Coronial

464 results for substance use history

WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

A 36-year-old Aboriginal man with cluster B personality disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded…

psychiatryforensic medicinecommunicationsystemmethamphetamine
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

…s despite commands to drop the weapon, and was shot after a Taser proved ineffective. He had a documented history of ICE dependence, depression, suicidal ideation, anger management issues, and recent domestic violence. …

psychiatryemergency medicinecommunicationsystemmethamphetamine
NSWmental health2018-12-19

Inquest into the death of R R

38y · Female·neck compression (hanging)

RR, a 38-year-old woman with complex mental health history including PTSD, substance use disorder, and borderline personality traits, was admitted to Bloomfield Hos…

psychiatryemergency medicinecommunicationsystem
VIC2016-04-14

Finding into death of Oscar Nicholas McIntyre

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…

psychiatrygeneral practicemethamphetamine
VIChome2023-02-22

Finding into death of Anna Lawrence

64y · Female·Combined toxicity to alcohol and baclofen

…na Lawrence, 64, died from combined toxicity of alcohol and baclofen on 30 April 2020. She had a 40+ year history of alcohol dependency, borderline personality disorder, depression, and multiple suicide attempts. Baclof…

psychiatrypsychologysystembaclofen
SAhospital2021-11-25

Coroner's Finding: Ansink, Matthew Wade

32y · Male·Subarachnoid haemorrhage due to rupture of basilar artery aneurysm

…urological events can occur even when psychiatric symptoms appear to be improving, and that methamphetamine use carries stroke risk in younger patients, though causation could not be pathologically established.

psychiatryemergency medicinealprazolam
QLDcommunity2015-12-14

Logan, Edward Wayne

51y · Male·multiple gunshot wounds to the chest

Edward Wayne Logan, a 51-year-old Maori man with a history of violence, bipolar disorder, and personality disorder, died after being shot by police at Tewantin, Que…

citalopram
QLD2018-06-20

Holstein, Zachary James David

23y · Male·Hypoxic-ischaemic encephalopathy due to hanging

… hanging in Woodford Correctional Centre on 8 February 2016 (declared extinct 12 February 2016). He had a history of substance abuse, self-harm, and mental health difficulties. The key clinical lesson concerns informati…

psychiatrycorrectional healthdelaysystemmirtazapine
QLDhospital2013-01-18

Ryan, Adam Trent

30y · Male·asphyxia due to hanging (suicide)

…uicide attempt reported by police. Dr G. prescribed unrestricted diazepam (50 tablets) despite Mr Ryan's substance abuse history, and conducted only a 10-15 minute discharge assessment without reviewing the file. When M…

psychiatrygeneral practicecommunicationdocumentationsertraline
WAcommunity2015-04-05

Inquest into the Death of Thomas Charles WILLIAMS

37y · Male·Immersion (drowning)

…later. Post-mortem examination showed fluid-laden lungs consistent with drowning. The deceased had a long history of amphetamine use and previous asthma-like symptoms following drug use. Methylamphetamine was present at…

pathologyforensic medicinemethamphetamine
VICcommunity2014-02-03

Finding into death of Pratik Dugar

27y · Male·Multiple injuries sustained when struck by a train

A 27-year-old man with a history of anxiety disorder and depression died by suicide, placing himself in front of a train. He had presented…

general practicepsychiatrysertraline
WAprison2025-09-16

Inquest into the Death of Owen Duker Nugget WEAZEL

41y · Male·ligature compression of the neck (hanging)

Owen Weazel, a 41-year-old Wakka Wakka man with chronic mental health issues, substance use disorder and previous suicide attempts, was found hanging in his cell at Albany Regional Prison on 1…

psychiatrypsychologysystemcommunicationamitriptyline
NSWcommunity2014-06-27

Inquest into the deaths of Christopher SALIB, Nathan ATTARD and Shamsad AKHTAR

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…

general practiceemergency medicinediagnosticmedicationalprazolam
VICcommunity2022-06-24

Finding into death of H YO

44y · Male·Heroin toxicity

A 44-year-old man with a 24-year history of opioid addiction died from heroin toxicity two days after release from prison on a Community Correctio…

addiction medicinecorrectional healthsystemdelayheroin
VICcommunity2024-09-20

Finding into death of Frank Mellia

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…

alcohol
VIChome2021-02-24

Finding into death of AAC

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…

general practicetoxicologydiagnosticsystempregabalin
VIChome2022-10-06

Finding into death of Dannyll Ann Goodsell

33y · Female·Incised injuries to the neck

…g family violence, no support services were contacted prior to her death. Mr Cameron had a prior criminal history including family violence charges and had presented to mental health services in August 2018 expressing s…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
NSWaged care2020-07-29

Inquest into the death of John Pocklington

31y · Male·Acute Myocardial Infarction

John Pocklington, aged 31, died of acute myocardial infarction while in remand custody. He had a long history of methamphetamine use and untreated cardiac damage. On 28 April 2015, he reported chest pain to a nurse,…

cardiologypsychiatrydiagnosticcommunicationmethamphetamine
VIChome2020-09-28

Finding into death of JC

17y · Male·Hanging

A 17-year-old male with a history of mental health concerns, prior suicide pact attempt, and escalating aggressive behaviour died by hangin…

psychiatryemergency medicinesystemcommunicationdiazepam
VIChome2011-08-22

Finding into death of Robert Lee Braun

37y · Male·cardiomegaly and recent ingestion of methadone

…egaly and methadone toxicity after ingesting methadone without a valid treatment permit. He was a long-term user of pain relief medication with a history of addiction. On 3 December 2009, after attending a function, he …

forensic medicinecardiologymethadone
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