Coronial

568 results for overdose

TAScommunity2016-06-24

Coroner's Finding: Moylan, Mark David

42y · Male·drowning

Mark David Moylan, aged 42, drowned in the Tamar River near Gravelly Beach, Tasmania, on 25 January 2014. He had a long history of substance abuse and mental health problems, including depression and bipolar affective di…

diazepam
VIChome2023-02-22

Finding into death of Anna Lawrence

64y · Female·Combined toxicity to alcohol and baclofen

Anna Lawrence, 64, died from combined toxicity of alcohol and baclofen on 30 April 2020. She had a 40+ year history of alcohol dependency, borderline personality disorder, depression, and multiple suicide attempts. Baclo…

psychiatrypsychologysystembaclofen
VIChome2025-08-07

Finding into death of Emma Louise Terrill

41y · Female·Aspiration pneumonia in the setting of a mixed drug toxicity

…nd potential Schedule 8 permit compliance issues. No evidence of suicidal intent. Death likely accidental overdose. Case illustrates systemic challenges in managing complex polypharmacy in general practice with multiple …

general practicepsychiatrysystemtramadol
NSWhome2016-11-24

Inquest into the death of Dr Beta Vandeville

46y · Female·acute mixed drug toxicity due to accidental self-administered drug overdose

Dr V., an obstetrician-gynaecologist trainee, died from acute mixed drug toxicity on 18 January 2013 following self-administration of multiple anaesthetic drugs (propofol, midazolam, fentanyl, alfentanil) via intravenous…

anaesthesiaobstetricssystempropofol
VIChome2002-08-30

SMEETON Debra

34y · Female·Dothiepin toxicity in a setting of post-natal depression

Debra Smeeton, 34, died on 12 November 1999 from dothiepin toxicity following intentional overdose at home, eight days after giving birth. She had severe post-natal depression after her first child in 199…

psychiatryobstetricscommunicationmedicationdosulepin
SAhome2020-10-12

Coroner's Finding: BABAKHANI Sina

21y · Male·heroin toxicity

A 21-year-old man died from heroin toxicity while on home detention bail. He had been engaged in a methadone program and psychological treatment for heroin addiction, PTSD, depression and anxiety since June 2015. Despite…

addiction medicinepsychiatryheroin
TAShome2016-12-05

Coroner's Finding: Lunson, Nathan

24y · Male·mixed ethanol and prescription drug toxicity

Nathan Lunson, aged 24, died from mixed ethanol and prescription drug toxicity following an impulsive overdose. He had longstanding borderline personality disorder, polysubstance dependence, chronic suicidal ideation…

psychiatrypsychologyalcohol
NSWhome2017-03-07

Inquest into the death of Louis NAUMOVSKI

59y · Male·Unascertained

…fentanyl, benzodiazepines, alcohol, and THC. Possible causes included intentional or unintentional opioid overdose, or cardiac/respiratory complications. He had chronic dysthymia, social isolation, and poor engagement wi…

addiction medicinepain medicinefentanyl
SAhospital2022-04-13

Coroner's Finding: Cook, Courtney Liza

20y · Female·multi-organ failure due to polypharmacy overdose

…pression and borderline personality disorder died from multi-organ failure following a large polypharmacy overdose (13 grams of paracetamol among 78 tablets). She was admitted to the ED where initial blood testing at 3 h…

emergency medicinegastroenterologydiagnosticcommunicationparacetamol
VICcommunity2020-12-14

Finding into death of Christiaan Anthony Dubois

46y · Male·Mixed drug toxicity (heroin, alcohol, diazepam)

…e no finding of preventability or clinical error, as this was not a medical case but rather an unintended overdose death in the community setting. The case emphasises that drug-related deaths, particularly when combined …

heroin
VIChome2017-06-21

Finding into death of Mrs DA

59y · Female·Multiple drug toxicity (propoxyphene, citalopram, oxazepam and others)

…and had clearly expressed her intention to end her life over several years. She self-administered a fatal overdose of prescribed medications. The coroner noted this reflected broader end-of-life care issues rather than a…

rehabilitation medicinegeneral practicepropoxyphene
VIChome2022-11-15

Finding into death of Claire Perinovic

7y · Female·Multiple stab wounds to the back

…sessments, absent psychoeducation, poor medication compliance monitoring, failure to detect a risperidone overdose, and inadequate family involvement. The coroner found treatment suboptimal but not causally linked to the…

psychiatrygeneral practicecommunicationsystemrisperidone
QLDhome2007-12-12

Whittington, Frank Maurice

66y · Male·Coronary atherosclerosis

…surgery to replace a catheter on his intrathecal morphine pump. Dr R. and RN Couper administered a 0.26ml overdose of morphine during post-operative pump priming due to reliance on Medtronic's calculation worksheet, whic…

anaesthesianeurosurgerymedicationsystemmorphine sulphate
QLDmental health2026-01-29

Inquest into the death of Tiesha Marie Derbyshire

18y · Female·Mixed drug toxicity

…lth unit under involuntary treatment. She had a documented history of medication stockpiling and multiple overdose attempts. Key clinical lessons: (1) propranolol and similar cardioactive medications pose particular risk…

psychiatrygeneral practicecommunicationsystempropranolol
TAShospital2016-08-08

Coroner's Finding: Teressa Beswick

45y · Female·Combined effects of widely metastatic (end-stage) carcinoma of the cervix and br…

…yl patches to morphine syringe driver, prescribing 45 mg per hour instead of 45 mg per 24 hours—a 24-fold overdose. The syringe driver was calibrated to deliver 1080 mg daily instead of approximately 120 mg. Despite mult…

emergency medicinegeneral practicemedicationproceduralmorphine
VIChome2024-02-12

Finding into death of Zoha Khan

20y · Female·Mixed drug toxicity including tramadol and flualprazolam

… different, more potent substances; and recognising the rapidly evolving threat of NPS benzodiazepines in overdose deaths, which rose from 1 death in 2015 to 28 in 2020 in Victoria.

toxicologyemergency medicinetramadol
VICcommunity2023-11-23

Finding into death of Melissa Louise Arbuckle

33y · Female·Mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, du…

… mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, duloxetine) by intentional overdose. She had been convicted of infanticide following her daughter Lily's death in July 2021, which occurred d…

psychiatrygeneral practicepropranolol
TAShome2022-11-28

Coroner's Finding: Dare, Daniel Wayne

Male·mixed prescription drug toxicity (tramadol and diazepam)

Daniel Wayne Dare died from mixed prescription drug toxicity involving tramadol and diazepam. He had a history of chronic lower back pain and depression managed with these medications prescribed by his GP over several ye…

general practicepsychiatrytramadol
VIChome2025-10-16

Finding into death of Ms YPM

27y · Female·Hanging

…ing on 17 May 2020. In the preceding two weeks, she presented to Alfred Hospital following a polypharmacy overdose on 9 May, was briefly admitted to The Melbourne Clinic on 11-12 May after disclosing suicidal ideation an…

psychiatryemergency medicinecommunicationdelayagomelatine
SAhome2002-07-11

Coroner's Finding: TAYLOR Yutta

47y · Female·serotonin syndrome due to combined toxicity of moclobemide and paroxetine

…d by combined toxicity of moclobemide (MAOI) and paroxetine (SSRI). She had experienced multiple previous overdoses and suffered brain damage from a 1992 insulin overdose. Key failures included: a locum doctor's misdiagn…

general practicepsychiatrydiagnosticmedicationmoclobemide
19101129

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