Coronial
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VICcommunity2026-07-01

Finding into death of VNP

41y · Female·Injuries sustained in a fall from a height

VNP was a 41-year-old woman with longstanding bipolar disorder type 1, chronic pain from endometriosis, and substance misuse history who died by suicide on 10 July 2023. She had experienced homelessness, family estrangem…

general practicepsychiatryalcohol
VIChome2025-09-02

Finding into death of Mr IKL

29y · Male·Mixed drug toxicity (gabapentin, codeine, diazepam, oxycodone, doxylamine, prome…

A 29-year-old man died from mixed drug toxicity involving multiple CNS depressants. His GP, Dr X, had maintained an inappropriate three-year sexual relationship with the patient while prescribing escalating doses of opio…

general practicepsychiatrydiagnosticmedicationgabapentin
VIChome2024-05-13

Finding into death of Victor Dale Fenech

56y · Male·complications of metastatic colorectal carcinoma

Victor Dale Fenech, a 56-year-old experiencing homelessness, died from complications of metastatic colorectal carcinoma. He made three emergency calls over two days before his death, but ambulances did not attend the fir…

emergency medicineparamedicinecommunicationsystemcocaine
VIChome2022-10-27

Finding into death of Elizabeth Judith Robyn Wilms

29y · Female·Assault with blunt force injuries resulting in widespread bruising and traumatic…

Elizabeth Wilms, age 29, died between 1-5 July 2016 from fatal assault while in an abusive intimate relationship with Alexander Freeburn. Freeburn was the subject of an unexecuted NSW parole warrant for 541 days. The war…

forensic medicinetoxicologysystemdelaygamma hydroxybutyrate
VIChome2021-02-24

Finding into death of AAC

29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…

A 29-year-old man with class III obesity died from combined drug toxicity involving pregabalin, dihydrocodeine, tramadol, temazepam, and lorazepam. He engaged in prescription medication abuse over 12 months, consulting a…

general practicetoxicologydiagnosticsystempregabalin
VIChome2020-01-14

Finding into death of A S

46y · Female·Combined drug toxicity in a woman found in a bath

A 46-year-old woman with borderline personality disorder and bipolar affective disorder type 2 died from combined drug toxicity. She had a long history of overdose attempts, often without clear suicidal intent, and was u…

psychiatrygeneral practicecommunicationsystemphentermine
VIChome2015-04-13

Finding into death of Athiel Deng

59y · Female·head injury

Ms Athiel Deng, a 59-year-old Sudanese refugee, was fatally assaulted by her son Majang Ngor during an acute psychotic episode induced by cannabis and methamphetamine use. Ngor had a documented first psychotic episode in…

psychiatryemergency medicinesystemdelaycannabis
VIC2014-05-08

Finding into death of Gregory John Caulfield

34y · Male·Multiple injuries sustained in a fall from a height

Gregory Caulfield, aged 34, died from multiple injuries sustained falling from a ninth-floor balcony while attempting to escape police attempting to arrest him for burglary. During the arrest attempt in a confined flat, …

forensic medicineemergency medicinecommunicationproceduralamphetamine

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