LAMH - non-inquest findings
31y · Female·Mixed drug toxicity
…, adhering to regulatory directives, and maintaining proper clinical records when managing patients with substance use disorders.
464 results for “substance use history”
31y · Female·Mixed drug toxicity
…, adhering to regulatory directives, and maintaining proper clinical records when managing patients with substance use disorders.
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…
32y · Female·Compression of the neck
… Mental health services discharged NLU with incomplete risk assessment despite documented family violence history, poor medication compliance, psychotic symptoms, and substance abuse; (2) NLU's diagnosis remained unclea…
24y · Male·Combined drug toxicity (heroin, benzodiazepine and others)
Samuel Morrison, 24, died from combined drug toxicity involving heroin, benzodiazepines and other substances. He had a long history of depression, anxiety and illicit drug use, and had recently been discharged fr…
48y · Female and male·Ms Dailler: blunt head trauma and multiple sharp force injuries including stab w…
…investigators. The case also revealed that a remanded prisoner retained contact with a protected person because the Department for Correctional Services lacked access to intervention order information.
14y · Male·gunshot wound to the head
… placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use (chroming, marijuana, amphetamines). The …
22y · Male·hypoxic ischaemic encephalopathy as a result of hanging
…end the safer 'two-out' cell placement despite Tane's recent seizure, emerging mental distress, and known history of self-harm. The cell contained an obvious hanging point. Key clinical lessons include: always obtain an…
37y · Male·Stab wound to the chest
…ed in the chest by his intimate partner Kerry Jones on 9 December 2016 during an argument at his boarding house. He had previously assaulted Ms Jones, leading to a Family Violence Intervention Order (FVIO) in May 2015. …
34y · Female·Global cerebral ischaemia secondary to mixed drug toxicity including a substance…
A 34-year-old woman with a 10-year history of heroin dependence died from mixed drug toxicity including heroin after injecting in a public toilet. S…
24y · Male·Neck compression in the circumstances of hanging
…a 24-year-old Aboriginal man, died by hanging on 19 May 2019 following a relationship breakdown. He had a history of depression, self-harm, and previous suicide attempts. In the weeks before his death, he experienced mu…
52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…
Lisa Murphy, a 52-year-old woman with mental illness and substance use history, died following a physical altercation at a convenience store. She became involved in a verb…
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…
17y · Female·Hanging
…licted but occurred in the context of significant domestic violence involving verbal threats and physical abuse. The inquest identified critical failings in the police investigation: the decision not to arrest Rosewarne…
46y · Male·Unknown - possible causes include traumatic injury or dehydration in remote terr…
…ecognition of acute psychological crisis in the context of criminal investigation stress, depression and substance use. Early intervention by occupational health, mental health assessment after police contact, and monit…
48y · Male·Gunshot wound to the head
A 48-year-old man died from a gunshot wound to the head during a police siege after having barricaded himself in a property. He had confronted the property owner with a sawn-off rifle, claimed to have wired explosives, b…
varied: sudden unexpected death in infancy (unsafe sleeping environment); drowni…
…en children (six infants and one child aged 16 years) between 2014 and 2018 in Tasmania. All families had history of Child Safety Services (CSS) involvement. Coroner found no direct causal link between CSS action/inacti…
15y · Female·Hypoxic brain injury due to hanging
…nd vulnerable young woman under a Child Protection Order, living with 28-year-old Alexander O'Sachy, a drug user and violent offender. She had a history of self-harm, drug abuse, and high-risk behaviours. On 7 September…
44y · Male·Hanging
Colin Wayne Blair, a 44-year-old Aboriginal man with a history of mental illness and substance use, died by hanging in the High Dependency Unit of Brisbane Correctional…
27y · Male·chest and abdominal injuries from single motorcycle crash
…icology revealed multiple prescription drugs (diazepam, quetiapine, fluvoxamine, pregabalin) and illicit substances including opium alkaloids, indicating poppy tea consumption. These central nervous system depressants i…
50y · Male·Hypoxic ischaemic brain injury in the context of hanging
… Clinical lessons include the importance of assessing imminent suicide risk in patients with depression, substance use, and relationship conflict, especially after recent psychiatric contact. The coroner identified a sy…
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