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VIChome2013-07-16

Finding into death of Melanie Anne Reynolds

30y · Female·Mixed drug toxicity (propranolol, duloxetine and codeine)

Melanie Reynolds, a 30-year-old registered nurse with borderline personality disorder and depression, died from mixed drug toxicity (propranolol, duloxetine, codeine). She had engaged with Crisis Assessment and Treatment…

psychiatryemergency medicinecommunicationsystempropranolol
QLDmental health2013-07-02

Mrs B

52y · Female·Hanging due to depression

Mrs B, a 52-year-old woman with a 17-year history of recurrent depression, suicidal ideation, and borderline personality traits, was admitted to Cairns Base Hospital Mental Health Unit on 11 March 2008 with escalating su…

psychiatrycommunicationsystemdiazepam
QLDmental health2013-07-02

Saccu, Jonathan Clarence

20y · Male·Multiple injuries due to contact with a train

Jonathan Saccu, a 20-year-old with severe treatment-resistant schizophrenia, absconded from an open mental health unit and was fatally struck by a train approximately 3 hours later. He was admitted on an involuntary trea…

psychiatrydiagnosticcommunicationdiazepam
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

A 35-year-old man with treatment-resistant depression and complex psychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted multiple suicides previously. Clinical…

psychiatryintensive caresystemcommunicationrisperidone
VIChome2013-06-12

Finding into death of Matthew Robert Frandsen

41y · Male·mixed drug toxicity (ethanol, amitriptyline, methadone, morphine, diazepam, tema…

Matthew Frandsen, a 41-year-old with longstanding illicit drug and alcohol use disorder, died from mixed drug toxicity involving ethanol, methadone, morphine, amitriptyline, and benzodiazepines. He was found heavily into…

forensic medicineaddiction medicinesystemdelayalcohol
VICaged care2013-06-12

Finding into death of Colin Frederick Toogood

66y · Male·Undetermined - natural causes; likely sudden cardiac arrhythmia

Colin Toogood, a 66-year-old man with a long history of intellectual disability, epilepsy, brain injury, and remote stroke, died suddenly while using the toilet in residential care. He complained of neck soreness before …

forensic medicineneurologycarbamazepine
VIC2013-06-05

Finding into death of Leigh Ronald Bellingham

37y · Male·Toxic effects of heroin in combination with mirtazapine and sertraline

Leigh Ronald Bellingham, a 37-year-old man with a history of depression, suicidality, hepatitis C, and substance abuse, died from toxic effects of heroin in combination with mirtazapine and sertraline in June 2008. He wa…

general practicepsychiatrycommunicationsystemheroin
VIChome2013-05-21

Finding into death of John Crivera

31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine

31-year-old with bipolar disorder died from quetiapine toxicity while taking sertraline and mirtazapine. He was under a Community Treatment Order and his treating team reduced his antipsychotic dose while he deteriorated…

psychiatryemergency medicinediagnosticcommunicationquetiapine
QLD2013-05-16

Lalara, Hazel Marie

44y · Female·Dilated cardiomyopathy

Hazel Marie Lalara, a 44-year-old woman with schizophrenia and peripheral neuropathy, was remanded in custody to The Park Centre for Mental Health in January 2009. She received psychiatric treatment for acute psychosis a…

psychiatrygeneral practicerisperidone
VIChospital2013-05-09

Finding into death of Argyrios Carras

38y · Male·Aspiration pneumonia in the setting of cerebral palsy

Argyrios Carras, a 38-year-old man with cerebral palsy, intellectual disability, scoliosis and oesophagitis, died from aspiration pneumonia. He was dependent on PEG feeding and had a history of recurrent respiratory infe…

respiratory medicineinfectious diseasesdiazepam
VIC2013-04-30

Finding into death of Karina Bell

24y · Female·unascertained

Karina Bell, 24, was found dead in an alleyway in October 2011. The medical cause of death remained unascertained despite full autopsy, toxicology, and investigation. Post-mortem findings showed minor traumatic injuries …

forensic medicinetoxicologymethadone
VIChospital2013-04-22

Finding into death of Evelyn Wright

62y · Female·Hypoxic brain injury complicating mixed drug toxicity

Evelyn Faye Scherger (62F) died from hypoxic brain injury following a polypharmacy overdose on 6 September 2011, two days after discharge from the Mildura Base Hospital Emergency Department. She had presented after a sus…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
WAhospital2013-02-14

Inquest into the Death of Marshall, Tracy Margaret

54y · Female·unascertainable

Tracy Margaret Marshall was a 54-year-old woman admitted to Nickol Bay Hospital on 20 February 2011 after reporting suicidal ideation and three suicide attempts. She presented with signs of psychotic illness including bi…

psychiatryemergency medicinediagnosticcommunicationdiazepam
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that day (5 June) after …

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
VICcommunity2013-01-31

Finding into death of Stuart Beverley

31y · Male·Hanging

A 31-year-old man with borderline personality disorder presented to mental health services after a suicide attempt on 30 March 2005, discharged after psychiatric assessment at Maroondah Hospital ED. Following several cri…

psychiatryemergency medicinecommunicationdelaydiazepam
QLDhospital2013-01-18

Ryan, Adam Trent

30y · Male·asphyxia due to hanging (suicide)

30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed to communicate Mr Ryan's past suicide attempt to the hospita…

psychiatrygeneral practicecommunicationdocumentationsertraline
VICcommunity2013-01-16

Finding into death of Mark Robert Scott

41y · Male·Effects of Fire

Mark Robert Scott, a 41-year-old man with chronic pain, substance addiction, and recent depressive illness, was admitted to Frankston Hospital on 15 July 2011 following suicidal ideation. During admission, he disclosed t…

psychiatrygeneral practicedelaycommunicationmethadone
VIChospital2013

Finding into death of Noela McGowan

66y · Female·Complications following paracetamol overdose

A 66-year-old woman died from complications of paracetamol overdose after ingesting Mersyndol (codeine/paracetamol combination tablets). She had developed dependence on over-the-counter Mersyndol over approximately 8 yea…

emergency medicineintensive caresystemmersyndol daystrength
SAmental health2012-12-13

Coroner's Finding: Jenkinson Jacqueline Mary

46y · Female·mixed drug toxicity

46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roommate), olanzapine, fluoxetine, oxycodone, and diazepam. She disclosed to her …

psychiatrypsychologycommunicationsystemclozapine
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

Julie Anne Bramble, a 50-year-old woman with alcohol dependence and recent drug use, died from septicaemia on 1 April 2011 at her home in Bundaberg. Over 4-5 days prior to death, she developed progressive symptoms includ…

emergency medicineparamedicinedelaycommunicationmethamphetamine
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