Coronial

368 results for substance use disorder history

VIChospital2014-04-24

Finding into death of Stacey Jade Smith

20y · Female·Multiple injuries sustained when struck by train at Lalor Railway Station

Stacey Smith, aged 20, with complex psychiatric illness and suicidal ideation was transferred to Northern Hospital ED following confirmed overdose of 40-50 Valium tablets and explicit threats to throw herself in front of…

emergency medicinepsychiatrycommunicationsystemdiazepam
NSW2020-05-06

Inquest into the death of Jonathon HOGAN

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…

psychiatrygeneral practicediagnosticcommunicationolanzapine
NSWhome2024-12-12

Inquest into the death of Ms K

43y · Female·suffocation

…and through suffocation on 7 March 2017 after years of coercive control, physical violence, and emotional abuse. A critical police response on 17 August 2016 when Ms K reported car vandalism failed to recognise her seri…

general practicepsychologycommunicationsystemalcohol
VICcommunity2015-05-07

Finding into death of Krisinda Carmen Smart

15y · Female·toxicity to heroin

…onduct a LEAP database check that would have revealed her DHS status, multiple welfare warrants, and drug history. The DHS failed to obtain a safe custody warrant despite clear concerning indicators, including her prese…

paediatricsemergency medicinediagnosticsystemheroin
VICmental health2020-12-18

Finding into death of Michelle Williams

46y · Female·Hypoxic brain injury in the setting of plastic bag asphyxia

Michelle Williams, a 46-year-old woman with longstanding schizophrenia and depression, died from hypoxic brain injury due to plastic bag asphyxia while an involuntary inpatient in a psychiatric unit. On 27 August 2016, d…

psychiatryintensive caresystemdiagnosticolanzapine
NSW2025-08-22

Inquest into the death of Michael Black

33y · Male·stab wound to the chest

…to the High Security Inmate Management Committee despite a recent serious stabbing and extensive violence history; (2) inmates were not searched before placement in holding cell 4, allowing weapons into the cell; (3) 18…

correctional healthaddiction medicinediagnosticsystembuprenorphine
WAhospital2010-01

Inquest into the Death of West

8y · Male·Hypoxic Ischaemic Encephalopathy resulting from asphyxiation due to co-sleeping …

…y educated about co-sleeping risks, and risk factors specific to this case (young, fatigued, difficult-to-rouse mother; newborn under 11 weeks) were not actively managed. The coroner found the death was accidental but p…

neonatologyintensive caresystemcommunicationmetronidazole
TAS2017-06-30

Coroner's Finding: Monson, Troy Colin; Michael, Robin and Mitchell, Scott Clifford

Unknown·Troy Monson: asphyxia due to partially suspended hanging using seatbelt; Robin M…

This inquest examined three deaths in Tasmanian custody: Troy Monson (asphyxiation in prison van during transport in June 2015), Robin Michael (hanging in prison cell June 2015), and Scott Mitchell (cardiac arrhythmia fr…

psychiatrypsychologydiagnosticsystemolanzapine

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