391 results for “psychiatric medication management”
49y · Male·ligature compression of the neck (hanging)
…a ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essential for prisoners with psychotic symptoms and depression, particularly rega…
32y · Male·overdose of a combination of chlorpromazine, mirtazapine, and diazepam
… chlorpromazine, mirtazapine, and diazepam at home on 16 January 2007, eleven days after discharge from psychiatric hospital. He had a history of depression, polysubstance abuse, and recent suicide attempts while impris…
45y · Male·Coronary Atherosclerosis
…ctors (hypertension, diabetes, obesity, smoking), died of coronary atherosclerosis while an involuntary psychiatric patient at Graylands Hospital. He presented to Sir Charles Gairdner Hospital 11 days before death with …
24y · Male·multiple stab wounds to the chest that he inflicted upon himself
… relapse and engaged in a dangerous spree involving vehicle theft, assault, and police pursuit. Despite psychiatric treatment with antipsychotics, he stopped medication multiple times. On 4 January 2019, he rammed a pol…
27y · Male·unascertained
…ed from Kalgoorlie, Western Australia in February 1982, shortly after discharge from hospital for acute psychiatric crisis. He had relocated to Western Australia to avoid compulsory medication in South Australia. After …
49y · Male·hanging
…ee children. Despite a chronically high suicide risk and prior suicide attempts, he received inadequate psychiatric and nursing review in his final years. Expert evidence unanimously concluded that custodial mental heal…
51y · Male·unascertained
…. Post-mortem examination, including toxicology, failed to determine a cause of death. The coroner found medication levels were therapeutic and within reasonable management parameters. Family concerns about over-medicati…
59y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis
…syndrome, died from pulmonary thromboembolism due to left deep calf vein thrombosis while detained in a psychiatric hospital. He was on multiple psychotropic medications (olanzapine, haloperidol, clonazepam, valproate, …
45y · Male·Stab wound to the chest, self-inflicted
…phrenia, died by self-inflicted stab wound in April 2009, approximately two months after discharge from psychiatric hospital on a Community Treatment Order. He was discharged on a complex medication regime requiring for…
63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…
…rs, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 August 2019 with acute psychosis requiring sedation with multiple CNS-de…
Female·Dothiepin toxicity
…ne Carrigg, a woman with recurrent post-natal depression, died from dothiepin overdose three days after psychiatric discharge. Critical clinical failures included: prescribing dothiepin (a cardiotoxic tricyclic antidepr…
84y · Female·unascertained; possible causes include cardiac arrhythmia, myocardial infarction…
An 84-year-old woman with a 50-year history of serious mental illness died suddenly at a psychiatric unit while under involuntary Mental Health Act status. She was found unresponsive in the TV lounge appr…
47y · Male·mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)
…caseworker how many tablets would be needed for overdose. After two emergency department visits without psychiatric admission despite expressing suicidal intent, he sought respite care on 15 October 2018 but was unable …
72y · Male·Hanging
…tre died by hanging in April 2017. He had a documented history of depression managed with antidepressant medications, and his medication (mirtazapine) was adjusted twice in the months before his death without face-to-fac…
61y · Male·combined drug intoxication (doxepin, mianserin and fluoxetine)
…uoxetine—all antidepressants prescribed over several years. He self-medicated with previously prescribed medications, likely attempting to manage worsening depressive symptoms without medical consultation. Toxicology sho…
27y · Male·HEAD INJURY SUSTAINED IN A MOTOR VEHICLE COLLISION (PEDESTRIAN)
…7, with paranoid schizophrenia and command hallucinations, was admitted to the Low Dependency Unit of a psychiatric hospital despite expressing intent to jump from a moving car and requesting High Dependency placement. …
Deaths from injuries sustained in a mass stabbing attack
…l 2024. The perpetrator, Joel Cauchi, had treatment-resistant schizophrenia and had ceased antipsychotic medication. Key clinical findings identified serious deficiencies in psychiatric care, including inadequate managem…
22y · Male·Unascertained
A 22-year-old male with schizophrenia disappeared on 28 November 1984 after ceasing prescribed medication approximately six months prior. He left home to withdraw money from a bank but was never seen again. His…
48y · Male·Multiple injuries consistent with a jump from a height (14 storeys); broken neck…
…t in Carlton, Melbourne, on 15 December 2007. The coroner found he intentionally jumped during an acute psychiatric relapse. The incident was preceded by increasingly agitated and aggressive behaviour, including disturb…
54y · Female·Complications of mixed drug toxicity (opiates, zolpidem, benzodiazepines and dox…
…xed drug toxicity (opiates, zolpidem, benzodiazepines, doxylamine). She had been accumulating prescribed medications over extended periods despite her brother's concerns about out-of-date medicines. Letters found at the …
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