Deceased
Matthew Clayton Lyons
Demographics
47y, male
Date of death
2018-10-15/2018-10-23
Finding date
2020-07-17
Cause of death
mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)
AI-generated summary
Matthew Clayton Lyons, a 47-year-old man with longstanding schizophrenia, severe anxiety, and substance abuse history, died from mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam, diazepam). He had expressed suicidal ideation multiple times in the months before death, including asking his 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 to secure a bed. He disappeared that evening and was found deceased near the hospital on 23 October. The coroner could not definitively determine whether this was suicide or accidental overdose, but clinical lessons include: urgency in securing mental health respite for patients expressing suicidal ideation, appropriate admission thresholds in emergency departments for high-risk psychiatric patients, and medication management strategies to prevent overdose in patients with expressed suicidal intent.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…
Elizabeth Ferris, a 44-year-old woman with schizoaffective disorder and polysubstance use disorder, died from hypoxic ischaemic encephalopathy following cardiac arrest in the setting of presumed drug toxicity. She was fo…
36y · Male·Drowning
Gary Dale Sargeant, a 36-year-old Royal Australian Air Force member, died by drowning after absconding from Edinburgh Health Centre during an acute mental health crisis. Critical clinical failures included: a clinical ps…
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