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Coroner's Finding: XY - deidentified

Demographics

84y, male

Date of death

2019-05-26

Finding date

2022-02-18

Cause of death

Overdose of prescription morphine (Ordine oral morphine liquid), self-administered with intent to end life

AI-generated summary

An 84-year-old man with advanced emphysema, colorectal cancer history, and severe functional decline took an intentional overdose of prescription morphine at home. In the weeks before death, he experienced progressive dyspnoea limiting him to walking 5-10 metres, weight loss, and difficulty with self-care. A GP home visit on 23 May offered hospital admission and palliative care, which he declined, requesting only symptomatic relief. He was prescribed morphine liquid with dosing instructions. The following day he ingested a lethal dose, leaving a typed suicide note expressing concerns about becoming a burden and loss of independence. His family had no warning signs and were unaware of suicidal intent. The coroner found the death was not preventable given the concealment of his decision and the absence of discernible risk indicators that family or clinicians could reasonably have detected.

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

Specialties

general practicerespiratory medicinepalliative careemergency medicine

Drugs involved

morphinemorphinenaloxone

Clinical conditions

chronic obstructive pulmonary diseaseemphysemametastatic colorectal cancercervical stenosislumbar stenosislower urinary tract symptomsrectal stump complications

Contributing factors

  • Advanced chronic obstructive airways disease with severe dyspnoea
  • Metastatic colorectal cancer
  • Severe functional decline and loss of independence
  • Multiple comorbidities including cervical and lumbar stenosis
  • Recent decline in mobility and ability to perform self-care activities
  • Perception of becoming a burden to spouse
  • Prescribed morphine liquid for symptom relief
  • Refusal of further investigation and active management
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.

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