The patient, who had intellectual disability and autism spectrum disorder, was given a mood stabiliser called carbamazepine. Read more at straitstimes.com.
SINGAPORE - After he was administered a mood stabiliser while in the Institute of Mental Health , Mr Shawn Ho Chet Hsiong, who has intellectual disability and autism spectrum disorder, died from multiple organ failure.
The coroner, who ruled the death as a medical misadventure, said that as Mr Ho, 27, did not have the mental capacity to consent to receiving carbamazepine, it was for the treating clinician to decide on the appropriate treatment.While it is good clinical practice for the attending doctor to update a patient’s family on the prescription of a new medication where feasible, the coroner found that it was reasonable that the associate consultant psychiatrist managing Mr Ho had not done so.
This was after his aggression behaviour - particularly towards his mother - worsened when activities at his day activity centre stopped during the Covid-19 circuit breaker. Mr Ho’s aggressive behaviour did not improve after he was admitted, and on one occasion, he hit another patient. He added that failing to address the aggression and behaviour meant Mr Ho would have to remain in IMH and be placed in restraints for a long time, which would have led to other serious issues like pneumonia and urinary tract infection.
“This was a very low risk. Unfortunately, a very low risk does not mean that there was no risk.” said the coroner.
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