Coronial

368 results for substance use disorder history

TAS2021-03-19

Coroner's Finding: Hyatt, Saxon George

55y · Male·exsanguination resulting from self-inflicted wounds to left brachial artery and …

…y 2019 through exsanguination from self-inflicted wounds to his brachial artery and wrists. He had a long history of mental health conditions including schizophrenia, bipolar disorder, and depression, with poor medicati…

psychiatrycorrectional healthduloxetine
NSWhospital2017-12-21

Inquest into the death of Errol Handog

34y · Male·Hanging

…e despite suicidal ideation. A key clinical lesson is that incomplete diagnostic clarity and undisclosed substance use (cannabis) complicated risk assessment. The coroner found the decision not to admit was defensible b…

psychiatrycommunicationdiagnosticquetiapine
NSW2014-05-21

Inquest into the death of GB

38y · Male·asphyxiation due to hanging

A 38-year-old remand prisoner with a long history of drug dependency died by asphyxiation from hanging in his cell at a metropolitan remand centre in Septe…

psychiatryaddiction medicineproceduralmethamphetamine
QLD2021-09-02

Batalha, Benjamin John

35y · Male·Not determined

Benjamin Batalha, aged 35, died in custody at Arthur Gorrie Correctional Centre. The exact cause of death could not be determined, though respiratory depression from mixed drug toxicity or fatal arrhythmi…

psychiatrycorrectional healthsystemdiazepam
QLDhospital2018-07-30

Matthew Douglas McLachlan - Non-inquest findings

28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…

…ion of drug-seeking behaviour in patients with acknowledged opioid dependency and previous intravenous drug use; coordinated pain management across settings is essential for opioid-dependent patients; consider home-base…

infectious diseasesemergency medicinecommunicationsystemfentanyl
TAShome2015-10-08

Coroner's Finding: Mundy, Kaylene Louise

40y · Female·acute right-sided congestive heart failure (cor pulmonale) resulting from intrav…

Kaylene Mundy, aged 40, died from acute right-sided congestive heart failure (cor pulmonale) caused by intravenous injection of crushed alprazolam tablets. She had a long history of opioid and polysubstance

addiction medicineemergency medicinealprazolam
NSWhospital2018-04-27

Inquest into the death of Matthew Wilson Leary

25y · Male·drowning

Matthew Leary, 25, died by suicide at Watsons Bay on 28 November 2014 after three psychiatric admissions in one month. Key clinical lessons: mental health clinicians at Prince of Wales Hospital and St Vincent's Hospital …

psychiatryemergency medicinediagnosticcommunicationcitalopram
VICcommunity2020-05-01

Finding into death of Joelene Therese Dowden

37y · Female·Hypoxic ischaemic brain injury complicating aspiration of gastric contents

…em revealed probable alcoholic ketoacidosis with elevated 3-hydroxybutyrate and evidence of chronic alcohol use. She had a documented history of homelessness, substance abuse, and psychiatric illness. Paramedics appropr…

emergency medicineintensive caredoxylamine
WAcommunity2025-06-09

Inquest into the Death of Joyce Gladis CLARKE

29y · Female·gunshot wound to the abdomen

29-year-old Aboriginal woman (JC) of Ngarlawangga Yamatji Martu descent died from a gunshot wound inflicted by police on 17 September 2019. Four days prior, she was appropriately discharged from Sir Charles Gairdner Hosp…

psychiatryemergency medicinesystemmethamphetamine
NSW2017-11-09

Inquest into the death of David Veech

35y · Male·Fentanyl toxicity

…tely supervised, particularly overnight when staff failed to conduct required two-hourly checks. He had a history of substance abuse, drug-seeking behaviour, and multiple medications. While his GP appropriately prescrib…

general practicepsychiatrysystemcommunicationfentanyl
SAhome2003-04-11

Coroner's Finding: YIALAS Dimitrios

23y · Male·neck compression due to hanging

A 23-year-old male with drug-induced psychosis died by hanging. He had a long history of substance abuse and behavioural problems, with multiple presentations to hospital and mental health se…

psychiatrygeneral practicecommunicationsystemamitriptyline
TAShome2019-01-21

Coroner's Finding: DS

46y · Male·Ethanol (alcohol) and prescription drug toxicity

A 46-year-old man with chronic alcohol addiction and a history of epilepsy and insomnia died from combined ethanol and prescription drug toxicity. In the three weeks be…

pathologygeneral practicealcohol
SA2026-06-02

Coroner's Finding: Taylor, Nathan James

40y · Male·Unascertained

… 24 March 2022 while in custody pending trial on witness interference charges. He had significant medical history including infective endocarditis with tricuspid valve damage (2018), schizophrenia, and intravenous subst…

cardiologygeneral medicinediagnosticsystempaliperidone
QLD2016-05-09

Blutcher, Micheal Wayne

31y · Male·accidental overdose of fentanyl

… times more potent than morphine with a narrow therapeutic margin; the high-risk population for fentanyl misuse (males aged 30-39); and extraction from transdermal patches represents a common fatal administration method…

emergency medicinetoxicologysystemdelayfentanyl
NSWhome2024-08-06

Inquest into the death of Dion Moore

29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …

…er coordinated searching could have been warranted. Clinicians should note the importance of recognising substance-use disorders—particularly methamphetamine—as life-threatening medical emergencies requiring urgent inte…

diagnosticdelaymethamphetamine
VIC2010-05-28

Finding into death of Katherine Fiona Walton

47y · Female·insulin overdose

…lton, a 47-year-old registered nurse, died from insulin overdose in April 2007. She had a complex medical history including hepatitis C, depression, chronic back pain, epilepsy, and substance use issues. After an argume…

emergency medicinepsychiatrycommunicationsysteminsulin
ACThome2019-09-20

Inquest into death of Kurt Mellick Andriske

52y · Male·septicaemia caused by Streptococcus Milleri group pneumonia

Kurt Mellick Andriske, 52, died from septicaemia caused by Streptococcus Milleri pneumonia, with drug toxicity as a contributing factor. He was a complex patient …

general practicepsychiatrydiazepam
VIC2021

Finding into death of Thi Minh Phuong Nguyen

29y · Female·Mixed drug toxicity (gamma hydroxybutyrate, methylamphetamine, amphetamine, diaz…

A 29-year-old woman with a history of childhood and intimate partner violence died from mixed drug toxicity (GHB, methylamphetamine, ampheta…

general practicepsychiatrycommunicationsystemgamma hydroxybutyrate
SA2019-06-07

Coroner's Finding: AZAPARTI Wyatt William

45y · Male·mixed drug toxicity (methadone and pregabalin) with possible contributing factor…

…rug toxicity involving methadone and pregabalin, with possible contribution from morbid obesity. He had a history of opioid use and chronic pain from a foot injury. Despite requesting entry to the prison methadone subst…

correctional healthpain medicinemethadone
NSWhome2019-10-04

Inquest into the death of C D

60y · Male·burn wounds and the consequences thereof

CD, a 60-year-old man with long-standing psychiatric history (schizophrenia/schizoaffective disorder) and alcohol use disorder, set his house alight on 19 September 2…

general practicepsychiatrydiagnosticcommunicationdiazepam
19101119

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