Coronial

464 results for substance use history

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 b…

psychiatrygeneral practicemetonitazene
VIC2025-09-24

Finding into death of Bryan Pham

24y · Male·multiple injuries and chest compression asphyxia (train strike)

…icide via train strike on 2 June 2020, two days after release from remand custody. He had schizophrenia, substance use disorder, and was recently incarcerated for assault and FVIO breach. While in prison, Bryan displaye…

psychiatrycorrectional healthcommunicationsystemmethamphetamine
VIChome2022-07-19

Finding into death of Mr EZT

38y · Male·Toxicity to gamma hydroxybutyrate

A 38-year-old man with a long history of drug use and criminal offending died from gamma hydroxybutyrate (GHB) toxicity after consuming approxi…

toxicologyforensic medicinesystemdelaygamma hydroxybutyrate
VIChome2022-12-05

Finding into death of Paul Kenneth Wright

45y · Male·stab injury to the chest

… the chest inflicted in self-defence by Beau Muscat on 16 September 2021. Paul had an extensive custodial history, acquired brain injury, and intellectual disability. On release from prison, he was prescribed suboxone a…

general practiceforensic medicinesystemcommunicationmethamphetamine
NTcommunity2014-03-19

Inquest into the death of Joshua Stephen Walsh

26y · Male·Self-inflicted shotgun wound to the head

…following a police siege after abducting his ex-girlfriend at gunpoint from a women's refuge. Walsh had a history of violent offences, crystal methamphetamine use, and explicit statements of intent to kill himself rathe…

systemcrystal methamphetamine
SAhome2019-10-29

Coroner's Finding: LATTUCA Christophe Thomas Bruno

34y · Male·neck compression due to hanging

A 34-year-old male on home detention bail died by hanging. He had a history of mental health issues, depression, and prior suicide threats, but did not disclose these to correctiona…

general practicepsychiatryalcohol
QLD2022-06-03

Kermode, Jesse Aaron

24y · Male·Gunshot wounds to the chest and abdomen

…4, died after being shot by police at Ipswich Railway Station on 16 September 2018. He had a longstanding history of treatment-resistant schizophrenia and substance abuse, with repeated documented psychotic episodes and…

psychiatryaddiction medicinemethamphetamine
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
NSWcommunity2017-10-25

Inquest into the death of KE

36y · Male·Shotgun wound to the head

KE was a 36-year-old with longstanding psychiatric history including borderline personality disorder, substance abuse, and multiple previous self-harm incidents. He…

psychiatryemergency medicinealcohol
VICcommunity2024

Finding into death of Mr XML

60y · Male·Mixed drug (methylamphetamine, deschloro-n-ethyl-ketamine) toxicity in a man wit…

…mine) in the setting of significant cardiovascular disease. He collapsed after self-injecting an unknown substance while driving in rural Victoria. The coroner found no clinical intervention opportunities as death occur…

forensic medicinetoxicologymethamphetamine
VIChome2024-10-07

Finding into death of Suzanne Norah Evans

50y · Female·Combined drug toxicity in a woman with tension pneumothorax

…uzanne Evans, aged 50, died from combined drug toxicity in the setting of tension pneumothorax. She had a history of alcohol dependence, depression, and borderline personality disorder. Following an argument with her pa…

emergency medicinetoxicologybaclofen
QLDcommunity2015-12-14

Young, Anthony William; Young, David Kenneth Baring; Dekens, Louise Alexandra

42y · Male·Anthony Young: multiple gunshot wounds to the body and arm; David Young: multipl…

…is brother David and David's partner Louise. Anthony had deteriorating mental health including paranoia, substance use, and lack of psychiatric engagement despite family attempts to obtain help. Police responded appropr…

psychiatryforensic medicinediazepam
WAhome2013

Inquest into the Death of Osborne, Wendy Elaine

Female·early bronchopneumonia complicating combined drug toxicity (fentanyl overdose)

Wendy Osborne, a woman with a history of substance abuse and psychiatric issues, died from bronchopneumonia complicating fentanyl overdose. Her…

general practicepharmacologymedicationcommunicationfentanyl
WAcommunity2016-03-18

Inquest into the Death of David Davidson LAWSON

41y · Male·unascertained

David Davidson Lawson, a 41-year-old Aboriginal man with chronic alcohol use disorder and a history of psychotic symptoms during withdrawal, disappeared from a remote homestead on the …

psychiatryemergency medicinesystemcommunicationolanzapine
NSWmental health2014-06-18

Inquest into the death of Mark Richard GLEESON

39y · Male·respiratory failure as a result of the interaction of prescribed medication and …

Mark Richard Gleeson, 39, died from respiratory failure caused by the combined effect of prescribed antipsychotic/anxiolytic medications (olanzapine, quetiapine, clonaze…

psychiatryolanzapine
VIChome2010-08-13

Finding into death of Mr X

53y · Male·multiple large incised defects to the head and single stab wound to the chest

…Community Treatment Order (CTO) supervised by Peninsula Health Mental Health Services. Mr A had a complex history of mental illness (schizophreniform paranoia), substance abuse, and anti-social behaviour. In the weeks b…

psychiatryaddiction medicinesystemcommunicationdiazepam
VIChospital2010-03-22

Finding into death of Magdalena Schauer

36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis

A 36-year-old woman with intravenous heroin use history presented with depressed consciousness and purpuric rash. Paramedics appropriately administered emp…

emergency medicineintensive careheroin
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
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
VIChome2024-03-18

Finding into death of C J

44y · Female·Mixed drug toxicity (buprenorphine, ketamine, diazepam, fluvoxamine and lacosami…

…ug toxicity involving buprenorphine, ketamine, diazepam, fluvoxamine and lacosamide. She had a 18-19 year history of opioid addiction, initially using heroin recreationally in the Caribbean, later transitioning to metha…

addiction medicinepsychiatrybuprenorphine
19101124

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