Coronial
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VICcommunity2025-09-05

Finding into death of R J

36y · Male·Heroin toxicity

A 36-year-old man with a history of homelessness and intravenous heroin use died from heroin toxicity after overdosing in a public toilet block. Emergency services were called promptly by a bystander who remained at the …

communicationsystemheroin
VIChome2024-05-24

Finding into death of L I

16y · Male·mixed drug toxicity (codeine, morphine, tramadol, alprazolam and desmethylvenlaf…

LI, a 16-year-old with borderline personality disorder, factitious disorder, and opioid use disorder, died from mixed drug toxicity (codeine, morphine, tramadol, alprazolam, desmethylvenlafaxine) after obtaining prescrip…

general practicepsychiatrymedicationdiagnosticcodeine
VICcommunity2024-05-15

Finding into death of Denise Lucina Roberts

63y · Female·Combined features of bronchopneumonia, emphysema and ischaemic heart disease on …

A 63-year-old woman with depression, anxiety, liver cirrhosis, and chronic drug use died from bronchopneumonia, emphysema, and ischaemic heart disease following a prolonged lie on the ground with hypothermia. She missed …

general practiceaddiction medicinecommunicationsystemdiazepam
VIC2023-09-12

Finding into death of Nicola Jane Stephens

46y · Female·Single stab injury to the abdomen

This case concerns an unsolved homicide. A 46-year-old woman died from a single stab wound to the abdomen in her apartment. The coroner was unable to determine circumstances beyond the stab injury itself, as no person ha…

alcohol
NSW2023-07-20

Inquest into the death of Jean-Louis Langlois

50y · Male·Immersion, with alcohol intoxication and doxepin toxicity being significant fact…

Jean-Louis Langlois, a 50-year-old French-Australian man with significant mental health issues, alcohol dependence, and chronic social difficulties, was found deceased on Wanda Beach in January 1997. He died from immersi…

forensic medicinepsychiatrysystemdoxepin
NSWcommunity2021-12-21

Inquest into the deaths of Lars FALKHOLT, Vivian FALKHOLT, Jessica FALKHOLT and Annabelle FALKHOLT, and Craig WHITALL

Male·Combined effects of multiple blunt force injuries and the effects of fire (Craig…

Craig Whitall, a 49-year-old on methadone maintenance therapy, drove erratically on the Princes Highway after leaving hospital on Boxing Day 2017, colliding head-on with the Falkholt family vehicle, killing five people. …

general practiceemergency medicinemedicationcommunicationmethadone
NSWcommunity2021-06-08

Inquest into the death of Zhong Liu

54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…

54-year-old man with schizophrenia died after acute mental health crisis during police response. Contributing factors included: arrhythmogenic cardiomyopathy (undetected cardiac condition); combined doxepin and venlafaxi…

psychiatrygeneral practicemedicationcommunicationdoxepin
VIChome2021-05-07

Finding into death of Gwen Adeline Smith

91y · Female·Gunshot wound to the head

Gwen Adeline Smith, 91, was fatally shot by her husband Arthur Smith on 25 July 2018 at their home in Parwan, Victoria. Mr Smith then died by suicide. The couple had been experiencing significant stressors including fina…

general practicecardiothoracic surgerydoxepin
VIChospital2020-04-23

Finding into death of John Alexander King

60y · Male·Mixed drug toxicity

A 60-year-old man with schizophrenia and depression presented to Maroondah Hospital ED with acute psychotic symptoms after stopping his antipsychotic medication (trifluoperazine) due to manufacturer discontinuation. He w…

emergency medicinepsychiatrysystemcommunicationtrifluoperazine
QLD2019-08-08

Viner, Stephen Leonard

57y · Male·Abnormal cardiac arrhythmia due to electric shock; contributing cause: coronary …

Stephen Leonard Viner, a 57-year-old handyman, died from an abnormal cardiac arrhythmia triggered by electrical shock while investigating a failed sump pump in a flooded basement. He turned on an isolator switch to a sup…

cardiologyoccupational and environmental healthproceduralsystemdoxepin
WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

Fazel Chegeni Nejad, a 34-year-old Iranian asylum seeker, died from ligature compression of the neck in the jungle near Christmas Island immigration detention centre on 8 November 2015. He had spent 1,477 days in detenti…

psychiatrygeneral practicesystemcommunicationmirtazapine
VIC2018-07-30

Finding into death of June Shirley Dangerfield

88y · Female·Multiple injuries (neck, chest, abdomen)

June Shirley Dangerfield, 88 years old, died from multiple injuries after a motor vehicle collision on 22 November 2016. She had been declared unfit to drive by her GP following pneumonia and sepsis in early 2016, but su…

emergency medicinegeneral practicesystemcommunicationketamine
NSWhome2018-07-27

Inquest into the death of Alissa Campbell

26y · Female·Multiple drug toxicity

Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodiazepines. She had accessed prescription drugs from at …

general practiceaddiction medicinediagnosticmedicationcodeine
NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

Terry Riordan, 45, died from multi-drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP D…

general practicepsychiatrymedicationdiagnosticmethadone
TAShome2015-09-30

Coroner's Finding: Mr R

61y · Male·combined drug intoxication (doxepin, mianserin and fluoxetine)

A 61-year-old man died from combined drug intoxication involving doxepin, mianserin, and fluoxetine—all antidepressants prescribed over several years. He self-medicated with previously prescribed medications, likely atte…

general practicepsychiatrycommunicationdoxepin
VICcommunity2015-07-24

Finding into death of Jamie Laurence Apap

34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …

34-year-old male with longstanding opioid and benzodiazepine dependence who overdosed following discharge from hospital. He was hospitalized on 22 September 2010 after police-observed overdose with altered consciousness.…

emergency medicinegeneral practicediagnosticsystemheroin
VIChome2014-10-30

Finding into death of Anne Christine Brain

44y · Female·Intoxication by the combined effects of tramadol, methadone, diazepam, codeine, …

Anne Christine Brain, a 44-year-old woman with schizophrenia, anxiety, and depression who was opioid-dependent, died from intoxication by combined effects of tramadol, methadone, diazepam, codeine, alprazolam, risperidon…

general practiceaddiction medicinesystemcommunicationtramadol
VIC2012-03-23

Finding into death of Jason Jeffrey Hester

34y · Male·Mixed drug toxicity (heroin, codeine and doxepin)

Jason Hester, a 34-year-old prisoner at a transitional correctional facility, died from mixed drug toxicity (heroin, codeine and doxepin) following an apparent overdose. He had been granted approved leave and had been co…

forensic medicinecorrectional healthcommunicationsystemheroin
SAcommunity2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

Nicole Memory Faye Davies, age 17, died on 4 April 2000 from mixed drug toxicity. She enrolled in methadone maintenance with GP Dr T. on 27 March after moving from Melbourne. Dr T. rapidly escalated her dose from 35mg to…

general practiceaddiction medicinediagnosticmedicationmethadone
SAhome2001-07-16

Coroner's Finding: BRADY Mary

64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage

A 64-year-old woman died from doxepin overdose complicated by haemorrhagic bronchopneumonia. She had attempted suicide in April 1999 and was referred to a psychiatrist (Professor Schioldann) who prescribed sertraline. He…

general practicepsychiatrycommunicationmedicationdoxepin

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