318 results for “substance use (cannabis)”
5y · Male·Presumed drowning
…ite clear risk factors: LS's recent release from prison, history of violence and mental health issues, drug use, erratic behaviour, and SJ's expressed concerns she would take the children. Mental health and police respo…
Unknown·Multiple causes: hanging (three cases); exposure in context of organic brain dam…
…e by hanging (ages 19, 25, 27); one by exposure (age 35). Deaths were linked to petrol sniffing (chronic substance abuse causing severe neurological damage), mental health issues, and systemic service failures. Key clin…
28y · Male·neck compression subsequent upon hanging
…tnessed; a 2:00 am observation was recorded as "in bed asleep" based on a non-visual check; and the bed was used as a ligature point after Matthew had approximately one hour without proper staff contact. The coroner fou…
19y · Male·gunshot wounds to chest and abdomen
…hot wounds to his chest and abdomen at Yuendumu Police station on 9 November 2019. This coroner's report focuses on systemic failures in policing, youth services, and health delivery in remote Aboriginal communities. Ke…
0y · Female·unascertained
…alist child protection units on 16-17 November but lacked resources for emergency accommodation and did not use the afterhours DCSSDS hotline. The family remained disconnected from consistent support. Multiple agencies …
19y · Male·Hanging
LAK, a 19-year-old Aboriginal man, died by suicide at a community rehabilitation facility after a complex mental health journey involving forensic orders and psychosis. Key clinical lessons include: recognising vulnerabi…
32y · Male·Head injuries sustained in a motor vehicle incident (pedestrian)
Richard Powell, a 32-year-old with a history of violent behaviour and methamphetamine use, died from head injuries sustained in a motor vehicle incident while assaulting his domestic partner. This …
41y · Male·complications in association with effects of fire, with terminal palliative care
Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by suicide on 1 November 2021 after self-immolating with boat f…
25y · Male·opiate toxicity (heroin overdose)
Andrew Nicholas Petrelis, a witness protection program participant, was found dead in his Caloundra apartment on 11 September 1995 from opiate toxicity (heroin overdose). He had relocated from Western Australia to Queens…
17y · Female·Combined drug toxicity (heroin, codeine, methadone, benzodiazepines)
Hannah Charles, a 17-year-old with substance abuse issues, died from combined drug toxicity (heroin, codeine, methadone, benzodiazepines) at a privat…
23y · Male·Neck compression as a result of hanging
Jonathon Hogan, a 23-year-old Aboriginal man of Wiradjuri, Ngiyampaa and Murrawarri descent, died by hanging at Junee Correctional Centre on 3 February 2018 while serving remand. He had longstanding schizophrenia with pr…
gunshot wounds; multiple deaths during police interventions with mentally ill in…
…t integration of alcohol/drug services with mental health treatment. The coroner made 17 recommendations focused on standardised mental health assessments, revised involuntary treatment criteria emphasising capacity rat…
14y · Male·Hanging
A 14-year-old boy died by hanging after extensive exposure to domestic and family violence and child abuse, primarily from his father. Child Safety Services involvement began in infancy but failed to apply a trauma…
48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)
…Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suicidal ideation. The coroner found his mental health care w…
14y · Female·ligature compression of the neck (hanging)
Child RK, aged 14, died by suicide while in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency de…
Unknown·Multiple causes including neck compression due to hanging (Ward, Ryan, Cooper) a…
This inquest into four deaths on the Anangu Pitjantjatjara Lands involved multiple causes including hanging (three cases) and exposure with complications. Kunmanara Ward died by hanging while into…
3y · Female·tramadol toxicity
…n left unsecured in her carer's bedroom. The child was removed from her mother's care due to neglect and substance abuse and placed with her step-father. Although police investigation concluded no deliberate harm, the d…
20y · Male·Multiple injuries from fall from height
Bailey Mackander, a 20-year-old Wiradjuri man with substance use disorder and anxiety, died from multiple injuries after impulsively jumping an 8-metre wall at a hos…
32y · Male·self-inflicted hanging
Sean Collins, a 32-year-old American chef on a work visa who became imprisoned in the Northern Territory, died by suicide in prison custody. He had multiple unaddressed risk factors: first incarceration, lengthy sentence…
22y · Male·Combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan and op…
…thadone, diazepam, dextromethorphan). He manipulated multiple GPs by misrepresenting his tolerance and drug use, obtaining escalating benzodiazepine prescriptions from concurrent practitioners (Kinetic and Subiaco) with…
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