Coronial

568 results for overdose

VIChome2021-03-19

Finding into death of Jessinda Kiroyan

41y · Female·Nitrate/nitrite toxicity

Jessinda Kiroyan, a 41-year-old woman with a longstanding history of bipolar affective disorder, died from nitrate/nitrite toxicity in May 2019 after intentionally ingesting sodium nitrite obtained from a food ingredient…

psychiatryforensic medicinesodium nitrite
VIChome2025-12-04

Finding into death of Raymond John Flaherty

57y · Male·Mixed drug toxicity (heroin, methadone, benzodiazepines including novel benzodia…

… to arrange alternative pharmacy services before his death. The coroner found the death likely accidental overdose in context of longstanding drug use, complicated by emerging public health risks from counterfeit benzodi…

addiction medicinegeneral practicesystemcommunicationheroin
VIChome2020-09-28

Finding into death of Mary Veronica Payne

71y · Female·Combined drug toxicity in a woman with emphysema

…er system. The coroner emphasised that methadone diversion remains a significant contributor to Victorian overdose deaths and highlighted the need for improved education and policy regarding safe storage of methadone in …

general practiceforensic medicinesystemmethadone
VICcommunity2016-11-22

Finding into death of Claire Marguerite Martin

28y · Female·methadone toxicity

…h clinical checks, but no concerns were documented. The case highlights the well-documented risk of fatal overdose in the first week of MMT initiation, emphasizing the need for vigilant dose titration, careful assessment…

addiction medicinepsychiatrydiagnosticmedicationmethadone
VIChome2011-09-13

Finding into death of Rosa Sinapi

47y · Female·risperidone toxicity

…a Sinapi, a 47-year-old woman with delusional disorder, died from risperidone toxicity after ingesting an overdose of her antipsychotic medication. She had self-escalated her risperidone dose from 3mg to 6mg daily withou…

psychiatrygeneral practicesystemdelayrisperidone
VIChome2010-12-16

Finding into death of Melissa Deborah Irwin

35y · Female·methadone toxicity

Melissa Irwin, 35, died from methadone toxicity after consuming her cousin's take-home methadone dose (110mg liquid). She had no history of substance abuse and had never received formal education about methadone's risks,…

toxicologyaddiction medicinesystemcommunicationmethadone
WAmental health- 11 April 2014

Inquest into the Death of Antoinette WILLIAMS

19y · Female·combined drug effect and myocarditis

A 19-year-old Aboriginal woman with alcohol and cannabis abuse died at Graylands Hospital from combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Roy…

psychiatryemergency medicinemedicationcommunicationhaloperidol
VICcommunity2019-06-18

Finding into death of Yara Sturak Mignon

35y · Male·Hypoxic brain injury complicating cardiac arrest in the setting of combined hero…

Yara Sturak Mignon, a 35-year-old with a 10-year heroin addiction, was found unconscious in a restaurant bathroom on Victoria Street Richmond in November 2018. He had combined heroin, alcohol, and doxylamine (antihistami…

emergency medicineintensive caresystemheroin
VIChome2016-06-23

Finding into death of John Charles Prohasky

66y · Male·unascertained

…rate carbohydrate counting; pump data from 17-20 June 2013 was corrupted preventing analysis of potential overdose; his history of severe hypoglycaemia with poor symptom recognition may have contributed; multiple Medtron…

endocrinologysystemcommunicationinsulin - rapid-acting
NThospital2009-12-02

Inquest into the death of Matthew Winsloe Hinton

18y · Male·acute multiple drug toxicity

Matthew Hinton, an 18-year-old male, died from acute multiple drug toxicity after consuming nine LSD tablets and methamphetamine. Police attended at approximately 5:30am when called to a disturbance, but a critical delay…

emergency medicineintensive carecommunicationsystemLSD
WAhome2004-10-28

Inquest into the Death of Kelly

33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…

Lou Ann Kelly, aged 33, died on 3 April 2003 at Royal Perth Hospital ICU from combined drug toxicity, primarily thioridazine, after consuming large quantities of prescription medications with alcohol. She collapsed at he…

general practicepsychiatrysystemthioridazine
VIChome2025-08-21

Finding into death of Ryan Andrew Robinson

31y · Male·Mixed drug toxicity (heroin, bromazolam, metonitazine, protonitazene, methamphet…

Ryan Robinson, a 31-year-old man with longstanding opioid use disorder and complex mental health conditions, died from mixed drug toxicity involving heroin, novel psychoactive substances (nitazenes: metonitazene and prot…

general practiceaddiction medicineheroin
NSW2023-03-23

Inquest into the death of LT

24y · Male·methylamphetamine toxicity

LT, a 24-year-old male prisoner, died from methylamphetamine toxicity after ingesting multiple drug-filled balloons that ruptured in his stomach. He had received a prison visit from two individuals with prior contraband-…

emergency medicinetoxicologysystemmethamphetamine
ACThome2020-02-24

Inquest into the death of Joanne Lea LOVELOCK

53y · Female·Combined effects of alcohol, amitriptyline, and methadone

Joanne Lovelock, a 53-year-old woman with chronic pain, died from combined effects of alcohol, amitriptyline, and methadone on Christmas Day 2015. She had developed opioid dependence while receiving legitimate pain manag…

general practicepain medicinesystemcommunicationalcohol
TAShome2020-05-19

Coroner's Finding: Adams, Christopher Neil

31y · Male·mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine …

…disease. He had a documented history of opioid addiction, multiple emergency presentations for medication overdose, and drug-seeking behaviour managed by his GP and pharmacy services. Despite safeguards (locked medicatio…

general practiceemergency medicinesystemmethadone
SAmental health2012-10-26

Coroner's Finding: Mitton Paul Laurie

32y · Male·hanging

…sorder and recent suicide attempt died by hanging in a closed psychiatric ward. He was admitted following overdose and suicidal ideation, deemed high-risk, and placed on standard half-hourly observations. Critical admiss…

psychiatryemergency medicinesystemcommunicationdiazepam
QLDhospital2025-06-02

Non-inquest findings into the death of Mr B.

42y · Male·Multiple organ failure due to iatrogenic phenol overdose due to metastatic pancr…

…ar-old man with metastatic pancreatic cancer died from multiple organ failure caused by iatrogenic phenol overdose during a celiac plexus block for pain management. The radiologist administered 40ml of 80% phenol instead…

radiologyintensive carediagnosticmedicationphenol 80%
VIC2022-09-09

Finding into death of Gregory Paul Sedgman

42y · Male·Complications post polypharmacy toxicity

…ed missed opportunities for urinalysis testing and additional unit searches that might have prevented the overdose.

psychiatrytoxicologymedicationcommunicationoxycodone
VICcommunity2022-06-24

Finding into death of H YO

44y · Male·Heroin toxicity

…(drug and alcohol assessment service) prior to release, despite his documented history of multiple recent overdoses and polysubstance dependency. The coroner found this omission significant but concluded it did not contr…

addiction medicinecorrectional healthsystemdelayheroin
VIC2016-12-13

Finding into death of Finding

16y · Female·mixed drug toxicity (oxycodone, citalopram, fluoxetine and quetiapine)

JF, aged 16, died by intentional overdose of prescription medications after being removed from her long-term foster home. JF had a history of depre…

psychiatrypaediatricscommunicationsystemoxycodone
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