Coronial
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NSW2019-07-04

Inquest into the death of RP and DJ

Male·RP: fatal pressure to the neck; DJ: neck compression

Two remand inmates died in separate incidents at the Metropolitan Remand and Reception Centre after being placed with mentally ill cellmates exhibiting acute psychosis. RP died in 2010 from injuries inflicted by cellmate…

psychiatrydiagnosticcommunicationquetiapine
WAhome2019-06-12

Inquest into the Death of Ellie Marlene HARE

25y · Female·complications of opioid toxicity

Ellie Marlene Hare, 25, died from opioid toxicity after injecting methadone on two consecutive nights with Matthew Drake. She was opioid-naïve, having not used regularly for several years. On the morning of her death, Dr…

toxicologyemergency medicinedelaymethadone
QLDhome2018-05-21

House, William John; White, Vanessa Joan; Smith, Jodie Anne and Milne, Daniel Keith

Unknown·acute fentanyl toxicity; acute oxycodone toxicity; multiple drug toxicity; opioi…

Four adults died from opioid overdoses (fentanyl and oxycodone) in Queensland between 2012–2014. All obtained prescriptions from multiple doctors ('doctor shopping') without effective detection. Systemic failures include…

general practicepain medicinediagnosticmedicationfentanyl
VICcommunity2017-07-07

Finding into death of SO

27y · Male·Mixed drug toxicity

A 27-year-old man with polysubstance abuse disorder, generalised anxiety disorder, and borderline personality disorder died from mixed drug toxicity (heroin, morphine, diazepam, citalopram, quetiapine) shortly after disc…

psychiatryaddiction medicinedischargesystemheroin
VIChome2016-06-06

Finding into death of Jim Zanis

33y · Male·Mixed drug toxicity (heroin, buprenorphine and benzodiazepines)

A 33-year-old man with polysubstance abuse disorder and mental illness died from mixed drug toxicity (heroin, buprenorphine, and benzodiazepines). He engaged in 'prescription shopping' across multiple medical practices, …

general practiceemergency medicinediagnosticcommunicationheroin
QLDcommunity2016-01-18

Kumeroa, Shaun Basil

42y · Male·gunshot wounds to the chest and abdomen

Shaun Basil Kumeroa, aged 42, died from gunshot wounds during a police siege in Brisbane. Following a family dispute resolution conference regarding custody of his daughter, Mr Kumeroa assaulted his ex-partner and became…

general practicepsychologybuprenorphine/naloxone
TAShome2015-10-08

Coroner's Finding: Mundy, Kaylene Louise

40y · Female·acute right-sided congestive heart failure (cor pulmonale) resulting from intrav…

Kaylene Mundy, aged 40, died from acute right-sided congestive heart failure (cor pulmonale) caused by intravenous injection of crushed alprazolam tablets. She had a long history of opioid and polysubstance abuse, with r…

addiction medicineemergency medicinealprazolam
VIC2015-03-26

Finding into death of Dalvir Singh

27y · Male·hanging

Dalvir Singh, a 27-year-old Indian national, died by hanging in immigration detention on 13 February 2014. He had attempted suicide in police custody 16 days earlier but this critical information failed to reach detentio…

psychiatrygeneral practicecommunicationsystembuprenorphine/naloxone
VICcommunity2014-12-17

Finding into death of Paul Kanis

38y · Male·Organizing pneumonia with loculated pleural effusion in the setting of drug use …

Paul Kanis, a 38-year-old man with schizoaffective disorder, drug dependency, diabetes, and asthma, died from organizing pneumonia with loculated pleural effusion in the setting of methadone and benzodiazepine use. The c…

general practiceaddiction medicinecommunicationsystemmethadone
WA28 Mar 24

Inquest into the Death of Suzzanne Denise DAVIS

47y · Female·ligature compression of the neck (hanging)

A 47-year-old woman remanded in custody at Melaleuca Women's Prison died by ligature compression of the neck (hanging) on 13 August 2020. Ms Davis had significant history of substance use, mental health issues, and prior…

psychiatryemergency medicinecommunicationsystemmethadone

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