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Coroner's Finding: O'Shea, Amie Maree

Deceased

Amie Maree O'Shea

Demographics

39y, female

Date of death

2019-05-19

Finding date

2022-10-28

Cause of death

mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, promethazine, diazepam, propranolol) with aspiration of gastric contents

AI-generated summary

Amie Maree O'Shea, aged 39, died from mixed prescription drug and alcohol toxicity on 19-20 May 2019. She consumed excessive alcohol at a social gathering then ingested multiple CNS depressants (tapentadol, tramadol, promethazine, diazepam, propranolol) with suicidal intent. The coroner found no clinical intervention points as her death was sudden and unexpected to those around her. Key clinical lessons: Ms O'Shea had chronic complex medical conditions (breast cancer post-treatment, rheumatoid arthritis, sarcoidosis, depression, anxiety) with previous overdose attempts and suicidal ideation. She disclosed feeling like a burden but appeared in good spirits. Clinicians should maintain high vigilance for suicide risk in patients with multiple chronic conditions, depression, prior self-harm, and poor social engagement. Early psychiatric intervention and careful medication review in vulnerable patients are essential.

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

Specialties

pathologytoxicologypsychiatryoncologyrheumatologyrespiratory medicine

Drugs involved

tapentadoltramadolpromethazinediazepampropranololalcohol

Clinical conditions

opioid toxicitymixed drug toxicitydepressionanxietybreast cancerjuvenile rheumatoid arthritissarcoidosisaspirationrespiratory depression

Contributing factors

  • aspiration of gastric contents
  • respiratory depression
  • depression and previous suicidal ideation
  • feeling of being a burden to children
  • chronic debilitating medical conditions
  • prior history of overdose attempts
  • multiple CNS depressants at elevated levels
  • concurrent alcohol consumption with prescription medications
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.