Deceased
Shane John ROBINSON
Demographics
29y, male
Coroner
Coroner Linton
Date of death
2011-06-10
Finding date
2015-06-22
Cause of death
Multiple drug toxicity
AI-generated summary
Shane John Robinson, a 29-year-old prisoner with complex medical conditions including Crohn's disease, pulmonary embolism, anaemia and schizoaffective disorder, died from multiple drug toxicity in prison. He had been prescribed multiple medications including methadone, quetiapine, and mirtazapine, which he was receiving under supervised protocols. Clinical expertise confirmed the medical care provided was of high standard. Robinson obtained additional prescription drugs illicitly, combining them with his prescribed medications. He was found unresponsive in his cell and despite CPR, could not be revived. The coroner concluded his death was accidental, not suicide, and that the prison Department's medical management and drug-control measures were appropriate. Key clinical lessons include the challenges of managing complex polysubstance-dependent patients with serious chronic illness, particularly in custodial settings, and the difficulty distinguishing genuine medical need from drug-seeking behaviour.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
56y · Male·complications of viral hepatitis related advanced-chronic liver disease (medical…
Russell Graham Penny, a 56-year-old Aboriginal man, died from complications of advanced chronic liver disease with hepatocellular carcinoma while imprisoned at Casuarina Prison. He had a long history of hepatitis C and c…
55y · Male·Complications of liver cirrhosis and hepatocellular carcinoma in a man with mult…
Robert Exell, a 55-year-old Aboriginal man, died from complications of liver cirrhosis and hepatocellular carcinoma while in custody. He had chronic hepatitis C and alcohol-related liver disease since at least 2012. Key …
7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…
Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…
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.
Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.
Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.