WAother

Inquest into the Death of Ohm SATHITPITTAYAYUDH

Deceased

Ohm SATHITPITTAYAYUDH

Demographics

38y, male

Date of death

2018-08-12

Finding date

2021-12-15

Cause of death

cardiac arrhythmia with acute circulatory failure in a man with acute drug effect/toxicity (5F-ADB)

AI-generated summary

Ohm Sathitpittayayudh, aged 38, died in custody at Karnet Prison Farm from cardiac arrhythmia with acute circulatory failure after ingesting 5F-ADB (Kronic), a synthetic cannabinoid. He had exemplary prison behaviour, good health, and no mental health issues. Prison supervision, treatment, and care were appropriate and medically commensurate with community standards. The coroner found no failures in prison management. However, the case highlights the false perception among prisoners that synthetic cannabinoids are safe and undetectable. The coroner recommended targeted education for prisoners about the unpredictable and potentially lethal consequences of synthetic cannabinoids, developed with input from health professionals and delivered with assistance from peer support prisoners.

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

Specialties

toxicology forensic medicine emergency medicine correctional health

Error types

system

Drugs involved

5f-adb kronic synthetic cannabinoids

Clinical conditions

acute drug toxicity cardiac arrhythmia acute circulatory failure synthetic cannabinoid poisoning

Procedures

cardiopulmonary resuscitation defibrillation

Contributing factors

ingestion of synthetic cannabinoid containing 5F-ADB (Kronic)
false perception that synthetic cannabinoids are safe
insufficient prisoner education about dangers of synthetic cannabinoids
unpredictable and potent effects of synthetic cannabinoids

Coroner's recommendations

To help reduce demand for synthetic cannabinoids (such as Kronic) in the prison system in Western Australia, the Department of Justice should consider proactively delivering targeted education to prisoners aimed at raising awareness of the unpredictable and potentially lethal consequences of using these substances. To ensure that the education being delivered is as accessible and relevant as possible, the Department should consider consulting with prisoners as well health, education and communications professionals in the development of the education materials and should consider asking Peer Support Prisoners to help health professionals deliver this education.

Full text

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