35 results for “thought disorder”
29y · Male·Incised injury to the neck
…nabis, and methamphetamine. After police contact for driving violations, he experienced acute crisis with thought disorder and irrational behaviour, inflicting self-harm. The coroner found insufficient evidence of inten…
48y · Male·unascertained
…April 2018 and is presumed deceased. He had a history of methamphetamine use with associated paranoia and thought disorder, requiring psychiatric admission in March 2018. Despite recommended engagement with drug and alc…
29y · Male·Not determined; likely multiple injuries from fall from coastal cliff or drownin…
…s. The clinical lesson concerns recognition of deteriorating mental health in young adults with psychotic disorders, particularly when medication compliance is uncertain and social engagement is minimal.
33y · Male·hanging
…ustody for three weeks. Despite psychiatric assessment on 15 September identifying psychotic symptoms and thought disorder, he was commenced on antipsychotic medication (Olanzapine) and referred to the Hamden Unit for m…
29y · Male·hanging
…sychiatric review, Casey's suicide risk was downgraded to P2 on 16 March despite Nurse T D noting he was 'thought disordered' and 'disassociated.' Meaningful observations were removed. Critical HRAT documentation failed…
25y · Male·Head injury sustained on impact with a train
Edward Timothy Peterson, aged 25, was involuntarily admitted to Maroondah Hospital's psychiatric unit on 11 February 2021 with first episode psychosis. Clinical care by psychiatrist Dr C. was appropriate: medications wer…
74y · Male·Hospital acquired pneumonia complicating chronic lung disease
…and then to a mental health unit where he was placed on a Mental Health Act order for untreated psychotic disorder. His physical health deteriorated; he was transferred back to Royal Melbourne Hospital on 3 October 2016 …
Male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…
…en under continuous rather than close observations, and that key psychiatric warnings (paranoid comments, thought-disordered writings) were not adequately communicated to treating psychiatrist Dr S., who should have rea…
25y · Female·injuries sustained by jumping from the Tasman Bridge
A 25-year-old woman with longstanding borderline personality disorder, chronic suicidal ideation, and substance abuse died by jumping from the Tasman Bridge on 4 January 1996.…
23y · Male·open finding - not determined
A 23-year-old man with intellectual disability and chronic schizophrenia disappeared into bushland in 1982 and was presumed deceased. Clinical lessons include the importance of comprehensive discharge planning for vulner…
19y · Male·Ruptured aorta post motor vehicle incident
…lvement in discharge planning despite family concerns; and no diagnosis despite persistent disturbance of thought/mood. Clinicians prioritised maintaining therapeutic alliance over rigorous risk assessment. The coroner …
41y · Male·acute neck compression due to hanging
…absence under a Mental Health Act continuing detention order. He had a 20-year history of schizoaffective disorder requiring ongoing antipsychotic medication and community treatment orders. Despite being subject to a com…
60y · Male·burn wounds and the consequences thereof
CD, a 60-year-old man with long-standing psychiatric history (schizophrenia/schizoaffective disorder) and alcohol use disorder, set his house alight on 19 September 2017 after becoming acutely unwell with p…
<1y · Male·Scimitar syndrome
An 11-week-old term infant (Baby JDU) died from Scimitar syndrome, a rare congenital heart and lung disorder with bilateral complications including pulmonary hypoplasia, venous obstruction, and severe pulmonary hyp…
43y · Male·Hanging
Brett Andrew Pollini, a 43-year-old fire station officer with bipolar affective disorder, died by suicide following a distressing telephone call with the Child Support Agency (CSA) regarding a s…
48y · Female·Chronic Obstructive Airway Disease
Margret Lillian Harris, aged 48, died of chronic obstructive airway disease while detained under the Mental Health Act at Royal Adelaide Hospital. She had longstanding COAD, right heart failure, chronic hypoxia and cyano…
27y · Male·Effects of fire
…ychiatric unit where he was subject to a compulsory treatment order for schizophrenia and schizoaffective disorder. Following abscondment on 13 April 2018, he returned to Victoria but received inadequate mental health fo…
43y · Male·aspiration of vegetable matter with occlusion of the upper airway
Peter Cornish, a 43-year-old man with a 17-year history of bipolar disorder, died on 25 September 2001 from aspiration of vegetable matter while experiencing a severe manic episode.…
41y · Male·Hanging
Timothy Casey, a 41-year-old remand prisoner with a history of major depressive disorder and drug/alcohol dependence, died by hanging in Port Phillip Prison in March 2008. The coroner identified…
31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…
Georgia Cheal, a 31-year-old with complex medical history including chronic pain, major depression, and obesity, died from pneumonia exacerbated by combined drug toxicity from multiple prescription medications, cannabis,…
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