Coronial
SAhospital

Coroner's Finding: THALBOURNE-MAITREYA Michael Anthony

Deceased

Michael Anthony Thalbourne-Maitreya

Demographics

55y, male

Date of death

2010-05-04

Finding date

2013-09-04

Cause of death

toxic effects of quetiapine and clonazepam

AI-generated summary

A 55-year-old man with bipolar affective disorder died from toxic effects of quetiapine and clonazepam after intentional overdose. He was found unconscious at home and admitted to ICU at Royal Adelaide Hospital where he was intubated for airway protection, treated with inotropes for shock, and given activated charcoal. He developed aspiration pneumonia, septic shock, and multi-organ failure, dying 32 hours after admission. The coroner found medical treatment was competent and adequate, with no preventable factors identified. A psychiatrist evaluation required under Mental Health Act 1993 section 12(3) did not occur, though this was impracticable given the patient's unconscious state. Close ICU monitoring continued throughout his hospital course. No clinical or systemic failures were identified in his management.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • intentional polypharmacy overdose
  • aspiration pneumonia
  • septic shock
  • multi-organ failure
  • history of suicidal ideation
Full text

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