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Finding into death of Susan Michelle Patterson

Deceased

SUSAN MICHELLE PATTERSON

Demographics

27y, female

Date of death

2009-11-09

Finding date

2011-07-18

Cause of death

mixed methadone and alcohol intoxication

AI-generated summary

Susan Patterson, a 27-year-old Aboriginal woman with a history of alcohol and polysubstance use, died from mixed methadone and alcohol intoxication. She consumed an unknown substance from a brown bottle offered by a neighbour on 8 November 2009, then fell asleep and was found unresponsive the following morning. Post-mortem toxicology revealed moderate blood alcohol (0.10) and substantial methadone (0.5 mg/L). As methadone and alcohol are both CNS depressants with synergistic effects, particularly in non-tolerant individuals, the combination proved fatal. Key clinical lessons include recognising the lethal potential of methadone-alcohol combinations, assessing substance use history thoroughly, and understanding that individuals not enrolled in methadone programs may still access the drug. The coroner could not definitively establish how methadone was obtained, highlighting gaps in substance use monitoring for vulnerable populations subject to community orders.

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

Contributing factors

  • consumption of methadone from unknown source
  • moderate blood alcohol concentration
  • synergistic CNS depressant effects
  • lack of established methadone tolerance
  • supervision gaps - subject to community-based order with conditions for drug treatment but monitoring appeared inadequate
  • failure to attend mandated detoxification programme
  • outstanding bench warrant at time of death
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