128 results
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…
38y · Male·Aspiration of Gastric Content and Combined Drug Toxicity (Methadone, Benzodiazep…
A 38-year-old man died from aspiration of gastric content secondary to combined drug toxicity involving methadone, benzodiazepines, olanzapine and alprazolam. He had confused the day of the week and self-administered two…
54y · Female·Acute alcohol toxicity with immersion
A 54-year-old woman with major depressive disorder and alcohol addiction died from acute alcohol toxicity with immersion. She was hospitalised involuntarily on 23 December 2008 with a blood alcohol level of 0.323 and sui…
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…
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…
57y · Male·Unable to be determined; circumstances suggest drowning in Mekong River or relat…
Leslie Graham Lewis, a 57-year-old Australian registered nurse, died in Thailand on 24 February 2011 in circumstances that remain unclear. He had been admitted to hospital in Nong Khai with severe alcohol intoxication an…
50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…
Herbert Mitchell, a 50-year-old man with alcohol dependence, was arrested for public drunkenness after being found extremely intoxicated at a shopping centre. Initially taken to an alcohol diversion centre but removed du…
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…
33y · Male·Aspiration pneumonia and hypoxic brain injury in a man consuming alcohol and met…
A 33-year-old man with alcohol dependence died from aspiration pneumonia and hypoxic brain injury after consuming approximately 40ml of methadone (not prescribed to him) combined with alcohol. The methadone was prescribe…
Three deaths with different primary causes: James Unicomb - acute toxicity due t…
Combined inquest into three deaths at Psyche South Clinic involving treatment failures: James Unicomb (22, 2005) from multi-drug overdose after naltrexone implant; Michael Poole (48, 2008) from ruptured aneurysm post-Rap…
29y · Female·respiratory depression as a result of the interaction of prescribed medications
A 29-year-old woman with mental illness and substance use was admitted to hospital with psychosis and suicidality. She was discharged on six CNS-depressant medications including three antipsychotics, an antidepressant, a…
28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)
Jesse Sangster, 28, died from injuries sustained in a high-speed motor vehicle collision while intoxicated. He had a 12-year history of bipolar affective disorder with comorbid substance abuse disorder, personality disor…
33y · Male·complications from blunt force trauma to head consequent upon being struck by a …
A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment (CAT) Team assessed him at 5pm …
38y · Male·Exsanguination due to penetration of arm veins
Declan Brennan, a 38-year-old sentenced prisoner at Acacia Prison due for release on 30 April 2008, died by suicide on 27 April 2008 from exsanguination due to penetrating wounds to his arm veins. Brennan had a long-stan…
Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…
Concurrent coronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and se…
53y · Male·multiple large incised defects to the head and single stab wound to the chest
Mr X, aged 53, was killed by his son Mr A who was subject to a Community Treatment Order (CTO) supervised by Peninsula Health Mental Health Services. Mr A had a complex history of mental illness (schizophreniform paranoi…
18y · Male·methadone toxicity
Thomas Ryan Keough, aged 18, died from methadone toxicity at Palm Lodge, a supported residential facility for people with mental illness, in August 2003. His body was not discovered for 48 hours after death. The coroner …
37y · Male·acute heart failure caused by multiple drug toxicity (methadone and alprazolam)
Richard Mark Kiel, a 37-year-old with chronic opioid addiction, died from acute heart failure caused by lethally high levels of methadone and alprazolam, likely consumed on 9 September 2005. His GP, Dr G., prescribed the…
50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)
Treenor Heather Randall, a 50-year-old registered nurse, died from mixed tablet overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed d…
Male·Suffocation as a result of acute petrol vapour inhalation
Three Aboriginal males died from acute petrol vapour inhalation while sniffing in remote Northern Territory communities. Napthan Presley (14 years, Willowra), Wallace Coulthard (21 years, Mutitjulu), and Trevor Brumby (3…
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