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NSWmental health2014-06-18

Inquest into the death of Mark Richard GLEESON

39y · Male·respiratory failure as a result of the interaction of prescribed medication and …

Mark Richard Gleeson, 39, died from respiratory failure caused by the combined effect of prescribed antipsychotic/anxiolytic medications (olanzapine, quetiapine, clonazepam) and alcohol consumed within hours of discharge…

psychiatryolanzapine
SAhome2014-06-17

Coroner's Finding: KOLBIG Drew Robin

37y · Male·stab wound to the chest penetrating the heart

A 37-year-old man with schizophrenia and a history of command auditory hallucinations died by self-inflicted stab wound to the chest. Released from psychiatric hospital on 11 April 2011 on voluntary arrangements without …

psychiatryoccupational therapydiagnosticcommunicationquetiapine
SAcommunity2014-06-17

Coroner's Finding: HUGO-HORSMAN Jason William

15y · Male·compression of the neck consistent with hanging

Jason Hugo-Horsman, a 15-year-old in Year 10, died by hanging while alone at home on 9 October 2010. He had been referred to Child and Adolescent Mental Health Services (CAMHS) in December 2009 and saw various therapists…

psychiatrypsychologydiagnosticcommunicationdiazepam
QLDhome2014-06-13

Mahlo, Karen Lee

52y · Female·stab wound to the chest

Dr L., a 52-year-old medical doctor, died from a self-inflicted stab wound to the chest on 28 May 2008. She had suffered major depressive disorder since 2006, was being treated by psychiatrist Dr F., and had made previou…

psychiatrygeneral practicecitalopram
VIChome2014-06-12

Finding into death of Maree Arthur

45y · Female·Pethidine toxicity

Maree Arthur died from pethidine toxicity at home on 2 February 2008, aged 45. She had complex chronic pain from previous surgeries and motor vehicle injury. Her GP, Dr P., prescribed large quantities of pethidine and ox…

general practicepain medicinemedicationdiagnosticpethidine
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discontinuing methadone, the treating team re-c…

psychiatryaddiction medicinediagnosticmedicationmethadone
NSW2014-05-21

Inquest into the death of GB

38y · Male·asphyxiation due to hanging

A 38-year-old remand prisoner with a long history of drug dependency died by asphyxiation from hanging in his cell at a metropolitan remand centre in September 2011. He had been assessed multiple times by the Risk Interv…

psychiatryaddiction medicineproceduralmethamphetamine
VIChome2014-05-15

Finding into death of Georgia Susan Cheal

31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…

Georgia Cheal, a 31-year-old with complex medical history including chronic pain, major depression, and obesity, died from pneumonia exacerbated by combined drug toxicity from multiple prescription medications, cannabis,…

general practicepsychiatrycommunicationsystemoxycodone
NSWmental health2014-05-08

Inquest into the death of Hugh David LISLE

24y · Male·cardio-respiratory arrest due to multi-drug toxicity

Hugh Lisle, a 24-year-old man with severe chronic arthritis, depression, polysubstance addiction and gambling disorder, died in a private psychiatric facility after admission for substance withdrawal management. Death re…

psychiatryemergency medicinecommunicationsystemdiazepam
VIChospital2014-04-24

Finding into death of Stacey Jade Smith

20y · Female·Multiple injuries sustained when struck by train at Lalor Railway Station

Stacey Smith, aged 20, with complex psychiatric illness and suicidal ideation was transferred to Northern Hospital ED following confirmed overdose of 40-50 Valium tablets and explicit threats to throw herself in front of…

emergency medicinepsychiatrycommunicationsystemdiazepam
SAhome2014-04-17

Coroner's Finding: KEITH George

80y · Male·gunshot wound to the head

An 80-year-old man with chronic back pain died by self-inflicted gunshot wound to the head on 1 March 2011. Five days before his death, he mentioned suicide using a rifle to his long-term general practitioner, Dr D., but…

general practiceorthopaedic surgerydiagnosticcommunicationoxycodone
VIChospital2014-04-17

Finding into death of Gail Fergusson

65y · Female·Liver failure secondary to paracetamol toxicity

A 65-year-old retired nurse died from paracetamol toxicity and liver failure after taking excessive paracetamol tablets for pain relief following a fractured arm. She presented to hospital on Saturday with a fracture. Cr…

emergency medicineendocrinologycommunicationsystemparacetamol
VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

Kirk Steven Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after release from prison. Two critical clinical failure…

general practiceaddiction medicinemedicationcommunicationheroin
QLDhospital2014-03-31

Platt, Christopher Robert Edmund - Non-inquest findings

69y · Male·Perforated bowel/septicaemia as a result of diverticulitis

A 69-year-old man presented to the ED with abdominal distension, incontinence and dehydration but was discharged with a diagnosis of depression and constipation. He returned 2 days later critically unwell and died of per…

emergency medicinegeneral surgerydiagnosticcommunicationsodium citrate enema
VIChome2014-02-13

Finding into death of Daniel Malcolm John Anderson

33y · Male·toxic effects of oxycodone

A 33-year-old man died from oxycodone toxicity after his general practitioner prescribed escalating doses of the opioid for intermittent migraines over 14 months (5-30mg daily), despite a prior rejection of a pethidine a…

general practicepsychiatrydiagnosticmedicationoxycodone
VICcommunity2014-02-03

Finding into death of Pratik Dugar

27y · Male·Multiple injuries sustained when struck by a train

A 27-year-old man with a history of anxiety disorder and depression died by suicide, placing himself in front of a train. He had presented to emergency with suicidal ideation and overdose one week prior and was assessed …

general practicepsychiatrysertraline
VICmental health2014-01-23

Finding into death of Kate Tamma Miller

39y · Female·hanging

Kate Miller, 39, died by hanging at The Melbourne Clinic on 11 October 2011. She had severe borderline personality disorder with recurrent high-lethality suicide attempts and chronic self-harm urges. A shared care arrang…

psychiatryintensive caresystemdiazepam
VIChome2014

Finding into death of Kathy Louise Tranter

48y · Female·head injuries from multiple blunt force trauma including punching, elbowing and …

A 48-year-old woman, Kathy Tranter, was killed by her 20-year-old son who was an involuntary psychiatric patient at Orygen Youth Health (OYH) with acute paranoid schizophrenia. The son was granted overnight leave on 3 Ma…

psychiatryemergency medicinediagnosticcommunicationrisperidone
WAhospital- 8 July 2014

Inquest into the Death of Delray BEASLEY

56y · Male·unascertainable; complications of liver cirrhosis and/or exposure most likely

Delray Beasley, a 56-year-old Aboriginal man with chronic liver cirrhosis from longstanding alcohol abuse, was admitted to Kalgoorlie Hospital in May 2010 following an alleged assault. He was initially evaluated for poss…

emergency medicineneurosurgerysystemdiazepam
WAhome- 15 May 2014

Inquest into the Death of Helen Barbara MINETT

55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis

A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple dru…

general practicepain medicinediagnosticcommunicationmorphine hydrochloride
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