Coronial

415 results for drug abuse

NSW2020-10-27

Inquest into the death of Mikael FELSCH

29y · Male·Unascertainable - likely drowning or accidental injury during terrain navigation…

…ed he was stranded and seeking help. His vehicle was found in dense bushland 23 days later, with a rope and drug paraphernalia inside. His body was discovered 1km away in a creek. The coroner found the manner of death to…

psychiatryemergency medicinemethamphetamine
NSWaged care2015-03-09

Inquest into the deaths and fire at the Quakers Hills Nursing Home, Hambledon Road, Quakers Hill

smoke inhalation and burns from deliberately-lit fire (primary cause varies by i…

… elderly residents died in a deliberately-lit fire at Quakers Hill Nursing Home on 18 November 2011, set by drug-dependent nurse Roger Dean to destroy evidence of medication theft. Dean had worked while visibly intoxicat…

geriatric medicineoccupational and environmental healthsystemcommunicationoxycodone
WAcommunity

Inquest into the Death of Kuldeep SINGH

Unknown·Multiple injuries sustained in motor vehicle collisions

…were motor vehicle collisions: two innocent civilians (taxi driver Singh and physicist Barrett) killed by a drug-impaired fleeing driver; apprentice Fryer killed in a collision during a second police intercept attempt; m…

emergency medicinetoxicologymethamphetamine
WAmental health2024-08-28

Inquest into the Death of Peter Jonathon Rex BOLTON

36y · Male·ligature compression of the neck (hanging)

…certainty; patients with complex presentations (personality disorder, acquired brain injury, polysubstance abuse) require extended, intensive inpatient care; critical system gaps exist in community residential options f…

psychiatryemergency medicinehaloperidol
QLDcommunity2007-02-12

Eddy, Michael John

26y · Male·Restraint asphyxia compounded by the effects of amphetamine abuse and extreme ex…

… several minutes before Eddy lost consciousness. Critical lessons: officers must recognize excited delirium/drug-induced states; restraints causing airway/circulation compromise are dangerous even if unintentional; entir…

forensic medicinetoxicologyproceduralcommunicationamphetamine
VIChome2010-12-16

Finding into death of Melissa Deborah Irwin

35y · Female·methadone toxicity

…city 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, despite having some knowledge from caring…

toxicologyaddiction medicinesystemcommunicationmethadone
NSWhome2025-01-17

Inquest into the death of BG

0y · Male·Concussive brain injury

…ved a Risk of Serious Harm report in March 2020 identifying concerns about the family (maternal depression, drug use, bruised sibling) but closed it without assessment due to lack of capacity. The coroner found DCJ shoul…

forensic medicinepaediatricssystemcommunication
TAS2026-06-03

Coroner's Finding: Brown, Nicholas, Wiki, Toni, Winwood, Matthew and Kemp, Belinda

Male, female, male, female·Nicholas Brown: combined drug (methadone and benzodiazepine) intoxication; Toni …

…igh-dose benzodiazepines without safety controls, inadequate clinical assessments and reviews, absent urine drug screening, and poor record-keeping. Dr J.'s negligent prescribing directly caused deaths of Brown and Winwo…

addiction medicinegeneral practicediagnosticmedicationmethadone
VIChome2018-11-07

Finding into death of Abuk Derder Akek

19y · Female·Stab wounds to the abdomen

…amily violence-specific analysis; and specialist family violence training was absent from mental health and drug/alcohol services. The coroner emphasises the need for comprehensive family violence risk assessment framewo…

psychiatrygeneral practicediagnosticsystem
WAhome2013

Inquest into the Death of Blinkhorn, Leah Christine

29y · Female·Multiple Drug Toxicity (Lamotrigine, Doxylamine, Venlafaxine, Valproic Acid, Cod…

A 29-year-old woman with personality disorders and depression called Perth Clinic at 11:11pm reporting she had overdosed on multiple medications (lamotrigine, doxylamine, venlafaxine, valproic acid, codeine, morphine). S…

psychiatryemergency medicinediagnosticcommunicationlamotrigine
NSW2022-08-26

Inquest into the death of LAK

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…

psychiatryaddiction medicinecommunicationsystem
WAhome2018-12-06

Inquest into the Death of Mark Leslie SACH

27y · Male·combined drug toxicity (U-47700 and etizolam)

Mark Sach, aged 27, died from combined drug toxicity involving U-47700 (a synthetic opioid 7.5 times more potent than morphine) and etizolam (a benzodi…

pain medicinegeneral practicecommunicationdelayu-47700
VICcommunity2024-10-04

Finding into death of T K

18y · Female·Mixed drug toxicity

…th borderline personality disorder, chronic suicidality, and a history of childhood trauma, died from mixed drug toxicity following intentional overdose. She had multiple psychiatric admissions in early 2021 for suicidal…

psychiatrygeneral practicesystemdelaytramadol
QLDhospital2014-06-17

Murray, Vaughan

14y · Male·Undetermined; high suspicion of non-accidental injury, most likely smothering, b…

Vaughan Murray, a 14-week-old infant, died at Ipswich General Hospital with an undetermined cause despite autopsy findings highly suggestive of non-accidental injury. He had five partially healed rib fractures (3-6 weeks…

forensic medicinepaediatricsmarijuana/cannabis
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
VICmental health2014-11-17

Finding into death of Justin Peter Foster

40y · Male·unascertained

Justin Foster, a 40-year-old man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton House) on 3 January 2012. He was admitted in…

psychiatryforensic medicinecommunicationdiazepam
VIChome2021-10-28

Finding into death of Yunjie Zhang

20y · Female·Complications of malnutrition in the setting of presumed nitrous oxide use

A 20-year-old university student living alone in Melbourne died between 28 July and 7 August 2020 from complications of malnutrition in the setting of presumed nitrous oxide use. Thousands of nitrous oxide canisters were…

forensic medicinepublic healthsystemnitrous oxide
QLDcommunity2004-10-28

Cif Shoobridge Gr 20041028

25y · Male·Cardiorespiratory failure due to unpredictable additive effect of combination of…

George Shoobridge, a 25-year-old man with a long history of polydrug addiction, died from cardiorespiratory failure caused by the unpredictable additive effect of multiple drug

general practiceaddiction medicinecommunicationsystemdiazepam
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…

…es increased dramatically in 2006 (100% increase), with deaths strongly correlated to alcohol and cannabis abuse. The primary cause of death across most cases was ligature compression of the neck (hanging). The inquest …

public healthpsychiatrysystemdelayalcohol
WAhospital2024-05-23

Inquest into the Death of Baby BE (Name Subject to Suppression Order)

0y · Female·brain death complicating head and neck injury

A five-month-old girl died from catastrophic brain injuries caused by violent shaking on 20 May 2019. Medical evidence established she was shaken by an adult on at least two occasions: once around 6 May 2019 (evidenced b…

paediatricsneonatologydiagnosticcommunicationmethamphetamine
116171821

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