Coronial

464 results for substance use history

QLD2017-10-20

Anthony William Young, Shaun Basil Kumeroa, Edward Wayne Logan, Laval Donovan Zimmer and Troy Martin Foster

Male·Police use of lethal force; coroner found in each case the officers acted approp…

This multi-death inquest examined five police shootings in Queensland (2013-2014) where all deceased had mental health histories. The coroner found officers acted appropriately in each case but made 19 recommendations to…

emergency medicinepsychiatrysystemcommunicationmethamphetamine
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained i…

emergency medicinegeneral practicecommunicationsystemalcohol
VIChome2012-06-04

Finding into death of Phong Cao

39y · Male·Haemorrhage from right groin wound

A 39-year-old man with extensive intravenous drug use history died from haemorrhage following rupture of a femoral artery aneurysm during a groin injection attem…

vascular surgeryemergency medicineheroin
VIChospital2015-05-28

Finding into death of Naomi Charmaine Mahon

33y · Female·multiple injuries sustained when struck by a train

Naomi Mahon, a 33-year-old woman with bipolar affective disorder and substance use issues, died after being struck by a train shortly after absconding from Monash Medical Centre emerg…

psychiatryemergency medicinerisperidone
VIChome2025-01-31

Finding into death of FCP

45y · Female·Drowning whilst inebriated (ethanol)

…ed by drowning while inebriated on 11 April 2020 at her home in Kilmore East, Victoria. She had a complex history of mental illness (psychosis, depression, anxiety, PTSD), substance abuse, and was in a relationship with…

psychiatryemergency medicinesystemcommunicationalcohol
VICmental health2017-04-07

Finding into death of Natasha Calleja

32y · Female·combined drug toxicity, mainly heroin

…abilised on Category 2 observations. Critical failings included: lack of visitor screening despite known substance use risks, unsupervised access to private spaces with a visitor of known drug involvement, and failure t…

psychiatryemergency medicinecommunicationsystemheroin
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
NSWout of home care2020-10-02

Inquest into the disappearance of Katrina BOHNENKAMP

15y · Female·Unknown - insufficient evidence for finding

…onal medical case, the finding highlights critical child welfare and safeguarding failures. Katrina had a history of absconding from care facilities, substance use exposure, and repeated contact with her father (a known…

systemcommunicationheroin
SAhome2017-11-17

Coroner's Finding: KEANE Shaun Martin

31y · Male·carbon monoxide toxicity

…y carbon monoxide toxicity while on home detention bail following arrest for assault. He had a documented history of suicidal ideation, including a previous gassing attempt in 2010, and had experienced significant traum…

psychiatrypsychologycommunicationsystemmethamphetamine
VIC2010-02-12

Finding into death of Wesley Robert Jennings

42y · Male·incised wound to the neck

Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demo…

psychiatrypsychologycommunicationsystemcitalopram
VIChome2024-04-29

Finding into death of Mr A

32y · Male·Neck compression in the setting of hanging

Mr A, a 32-year-old male with a history of family violence perpetration, mental illness (bipolar disorder, schizophrenia, PTSD), substance misuse

psychiatrygeneral practicecommunicationsystemalcohol
VIChospital2011-02-28

Finding into death of Carl Ranthe

26y · Male·multiple injuries

Carl Ranthe, a 26-year-old with schizophrenia, presented to Frankston ED on 1 January 2009 after a fight and alcohol consumption. Social worker Manfred Rapp conducted a 15-minute assessment, found Carl not psychotic, low…

psychiatryemergency medicine
WA2024-11-15

Inquest into the death of Kingsley Dean Garlett

32y · Male·ligature compression of the neck (hanging) in a man with methadone and methylamp…

…ls. Critical clinical lessons emerge: the deceased had emotionally unstable personality disorder and polysubstance use disorder but did not warrant psychiatric hospitalization. However, he was able to access illicit dru…

psychiatrypsychologysystemdelaymethadone
VIChome2022-08-31

Finding into death of B L

28y · Male·neck compression consequent upon hanging

A 28-year-old man with severe personality disorder, substance use history, and recent suicidal ideation died by hanging. He was admitted to mental health services on …

psychiatryemergency medicinecommunicationsystemsodium valproate
VICmental health2018-05-17

Finding into death of Lucas Richard Towndrow

51y · Male·Injuries sustained in a train incident

…t that his unescorted leave privileges were being revoked due to returning from previous leave appearing substance-affected. He terminated the consultation abruptly, then requested a cigarette break which a nurse author…

psychiatrydiagnosticcommunication
SAhome2025-11-27

Coroner's Finding: Nguyen, Van Tam

47y · Male·self-inflicted stab wound to the chest with penetration of the left ventricle of…

…d man serving his sentence on home detention died from a self-inflicted stab wound to the chest. He had a history of heroin and methamphetamine use and was receiving methadone maintenance and mirtazapine while in custod…

correctional healthpsychiatryheroin
VIChospital2014-03-25

Finding into death of Robert Glaisher

56y · Male·hypothermia

Robert Glaisher, a 56-year-old man with depression and significant alcohol abuse, presented to the ED on 5 July 2010 with acute confusion, agitation and visual hallucinations. He had a his…

psychiatryemergency medicinediagnosticcommunicationvenlafaxine
VIChome2023

Finding into death of Mr ZJF

27y · Male·Dextromethorphan toxicity

Mr ZJF, a 27-year-old man with a longstanding history of schizophrenia, polysubstance use disorder, and depression, died from dextromethorphan toxicity. He was…

psychiatrygeneral practicesystemdextromethorphan
QLDhome2021-02-17

T, an eight week old infant - Non-inquest findings

0y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…

… when the mother fell asleep and slumped forward over him. The infant was born to a mother with a 12-year history of heroin addiction (on methadone maintenance), who tested positive for amphetamines and methamphetamine …

neonatologypaediatricssystemcommunicationheroin
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
112131424

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