Coronial

368 results for substance use disorder history

WAprison2017-02-28

Inquest into the Death of Jayden Stafford BENNELL

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

…e compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric history including drug-induced psychosis, depression, and anxiety, for which he was frequently non-compliant with…

psychiatrycorrectional healthcommunicationsystemquetiapine
TAShome2023-08-11

Coroner's Finding: Dobson, Barbara Maree

45y · Female·mixed drug toxicity including heroin and methylamphetamine

Barbara Dobson, a 45-year-old woman with a long history of substance abuse, violent relationships, and mental health issues, died of mixed drug toxicity includin…

emergency medicineforensic medicinedelaysystemheroin
SAhospital2022-06-17

Coroner's Finding: THREDGOLD, Holly Alexandra

42y · Female·hanging

Holly Thredgold, aged 42, died by hanging on 28 August 2016, less than 40 hours after inappropriate discharge from Royal Adelaide Hospital ED. She presented on 26 August 2016 severely intoxicated with suicidal ideation a…

emergency medicinepsychiatrycommunicationdiagnosticsertraline
NSWcommunity2025-09-24

Inquest into the death of Matthew Richard Lothian

37y · Male·self-inflicted gunshot wound to the head and neck

…tody when he seized the firearm from Correctional Services Officer Harvey and shot himself. Lothian had a history of depression, substance abuse, and was facing serious charges with limited prospects of escape from his …

psychiatrycorrectional healthsystemcommunicationmethadone
NSWhome2017-06-07

Inquest into the death of Craig LEISHMAN

46y · Male·Complications of chronic alcoholism and hypertension

Craig Leishman, 46, died from complications of chronic alcoholism and hypertension. He had a 10-year history of heavy alcohol use, liver failure (identified February 2016), and completed rehabilitation. Two weeks b…

intensive carepathologyalcohol
NSWhospital2011-03-04

Williammackenzie 2011 03 04 12 58 08 816

60y · Male·Multiple injuries sustained after jumping from 15th storey home unit

William MacKenzie, a 60-year-old with a five-year history of bipolar affective disorder and recent involuntary hospitalization, presented to St. Vincent's Hospital…

psychiatryemergency medicinediagnosticproceduralolanzapine
TAShome2015-03-20

Coroner's Finding: Davis, Ross James

56y · Male·Complications of intravenous drug use

Ross James Davis, aged 56, died from complications of intravenous opioid use. He had severe chronic obstructive pulmonary disease exacerbated by heavy smoking, chronic pain, and opioid…

general practiceemergency medicinemorphine
VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

Kirk Steven Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days …

general practiceaddiction medicinemedicationcommunicationheroin
QLDhospital2017-12-01

Girven, Bianca – Non-inquest findings

22y · Female·Hypoxic-ischaemic encephalopathy due to asphyxia (mechanical asphyxiation by nec…

… on cognitive bias leading clinicians to underestimate violence risk over time, loss of relevant clinical history, ineffective independent oversight processes, and insufficient assertiveness in monitoring a voluntary pa…

psychiatryemergency medicinediagnosticcommunicationclozapine
VIChome2023-07-28

Finding into death of Jackson Desmond David Stawicki

24y · Male·Haemorrhagic shock in the setting of a sharp force injury to the left arm

…aemorrhagic shock following a sharp force injury to his left arm while intoxicated with multiple illicit substances. He presented to the ED three times within 24 hours (4-5 September 2020) following police apprehension …

emergency medicinepsychiatrycommunicationsystemflualprazolam
VIChospital2023-12-13

Finding into death of RW C

43y · Male·exsanguination from incised wounds to the arms - self inflicted

A 43-year-old man with schizophrenia, PTSD, and methamphetamine use died from exsanguination following self-inflicted incised wounds to both arms. He had been discharged from …

psychiatryemergency medicinecommunicationdelayrisperidone
QLD2011-10-20

Hornby, Grace Ann; Hornby, Jessica Lee; Mansell, Denise Ann; Thomson, Anthony Paul

Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…

…ighlights gaps in medical-police communication regarding driver fitness and over-medication risks in polysubstance-using patients with psychiatric conditions.

general practicepsychiatrysystemcommunicationdextroamphetamine
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

…d from accidental overdose of heroin and methylamphetamine (speedballing) in her bedroom while a known drug user was present. She had complex trauma from childhood abuse, a history of drug use and absconding, and was aw…

emergency medicinetoxicologydelaysystemheroin
NSW2015-10-05

Inquest into the death of Andrew Amos

30y · Male·ischaemic heart disease

…ding scarring suggesting previous infarction. Although he reported irregular heartbeat and heart medication use in 2004, subsequent medical records did not document cardiac disease. A cardiologist reviewing his complete…

cardiologyemergency medicine
TAS2021-09-17

Coroner's Finding: Infant Deaths

varied: sudden unexpected death in infancy (unsafe sleeping environment); drowni…

…en children (six infants and one child aged 16 years) between 2014 and 2018 in Tasmania. All families had history of Child Safety Services (CSS) involvement. Coroner found no direct causal link between CSS action/inacti…

paediatricspsychiatrydiagnosticcommunicationalcohol
VICcommunity2019-10-09

Finding into death of Michael Travis Kidd

35y · Male·Clozapine toxicity

A 35-year-old Aboriginal man with schizophrenia and alcohol use disorder died from clozapine toxicity while residing at a non-clinical peer recovery facility. He presented…

psychiatryforensic medicinecommunicationsystemclozapine
VIChome2025-01-31

Finding into death of Nicky Kudrin

60y · Male·Gunshot wound to the head (self-inflicted)

… factors included untreated mental health symptoms following marital breakdown, alcohol and methamphetamine use, unserved family violence intervention order, and lack of prior mental health treatment despite October 201…

methamphetamine
QLDhome2024-07-22

Non-inquest findings into the domestic violence related death of a First Nations woman

31y · Female·Pressure applied to neck (asphyxia); not ascertained due to advanced post-mortem…

…s high-risk but closed her file without safety planning when she disengaged. The partner had a documented history of violence toward previous partners and was released from supervision orders despite identified risk of …

general practiceobstetricscommunicationsystemmethamphetamine
TAShome2018-07-06

Coroner's Finding: Godley, David Geoffrey

30y · Male·Exsanguination due to self-inflicted multiple stab and incised wounds

…multiple stab and incised wounds to his neck, chest, and head on 24 April 2016 in Tasmania. He had a long history of psychosis and depression dating from age 14, treated with antipsychotic medication with variable compl…

psychiatryemergency medicinedelaymethamphetamine
QLD2019-09-06

Blair, Colin Wayne

44y · Male·Hanging

Colin Wayne Blair, a 44-year-old Aboriginal man with a history of mental illness and substance use, died by hanging in the High Dependency Unit of Brisbane Correctional…

psychiatrypsychologycommunicationsystem
113141519

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