Finding: Jeffrey, Angela Joy

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

…c care, disappeared on 1 June 2016 from Bakers Beach, Tasmania. She had experienced a significant mood deterioration following return from holiday, expressed suicidal ideation to family, and left home stating she was go…

psychiatrygeneral practiceantidepressant medication
QLDhospital2018-09-26

Mann, Renae Jean

43y · Female·acute toxic effects of amitriptyline

…ed amitriptyline overdose. After 11 hours of ED monitoring, she was medically cleared and transferred to a mental health assessment pod, despite abnormal ECG findings with T-wave changes not fully investigated (troponin …

emergency medicinepsychiatrydiagnosticcommunicationamitriptyline
WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

…tion detention centre on 8 November 2015. He had spent 1,477 days in detention and experienced progressive mental health deterioration characterised by depression, anxiety, and psychotic-like symptoms attributed primaril…

psychiatrygeneral practicesystemcommunicationmirtazapine
VIChome2024-11-07

Finding into death of Daniel James Mayes

35y · Male·Neck compression secondary to hanging

…busive messages including content suggesting previous suicide attempt. His mother recognised deteriorating mental health and offered support, which Daniel declined, believing the problem would resolve once the relationsh…

VIChome2021-04-13

Finding into death of Jason Leslie Smith

44y · Male·Gunshot wound to the head

…bon in a family violence incident. The coroner found that while Pozzebon had a valid firearms license, his mental health had deteriorated significantly following a 2012 head injury, and this deterioration was not adequat…

general practiceforensic medicinecommunicationsystem
VIChospital2011-05-04

Finding into death of Ms P

30y · Female·Multi organ failure from hydrochloric acid ingestion

…organ failure following intentional hydrochloric acid ingestion on 22 September 2008. She had presented to mental health services on 18 September following suicidal ideation and overdose of benzodiazepines. Despite hospi…

psychiatrygeneral practicecommunicationsystemtemazepam
VICmental health2020-03-17

Finding into death of Paul Peterson

54y · Male·Neck compression (hanging)

…al ideation, and opioid dependence. On 1 July 2014, despite being on hourly observations and deteriorating mental state that evening (agitation, tremors after ceasing medication for ECT), he was allowed accompanied leave…

psychiatrysystemcommunicationcitalopram
1220

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