Coronial
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SAhome2025-05-20

Coroner's Finding: Johnstone, Aaron George

43y · Male·methylamphetamine and heroin toxicity

A 43-year-old man died from methylamphetamine and heroin toxicity while on home detention bail. He had a complex psychiatric history including depression, psychosis, PTSD, and polysubstance use disorder, with previous su…

psychiatryaddiction medicinemethamphetamine
WAhospital2025-05-08

Inquest into the Death of Tony RUICH

55y · Male·decompensated liver failure in a man with metastatic hepatocellular carcinoma, w…

Tony Ruich, a 55-year-old sentenced prisoner, died from decompensated liver failure due to metastatic hepatocellular carcinoma with terminal palliative care. He had pre-existing cirrhosis diagnosed in 2012, likely from h…

hepatologypalliative careheroin
NSW2025-03-06

Inquest into the death of Moses Kellie

33y · Male·hanging

Moses Kellie, aged 33, died by hanging at Villawood Immigration Detention Centre in January 2019 after four years in immigration detention. He had schizophrenia, PTSD, and substance dependence, with a prior suicide attem…

psychiatrygeneral practicesystemcommunicationpaliperidone
VIChome2025-02-07

Finding into death of T

15y · Male·Combined heroin and methamphetamine toxicity

T, a 15-year-old boy subject to a Care by Secretary Order, died from combined heroin and methamphetamine toxicity on 24 November 2019. He had experienced multiple placement instability (over 20 placements in two years), …

paediatricspsychiatrycommunicationsystemheroin
VIChome2025-01-28

Finding into death of Edward Grant Harris

18y · Male·Heroin toxicity

Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported accommodation. He had a complex history of behavioural challenges,…

paediatricspsychiatrysystemheroin
VICcommunity2024-11-15

Finding into death of Benjamin James Ralston

31y · Male·Mixed alcohol and drug toxicity (heroin, promethazine, benzodiazepines, 3-fluoro…

Benjamin Ralston, 31-year-old, died from mixed alcohol and drug toxicity involving heroin, promethazine, benzodiazepines, and 3-fluoromethamphetamine (3-FA). He was found unresponsive on a street after socialising and dr…

heroin
NSWhome2024-11-08

Inquest into the death of Chi Khanh Huynh

52y · Male·Significant blunt head trauma suffered from an assault inflicted by known person…

Chi Khanh Huynh, a 52-year-old man with long-standing drug dependencies and prior head trauma from a September 2018 scooter accident, died following a severe assault by Cheng Chia involving multiple punches and elbow str…

forensic medicinetoxicologymethamphetamine
WAcommunity2024-10-22

Inquest into the Death of Karl Jonathan TURNER

49y · Male·combined drug toxicity

Karl Turner, a 49-year-old man with schizoaffective disorder and chronic polysubstance use, died from combined drug toxicity (heroin, morphine, pregabalin, methylamphetamine, and cannabis). He was managed on a Community …

psychiatryintensive caresystemdelaymorphine
NSW2024-09-17

Inquest into the death of Robert Phair

37y · Male·Cardiomegaly giving rise to lethal cardiac arrhythmia in the setting of drug tox…

37-year-old Robert Phair died in Parklea Correctional Centre from cardiomegaly causing lethal cardiac arrhythmia in the setting of drug toxicity. He was placed in detoxification requiring four-hourly clinical observation…

addiction medicineemergency medicinediagnosticcommunicationheroin
NSWcommunity2024-08-13

Inquest into the death of Brett Walker

37y · Male·multiple gunshot wounds

Brett Walker, 37, was shot by police on 9 July 2022 after a domestic violence incident 23 days post-release from prison. He had long-standing drug addiction and mental health issues including paranoid ideation, particula…

psychiatryaddiction medicinesystemcommunicationcrystal methamphetamine
VIChome2024-06-24

Finding into death of Vincenzo Lobosco

56y · Male·consequences of a physical struggle in the setting of injecting drug use (heroin…

Vincenzo Lobosco, 56, died following a physical altercation with his friend Darren Heaney on 25 June 2022. The assault involved blunt force trauma to the head and neck. Death resulted from consequences of the physical st…

forensic medicineemergency medicineheroin
QLD2024-06-18

Inquest into the deaths of Shiralee Deanne Tilberoo and Vlasta Wylucki

Female·Vlasta Wylucki: ischaemic heart disease due to coronary atherosclerosis (previou…

Two women died of natural causes in Queensland police watchhouses but supervisory failures raised serious concerns. Ms Wylucki (50) died from ischaemic heart disease after inadequate cell checks failed to detect her vomi…

cardiologyaddiction medicineproceduralcommunicationdiazepam
NSW2024-05-21

Inquest into the death of Mohamed Warwar

35y · Male·cardiac arrhythmia with amisulpride toxicity, and myocarditis being contributory…

35-year-old Mohamed Warwar died in custody at Metropolitan Remand & Reception Centre from cardiac arrhythmia with amisulpride toxicity and myocarditis. He was admitted to custody with a history of mental health issues an…

psychiatrycardiologycommunicationdiagnosticamisulpride
VIC2024-05-14

Finding into death of Brian Richard Pope

40y · Male·compression of the neck due to hanging

Brian Pope, a 40-year-old man with longstanding mental health issues including major depressive disorder, anxiety, learning disability (dyslexia), and substance abuse history, died by suicide in prison 20 days after rema…

psychiatrycorrectional healthcommunicationsystemmirtazapine
QLD2024-05-13

HARVEY, Thompson

33y · Male·Neck compression (hanging)

Thompson James Harvey, aged 33, died by hanging in his cell at Capricornia Correctional Centre on 13 November 2017, four days after remand for serious offences including attempted murder. He had a recent suicide attempt …

psychiatrypsychologycommunicationdiagnosticmorphine
VICcommunity2024-05-02

Finding into death of Rodney Norman Galvin

21y · Male·Unascertained causes

Rodney Norman Galvin, age 21, disappeared from his home in Ballarat East, Victoria on 6 April 1987 and is presumed deceased. Despite extensive police investigation and multiple proof-of-life checks over decades, his body…

delaymethamphetamine
VIChome2024-03-13

Finding into death of S L

38y · Male·Mixed drug toxicity including metonitazene

A 38-year-old man with a long history of substance use, depression, anxiety and ADHD died from mixed drug toxicity involving metonitazene. He believed he was injecting heroin but had unknowingly obtained metonitazene (a …

psychiatrygeneral practicemetonitazene
VIC2024-02-21

Finding into death of Tai Van Tran

43y · Male·Unascertained - attributed to metabolic/physiological derangement in context of …

Tai Van Tran, a 43-year-old man with daily heroin use, was arrested and remanded in police custody. He disclosed heroin use during intake assessment and was appropriately scheduled for medical review. On the following da…

emergency medicinecorrectional healthheroin
NSW2024-02-01

Inquest into the death of Timothy Garner

31y · Male·Hanging

Timothy Garner, a First Nations man with bipolar disorder and schizophrenia, died by hanging in custody at MRRC on 7 July 2018, five days after being cleared from Risk Intervention Team (RIT) management. The coroner foun…

psychiatrycorrectional healthdiagnosticcommunicationquetiapine
TAScommunity2024-01-22

Coroner's Finding: de-identified TX

30y · Male·Drowning due to jumping from the Batman Bridge

A 30-year-old man with opioid use disorder, anxiety, and depression died by suicide from jumping the Batman Bridge. He had been prescribed escalating doses of clonazepam (1-8mg daily) over three years by general practiti…

general practicepsychiatrydiagnosticsystemclonazepam

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