Coronial

415 results for drug abuse

SA2000-06-16

Coroner's Finding: CARTER Marshall Freeland

19y · Male·heroin toxicity

Marshall Carter, 19, died in custody from heroin toxicity at Yatala Labour Prison. He had a long history of drug abuse starting from age 14 and was an intravenous heroin user. Critical failures included: inadequate trans…

forensic medicineemergency medicinediagnosticcommunicationheroin
VIChome2011-02-17

Finding into death of Michael William Gledhill

37y · Male·Mixed drug toxicity (heroin, methadone and diazepam) in a man with coronary arte…

Michael Gledhill, 37, died from mixed drug toxicity involving heroin, methadone, and diazepam, complicated by pre-existing coronary artery disease. He…

general practicepharmacologymedicationcommunicationheroin
VIChome2025-11-11

Finding into death of RBJ

26y · Male·Suffocation due to inhaling nitrous oxide

A 26-year-old man died from suffocation after intentional recreational nitrous oxide use via a full-face gas mask connected to a cream whipper dispenser. He had purchased 300 cream chargers plus a 640g tank online two da…

forensic medicinepublic healthnitrous oxide
VIChome2020-06-05

Finding into death of Gregory Allen Floyd

43y · Male·Gunshot wound to the head

… any evidentiary basis. He engaged in coercive controlling behaviour, stalking, sexual coercion, emotional abuse, and financial control. Mr Floyd accessed general practice and social worker support, disclosing relations…

general practicepsychologydiagnosticsystemcodeine
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 subject to a Community Treatment Order at the time of death …

psychiatrygeneral practicesystemdextromethorphan
TAShome2020-05-14

Coroner's Finding: Cashion, Brett Matthew

48y · Male·combined drug intoxication from morphine and quetiapine

Brett Cashion, a 48-year-old man with chronic pain and mental health issues, died from combined morphine and quetiapine intoxication after injecting prescription morphine. He was receiving daily Subutex in Tasmania from …

general practicepain medicinecommunicationsystemmorphine
TAShome2015-10-02

Coroner's Finding: Ms G de-identified

Female·hanging (suicide)

…ween 2009 and 2013, but remained non-compliant with follow-up care and repeatedly relapsed into alcohol and drug use after discharge. Financial difficulties, unemployment, and loss of private health insurance limited her…

psychiatryaddiction medicinesystemalcohol
WAmental health- 11 April 2014

Inquest into the Death of Ritchie GORDON

49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…

Ritchie Gordon, a 49-year-old Aboriginal man with chronic schizophrenia, was a long-term involuntary psychiatric patient at Graylands Hospital who died on 12 July 2005 of unascertainable cause. Possible explanations incl…

psychiatryforensic medicineclozapine
VIChome2016-10-07

Finding into death of Milica (Mary) Minchev

48y · Female·Combined drug toxicity involving oxycodone, benzodiazepines (diazepam, nordiazep…

A 48-year-old woman with epilepsy, depression, anxiety and documented drug dependence died from combined toxicity of oxycodone, benzodiazepines, amitriptyline and other drugs. Over 1…

general practicepsychiatrydiagnosticmedicationoxycodone
VIChome2015-02-19

Finding into death of Daniel Paul Sheehy

18y · Male·Effects of fire (accidental)

Daniel Sheehy, a 18-year-old male, died from burns sustained in a bedroom fire on 14 March 2012. The coroner found the fire was accidental, most likely caused by a carelessly discarded or improperly extinguished cigarett…

forensic medicineemergency medicinemethamphetamine
SAhospital2005-05-24

Coroner's Finding: WALLACE-MOHLMANN Candice Mackenzie

30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…

Candice Mackenzie Wallace-Mohlmann, a 30-year-old woman with chronic schizophrenia and substance abuse history, died from hypoxic brain injury caused by self-injection of vecuronium and atropine obtained from …

psychiatryemergency medicinediagnosticmedicationvecuronium
VICcommunity2012-12-10

Finding into death of Lynette May Phillips

27y · Female·neck compression

…her intimate partner Benjamin Pappas in February 2007. Lynette had a documented history of family violence, drug dependency, and was receiving support from family violence services. She was also a patient of GP Dr K., wh…

general practicepsychiatrycommunicationsystemheroin
TAS2016-07-25

Coroner's Finding: Kupsch, Jessica Ann

29y · Female·Multiple severe blunt traumatic injuries to the face, neck and head

…rst, in April 2012, police agreed to a plea bargain that deleted evidence of Tunks' assaults on Kupsch and abuse of their infant child, making him eligible for a drug treatment order instead of imprisonment—had he been …

systemdelay
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

21y · Male·complications of ligature compression of the neck (hanging)

…tention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose attempts. Key clinical lessons include: the failure to maintain con…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
SAhome2014-01-31

Coroner's Finding: HADLEY Duke Zenon

2y · Male·Asphyxiation due to neck and/or chest compression

A 2-year-old boy died from asphyxiation due to chest and neck compression inflicted by his mother during an acute manic psychotic episode. The mother had been admitted to psychiatric care in December 2008 with psychosis …

psychiatryemergency medicinecommunicationsystemrisperidone
NSW2022-07-06

Inquest into the death of Kevin BUGMY

57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…

…ovision (health vs. corrections) creates barriers to holistic care; (5) Aboriginal-specific culturally-safe drug and alcohol programs are essential; (6) excessive transfers undermine continuity of care and health engagem…

cardiologygeneral practicediagnosticcommunicationacetone
QLDhome2018-05-21

House, William John; White, Vanessa Joan; Smith, Jodie Anne and Milne, Daniel Keith

Unknown·acute fentanyl toxicity; acute oxycodone toxicity; multiple drug toxicity; opioi…

…community prescribers, and insufficient clinical education. Contributing factors: inadequate assessment for drug dependence; prescribing without real-time access to patient's dispensing history; prescription oversight ga…

general practicepain medicinediagnosticmedicationfentanyl
NSWhospital2018-07-20

Inquest into the death of Jamie Walker

49y · Male·Metastatic cholangiocarcinoma

Jamie Walker, a 49-year-old man with pre-existing epilepsy, cirrhosis, and hepatitis C, died in custody from metastatic cholangiocarcinoma. He presented with abdominal pain and leg swelling; initial ED assessment on 19 O…

emergency medicinegastroenterologymethadone
NSWhome2018-06-08

Inquest into the death of BL GN and D G

Female·Sudden Unexpected Death in Infancy (SUDI), otherwise undetermined

…) with undetermined cause. The coroner identified systemic failures in child protection services: numerous abuse and neglect reports were received over years but never properly assessed. The critical issue was a 'compet…

paediatricsneonatologysystemdelayice/methamphetamine
TAShome2023-12-14

Coroner's Finding: Drummond, Samuel Patrick

44y · Male·acute alcohol intoxication

Samuel Patrick Burke Drummond, aged 44, died from acute alcohol intoxication with blood alcohol level of 0.572g/100ml (above the lethal threshold of 0.4g/100ml), combined with methylamphetamine use. He had a longstanding…

toxicologypathologyalcohol
114151621

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