Coronial

368 results for substance use disorder history

VIC2008-02-20

Finding into death of Georgie Lopiccolo

47y · Female·Neck compression (ligature strangulation)

…e custody after arrest on outstanding warrants. She had documented mental health issues (depression) and substance abuse history, with a suicide warning flagged on police systems. Critical failures occurred: pantyhose r…

communicationsystem
VIChome2026-04-17

Finding into death of Simon Christopher Gaskill

50y · Male·unascertained

…ent for severe alcohol withdrawal and seizures, sent to homelessness without adequate follow-up care. His cause of death remains unascertained due to advanced decomposition. Clinical lessons include: the critical import…

emergency medicinegeneral medicinecommunicationsystemalcohol
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

JC was a 30-year-old with a long history of benzodiazepine dependence and previous psychiatric episodes triggered by withdrawal. He presented to C…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
VIC2025-11-12

Finding into death of Wendy Ann McCabe

40y · Female·hypoxic ischaemic encephalopathy due to ligature compression of the neck

Wendy McCabe, a 40-year-old woman with a history of depression, anxiety, substance use and previous self-harm, died of asphyxiation from ligature compress…

correctional healthemergency medicineproceduralcommunicationmethadone
VIChome2022-08-08

Finding into death of Kim Michelle Cooper

47y · Female·Mixed drug toxicity (pregabalin, oxycodone and mirtazapine)

A 47-year-old woman died from mixed drug toxicity involving pregabalin, oxycodone, and mirtazapine. She had chronic pain, anxiety, and depression, and attended a medical clinic frequently. Over five days before her death…

general practiceaddiction medicinemedicationsystempregabalin
NSWhome2025-05-09

Inquest into the death of Malcolm Brown

33y · Male·sharp force injuries of the neck

Malcolm Brown, a 33-year-old Aboriginal man with a history of methamphetamine use, mental health crisis, and self-harm threats, died from sharp force injuries to hi…

psychiatrytoxicologycommunicationdelaymethamphetamine
VIChospital2018-11-09

Finding into death of MDJ

34y · Male·Hypoxic/ischaemic encephalopathy; Heroin toxicity

A 34-year-old man with a history of heroin abuse died from hypoxic-ischaemic encephalopathy following heroin toxicity after injecting in a…

intensive careemergency medicineheroin
QLD2021-07-26

Cunningham, Luke

21y · Male·Hanging

…rison found no suicidal ideation, though a referral to prison mental health services was made due to ADHD history. He subsequently declined mental health engagement. No clinical or custodial staff had any indication he …

psychiatrycorrectional healthsystem
TASprison2024-04-18

Coroner's Finding: Gerard, Robert Harold

48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)

…g in Risdon 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 h…

psychiatrycorrectional healthsystemdelayzuclopenthixol decanoate
NSWcommunity2023-11-17

Inquest into the death of SB

51y · Male·Stab wounds to the chest

…the outcome. (2) Police should have gathered more detailed information from family members, who knew SB's history and recent self-harm allegations better than anyone. (3) The decision-making and tactical response were a…

psychiatryemergency medicinecommunicationsystemolanzapine
VICmental health2011-10-14

Finding into death of Amanda Billie Jo Kennedy

26y · Female·compression of the neck consequent upon hanging

Amanda Kennedy, a 26-year-old woman with a history of trauma, substance abuse, depression, and multiple suicide attempts, died by hanging in the Northern Ps…

psychiatryemergency medicinecommunicationsystemquetiapine
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 obtain…

psychiatryemergency medicinediagnosticmedicationvecuronium
VIChospital2012-04-19

Finding into death of James Kellock Bloomfield

53y · Male·severe burns

Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threatening to self-im…

emergency medicinepsychiatrycommunicationsystem
VICcommunity2010-10-15

Finding into death of Jason David Jenkins

34y · Male·Long drop hanging resulting in complete decapitation

…ately 6 weeks after discharge from psychiatric admission on a Community Treatment Order. He had a 15-year history of chronic paranoid schizophrenia, chronic polysubstance abuse (marijuana, heroin, amphetamines), and rec…

psychiatryaddiction medicinesystemcommunicationmarijuana
VIChome2018-11-07

Finding into death of Abuk Derder Akek

19y · Female·Stab wounds to the abdomen

…ault at her home in Melton, Victoria on 13 March 2016. The finding identifies that Banek had a documented history of escalating domestic violence, controlling behaviour, and threats to kill. Key clinical and systemic le…

psychiatrygeneral practicediagnosticsystem
VIC2013-06-05

Finding into death of Leigh Ronald Bellingham

37y · Male·Toxic effects of heroin in combination with mirtazapine and sertraline

Leigh Ronald Bellingham, a 37-year-old man with a history of depression, suicidality, hepatitis C, and substance abuse, died from toxic effects of heroin in combin…

general practicepsychiatrycommunicationsystemheroin
NSW2018-06-26

Inquest into the death of Glen Russell

32y · Male·asphyxia arising from neck compression from self-inflicted ligature strangulatio…

Glen Russell, 32, died by suicide in Cessnock Correctional Centre while on remand. He had a complex history including childhood sexual assault, schizophrenia diagnosis, heroin use, and recent self-harm episodes. A…

psychiatrygeneral practicediagnosticcommunicationmirtazapine
NSWcommunity2022-07-15

Inquest into the death of C S

5y · Male·Presumed drowning

…'s 3am report that the children were missing despite 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 …

paediatricspsychiatrydiagnosticsystemmethamphetamine
WA2004-12-14

Inquest into the Death of Damien George Garlett

18y · Male·Ligature compression of the neck (hanging)

…nd prisoner at Hakea Prison, died by ligature compression of the neck (hanging) on 4 April 2003. He had a history of self-harm, drug-induced psychosis, violent offences against his de facto partner, and was deeply conce…

psychiatrypsychologydiagnosticcommunication
WA2025-12-17

Inquest into the Death of Child RK (Name Subject to Suppression Order)

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…

paediatricsgeneral practicecommunicationsystemmelatonin

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.