Coronial

318 results for substance use (cannabis)

NSWcommunity2026-05-19

Inquest into the death of Dion White-Cotterell

45y · Male·Multiple stab wounds

…(83 wounds) on 28 February 2019 by his neighbour Benjamin Moore in an unprovoked attack outside their townhouse in Parramatta. Moore, suffering acute schizophrenia relapse with a long history of violence and substance a…

psychiatrysystemcommunication
VIC2019-02-13

Finding into death of Gordon Harvey

62y · Male·Blunt force trauma to the head

…nadequate for non-heterosexual relationships; (3) the substantial vulnerability of victims with comorbid substance misuse and mental health conditions; and (4) failures by Corrections Victoria to manage Mr Kepenci despi…

forensic medicinetoxicologycommunicationsystemmirtazapine
VICmental health2023-09-15

Finding into death of Daylon John Roeton

28y · Male·Hanging

…is death: (1) access to a blanket with edge binding that could be modified into a ligature, (2) door hinges used as a ligature point, and (3) impaired line-of-sight visibility in the seclusion room preventing staff from…

psychiatryemergency medicinesystemproceduralolanzapam
WAprison2017-02-28

Inquest into the Death of Jayden Stafford BENNELL

20y · Male·ligature compression of the neck (hanging)

Jayden Stafford Bennell, a 20-year-old Aboriginal man and sentenced prisoner at Casuarina Prison, died by ligature compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric h…

psychiatrycorrectional healthcommunicationsystemquetiapine
VICcommunity2026-05-07

Finding into death of Elizabeth Susan Edwina Ferris

44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…

Elizabeth Ferris, a 44-year-old woman with schizoaffective disorder and polysubstance use disorder, died from hypoxic ischaemic encephalopathy following cardiac arrest in the setting of pres…

psychiatryintensive carediagnosticcommunicationheroin
VICcommunity2016-02-05

Finding into death of Penelope Pratt

27y · Female·multiple gunshot injuries with a stab injury to the heart

…that it negated any chance of rapid police intervention. Penny had a history of mental health issues and substance use. The case highlights critical failures in emergency call-taking protocols, training, and empathy in …

emergency medicinepsychiatrycommunicationsystemamphetamine
VIChospital2013-09-10

Finding into death of Paul Gary Larman

28y · Male·Overdose of Clozapine

A 28-year-old man with schizophrenia and substance abuse history died from clozapine overdose. Key clinical failures included: inadequate assessment of sui…

psychiatryemergency medicinediagnosticmedicationclozapine
VIChome2026-03-20

Finding into death of HD S

41y · Female·Multiple injuries from assault

…s; and adult safeguarding legislation is needed to coordinate responses to vulnerable adults experiencing abuse. Police missed opportunities to include the victim's child on protection orders, ensure proper referrals to…

communicationsystemcannabis
VICcommunity2013-09-04

Finding into death of Cassilla Ellen Dooley

34y · Female·Mixed drug toxicity (ethanol, methadone, diazepam and risperidone)

Cassilla Ellen Dooley, a 34-year-old woman with chronic mental illness and substance dependence, died from mixed drug toxicity involving ethanol, methadone, diazepam, and risperidone at a s…

psychiatryemergency medicinecommunicationsystemalcohol
VIC2018-08-27

Finding into death of Adrian Paul Gibb

33y · Male·Injuries sustained in fall from height

…Allansford, Victoria. He had a history of chronic back pain, depression, insomnia, and occasional marijuana use. His GP last saw him three days before death discussing pain management options; he denied suicidal ideatio…

general practiceforensic medicinecannabis
QLDhome2022-06-27

Langham, Doreen Gail and Hely, Gary Matthew

49y · Female·Doreen Langham: combination of spleen injury and effects of fire; Gary Hely: eff…

Doreen Langham was killed by her intimate partner Gary Hely in an intimate partner homicide-suicide on 22 February 2021 in Queensland. The death was preceded by extensive domestic violence including physical assaults, co…

forensic medicinepsychiatrydiagnosticcommunicationcannabis
NSWhome2023-08-22

Inquest into the death of George Campbell

17y · Male·hydrocarbon toxicity (petrol inhalation)

George Campbell, an Aboriginal youth with complex trauma, ADHD, and emerging volatile substance misuse, died aged 17 from hydrocarbon toxicity after inhaling petrol. While living with supportive kinsh…

paediatricspsychiatrycommunicationsystempetrol
VIChospital2021-02-26

Finding into death of MrJ

22y · Male·Drowning

A 22-year-old university student with recent substance use presented to ED following violent behaviour. He had facial trauma with mild head injury and abnormal…

emergency medicinepsychiatrysystemdelayMDMA
WAprison- 20 March 2014

Inquest into the Death of Anthony Nigel AXTELL

38y · Male·Heart failure in a man with dilated cardiomyopathy and focal severe coronary art…

Anthony Axtell, a 38-year-old man with severe dilated cardiomyopathy from amphetamine use, died of heart failure while in prison custody. Initially treated successfully in 2002 with recovery to nor…

cardiologycardiothoracic surgerymedicationsystemamphetamine
WAhospital2013

Inquest into the Death of Poole, Raymond Thomas

48y · Male·Gunshot wound to the head

A 48-year-old man died from a gunshot wound to the head during a police siege after having barricaded himself in a property. He had confronted the property owner with a sawn-off rifle, claimed to have wired explosives, b…

communicationsystemamphetamine
WAcommunity2022-12-12

Inquest into the Death of Lewis Henry Mark WESTON

22y · Male·ligature compression of the neck (hanging)

…der (CTO) for Schizoaffective Disorder. He presented with first-episode psychosis in 2017 and repeatedly refused antipsychotic medication throughout his illness, requiring three CTOs between 2019-2020. The coroner found…

psychiatryemergency medicineolanzapine
NSWcommunity2024-02-20

Inquest into the death of Jasmynd Gibbs

33y · Male·Complications of methylamphetamine use

Jasmynd Gibbs, a 33-year-old First Nations man, died from complications of methylamphetamine use while on supervised parole in May 2021, less than two months after release. He had complex needs including …

correctional healthpsychiatrysystemcommunicationmethamphetamine
VIChome2026-05-19

Finding into death of QRB QRB

32y · Female·Effects of fire

A 32-year-old woman died in a house fire at her rented home on 22 March 2024. Fire Rescue Victoria classified this as a preventable fatality. T…

methamphetamine
VIChome2025-01-09

Finding into death of C M

25y · Female·Neck compression secondary to hanging

CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family vio…

emergency medicinepsychiatrydiagnosticsystemalprazolam
VIChospital2021-05-31

Finding into death of Ms Jane

13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity

… toxicity following accidental overdose. She ingested an estimated 6-9mls of GHB in early June 2017, having used the drug only once previously. Jane was relatively naive to GHB's effects. She was resuscitated after card…

emergency medicineintensive caregamma hydroxybutyrate
111121316

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.