Inquest into the death of Yohan WEPITIYA-GAMAGE
19y · Male·Hanging
Yohan Wepitiya-Gamage, a 19-year-old male remand prisoner with a history of psychosis and substance use, died by hanging in his cell at the Metropolitan Special Programs Centre i…
368 results for “substance use disorder history”
19y · Male·Hanging
Yohan Wepitiya-Gamage, a 19-year-old male remand prisoner with a history of psychosis and substance use, died by hanging in his cell at the Metropolitan Special Programs Centre i…
54y · Male·incised wound to the neck
Terrence Michael Malone, a 54-year-old man with a 20-year history of bipolar affective disorder, PTSD, and alcohol dependence, died by suicide in Brisbane Correctional Cen…
29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…
…ing pregabalin, dihydrocodeine, tramadol, temazepam, and lorazepam. He engaged in prescription medication abuse over 12 months, consulting approximately 60 general practitioners and using false identities to obtain medi…
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…
40y · Male·unascertained
Justin Foster, a 40-year-old man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton Hou…
52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…
Lisa Murphy, a 52-year-old woman with mental illness and substance use history, died following a physical altercation at a convenience store. She became involved in a verb…
24y · Male·Combined drug toxicity (heroin, benzodiazepine and others)
Samuel Morrison, 24, died from combined drug toxicity involving heroin, benzodiazepines and other substances. He had a long history of depression, anxiety and illicit drug use, and had recently been discharged fr…
Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…
…nadequate communication between GPs and pharmacists; prescribing of benzodiazepines and opioids to known substance-dependent patients; failure to consult psychiatrists for long-term psychiatric medication; emergency dep…
17y · Male·injuries sustained in a motorcycle incident (driver)
… Island, rode across the infield at full speed without braking, and was struck by another rider. He had a history of mental health issues treated with antidepressants and anxiety medication. Post-mortem toxicology detec…
59y · Male·Multiple stab injuries
…ce due to focus on the perpetrator's FVIO breach and a LEAP database outage preventing access to violence history. The coroner identified concerns about police misidentification of the predominant aggressor in family vi…
38y · Male·electrical injury
Benjamin Van Trigt, a 38-year-old man with schizoaffective disorder, died by electrocution at home on 17 November 2022 while on a Community Treatment Order (CTO). He had exp…
42y · Male·ligature compression of the neck (hanging)
Wayne Larder, a 42-year-old man with depression, suicidal ideation, and substance use disorder, died by hanging in Hakea Prison on 22 February 2021. Critical failures in suicide risk man…
32y · Female·Compression of the neck
… Mental health services discharged NLU with incomplete risk assessment despite documented family violence history, poor medication compliance, psychotic symptoms, and substance abuse; (2) NLU's diagnosis remained unclea…
17y · Male·Unascertained in the setting of volatile substance abuse
Master S, a 17-year-old Yorta Yorta young man, died on 3 July 2017 at the Bert Williams Hostel from a cause unascertained in the setting of volatile substance abuse (chroming Rexona deodorant). He had a history of e…
35y · Male·neck compression from hanging
A 35-year-old man with a history of depression, substance abuse, and acquired brain injury from assault was admitted to a psychiatric ward…
22y · Male·Hanging
A 22-year-old man with severe chronic treatment-resistant schizophrenia and substance use disorder died by hanging in prison custody. He had been recently discharged from a mental health hos…
39y · Male·Drowning in the setting of a very high blood alcohol level
…ng the water with a very high blood alcohol level (0.33g/100mL). He was not a confident swimmer and had a history of anxiety, depression, and alcohol misuse. He had ceased psychological treatment due to financial diffic…
48y · Female and male·Ms Dailler: blunt head trauma and multiple sharp force injuries including stab w…
…investigators. The case also revealed that a remanded prisoner retained contact with a protected person because the Department for Correctional Services lacked access to intervention order information.
34y · Male·unascertained; most likely immersion after swimming at City Beach
Jose da Silva, a 34-year-old man with a history of schizophrenia and problematic alcohol use, disappeared on 30 April 2017 from Perth, Western Australia.…
22y · Male·hypoxic ischaemic encephalopathy as a result of hanging
…end the safer 'two-out' cell placement despite Tane's recent seizure, emerging mental distress, and known history of self-harm. The cell contained an obvious hanging point. Key clinical lessons include: always obtain an…
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