Coronial
VIChome

Finding into death of SJD

Deceased

SJD

Demographics

54y, male

Date of death

2014-10-02

Finding date

2016-06-24

Cause of death

mixed pentobarbitone and alcohol toxicity

AI-generated summary

A 54-year-old self-employed veterinary surgeon died from mixed pentobarbitone and alcohol toxicity. He intentionally injected himself with pentobarbitone (a veterinary euthanasia drug) while under the influence of alcohol. He had a long history of alcohol abuse and gambling, with escalating problems following drink-driving convictions and loss of employment in 2009. On 27 September 2014, he expressed suicidal ideation to his wife for the first time, but she did not believe he would act. He was found deceased on 2 October 2014. The coroner identified that veterinarians have particular occupational access to pentobarbitone without regulatory requirements for secure storage or use registers, unlike drugs of dependence. The case highlights the vulnerability of veterinarians to suicide via accessible euthanasia drugs and suggests improved occupational health support and drug management protocols could be relevant preventive measures.

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

Contributing factors

  • long-term alcohol abuse
  • gambling problem
  • job loss and financial stress
  • suicidal ideation
  • access to veterinary pentobarbitone
  • lack of secure storage requirements for pentobarbitone
  • depression and unmanageable behaviour

Coroner's recommendations

  1. Implementation of secure storage requirements for pentobarbitone in veterinary practices, similar to requirements for drugs of dependence
  2. Establishment of a register requirement for use of pentobarbitone by veterinary practitioners
  3. Enhanced occupational health support and mental health screening for veterinarians
  4. Review of management and accessibility of pentobarbitone in veterinary practices
Full text

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