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Finding into death of Kim Melissa Hall

Deceased

Kim Melissa Hall

Demographics

36y, female

Coroner

Deputy State Coroner Caitlin English

Date of death

2015-12-26

Finding date

2021-03-19

Cause of death

combined effects of baclofen toxicity and blunt head injury

AI-generated summary

Kim Melissa Hall, 36, died from combined baclofen toxicity and blunt head injury sustained during falls while acutely intoxicated. She had severe alcohol dependence treated with off-label baclofen prescribed by her GP. On 26 December 2015, after spending Christmas with her estranged partner despite an active intervention order, she ingested a large quantity of baclofen. She became delirious, disoriented, and likely suffered seizures, sustaining multiple injuries over several hours while alone at home. The coroner found no evidence of intentional self-harm or third-party involvement. Key clinical lesson: baclofen toxicity can cause profound CNS depression and seizures, particularly in polysubstance users with psychiatric comorbidity. Prescribing large quantities to vulnerable patients requires careful monitoring and consideration of concurrent CNS depressants.

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

Specialties

general practiceaddiction medicineforensic medicine

Error types

medication

Drugs involved

baclofencitalopramquetiapinediazepammorphinecodeinealcohol

Clinical conditions

alcohol dependencebaclofen toxicitybipolar disorderdepressionhepatitis C infectionadvanced alcohol liver diseasepolysubstance abuse

Contributing factors

  • ingestion of excessive amount of baclofen
  • concurrent use of multiple CNS depressants
  • baclofen-induced delirium and disorientation
  • possible seizure activity
  • bipolar disorder and depression
  • polysubstance abuse history
  • stressful life events at time of death
  • family violence relationship with partner
  • lack of supervision while intoxicated
Full text

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