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.
Drugs involved
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
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