Coronial

106 results for alcohol misuse

TAShospital2024-12-17

Coroner's Finding: Brown, Paul Louis

64y · Male·Subdural haematoma with mass effect following thrombolysis for acute myocardial …

A 64-year-old man with complex medical history including diabetes, mental illness, chronic alcohol misuse, and previous traumatic brain injury was admitted with diabetic ketoacidosis and acute kidney inju…

intensive carecardiologytenecteplase
NThome2016-09-21

Inquest into the death of Natalie McCormack

Female·Wendy Murphy: blunt head and chest trauma. Natalie McCormack: haemorrhage follow…

… and incarceration as deterrents in this population, the pervasive intersection of domestic violence with alcohol misuse, and socioeconomic disadvantage in Aboriginal communities. The coroner recommended body-worn camer…

forensic medicineemergency medicinesystemalcohol
VIChospital2021-03-30

Finding into death of Mr BB

56y · Male·Hanging

A 56-year-old man with a long history of bipolar affective disorder and alcohol misuse died by hanging between 18–20 December 2018. He presented to hospital on 16 December after express…

psychiatryemergency medicinecommunicationsystemdiazepam
NSWcommunity2017-04-27

Inquest into the death of Anthony FAHEY

29y · Male

…2013 in Canberra after purchasing a bus ticket to Sydney. He was grappling with personal issues including alcohol use, mental health concerns, and existential questions about life, religion, and spirituality. Despite ex…

general practicepsychiatrycannabis
VICcommunity2019-02-25

Finding into death of DH

40y · Female·Clozapine toxicity in a woman with cardiomegaly

A 40-year-old woman with depression, anxiety, alcoholism and undiagnosed cardiomegaly died from clozapine toxicity after obtaining the drug from a co-resident …

psychiatrygeneral practicesystemcommunicationclozapine
ACThome2019-09-23

AN INQUEST INTO THE DEATH OFJANDY RENIA SHEA

27y · Female·neck compression (suicide by hanging)

…ore her death, Jandy experienced escalating intimate partner violence, fear for her safety, and excessive alcohol consumption (blood alcohol 0.240%). The coroner found Chris's conduct toward her—including documented phy…

VICcommunity2019-03-22

Finding into death of Nathan John Shanahan

40y · Male·Toxic effects of a gas

…ification when patients stop attending appointments; and recognition of warning signs including increased alcohol use, paranoia, and agitation in the days before death. His wife urged hospitalisation but he refused. The…

psychiatrypsychologycommunicationsystemescitalopram
VIChome2014-04-02

Finding into death of AB

34y · Female·Combined drug toxicity (propofol, sevoflurane and others)

…ed trolleys accessible to all theatre staff; (2) failure of her GP and employer to recognise her substance misuse and mental health deterioration; (3) her declining psychiatric follow-up despite referral in 2010 and advi…

anaesthesiageneral practicesystemcommunicationpropofol
NSWhome2023-09-08

Inquest into the death of BW

31y · Male·hanging

… in early hours of 17 April 2020 during COVID-19 lockdown. B W had long-standing depression, anxiety, and alcohol misuse, was under financial and parenting stress, and had made previous suicide threats. Police officers …

paediatricspsychiatrycommunicationsystemalcohol
NThome2016-09-21

Inquest into the death of Wendy Murphy

Female·Wendy Murphy: blunt head and chest trauma; Natalie McCormack: haemorrhage follow…

…ocesses, ineffective DVOs against recidivist offenders, lack of culturally appropriate interventions, and alcohol as a significant enabling factor. The coroner found the criminal justice system fundamentally unsuited to…

systemdelayalcohol
VIChome2013

Finding into death of Barabara Lubik

36y · Female·stab injury to neck with transection of left common carotid artery

…t common carotid artery. Peter Lubik had an established history of violence against women, exacerbated by alcohol misuse and untreated mental health issues. Multiple police and court contacts documented escalating domes…

emergency medicineforensic medicinecommunicationsystem
TAShome2021-12-21

Coroner's Finding: O'Donnell, Margaret Joy

51y · Female·Cannot be determined; likely mixed drug (including alcohol) toxicity or undeterm…

… her supply), combined with her own prescribed oxycodone, gabapentin, chlorpromazine, lorazepam, and high alcohol levels. Clinical lessons include: (1) careful monitoring of patients prescribed multiple sedating substan…

general practicepsychiatrymedicationsystemoxycodone
VIC2022-07-28

Finding into death of Master S

17y · Male·Unascertained in the setting of volatile substance abuse

…ccommodated; (5) awareness of chroming among some staff was not documented or escalated; and (6) substance misuse was not referred for specialist intervention despite clear indicators. Better integration between agencies…

paediatricspsychiatrycommunicationsystemrexona deodorant
VIChome2022-08-30

Finding into death of Boe Luke Memery

24y · Male·Neck compression in the circumstances of hanging

…ement. The investigation also revealed Mildura had an elevated suicide cluster in 2019 linked to substance misuse, poverty, isolation, and lack of local drug/alcohol rehabilitation services.

psychiatrygeneral practicedocumentationcommunicationvenlafaxine
NSWmental health2017-02-28

Inquest into the death of RC

53y · Male·Gunshot wound to the head

RC, a 53-year-old man with longstanding depression, died by suicide on 15 April 2014. He was under care of Campbelltown Community Mental Health (CoMHET) when a critical clinical failure occurred: a handwritten progress n…

psychiatrypsychologycommunicationsystemlithium
NT2015-08-14

Inquest into the death of Perry Langdon

59y · Male·idiopathic dilated cardiomyopathy (probably alcohol related)

A 59-year-old Aboriginal man died of idiopathic dilated cardiomyopathy in a Darwin police watch house following arrest for the minor offence of drinking in a designated public place. He had severe, documented cardiac dis…

emergency medicinecardiologysystemcommunication
SA2000-11-09

Coroner's Finding: ORGAN Kelly

18y · Female·hypoxic encephalopathy due to raised intracranial pressure caused by severe clos…

…m a shade sail structure at a playground. While climbing on the sail with friends after consuming minimal alcohol, a support post failed due to inadequate welding at the base. She fell approximately 2.5 metres onto a pi…

proceduraldesign
VIChome2023-07-27

Finding into death of Mr A

31y · Male·Hanging

Mr A, a 31-year-old man with a history of family violence, substance misuse, and mental health issues, died by hanging in April 2018. Key clinical lessons include: (1) the importance…

psychiatrygeneral practicesystemcommunicationmethamphetamine
VIChome2024-04-29

Finding into death of Mr A

32y · Male·Neck compression in the setting of hanging

…history of family violence perpetration, mental illness (bipolar disorder, schizophrenia, PTSD), substance misuse, and prior suicide attempts, died by hanging on 21-22 November 2020. He was released from prison on 17 Nov…

psychiatrygeneral practicecommunicationsystemalcohol
VIChome2020-04-23

Finding into death of Baillee Petra Schneider

25y · Female·Compression of the neck

… 25-year-old woman, died by suicide via neck compression while intoxicated. She had a history of substance misuse (cocaine, alcohol), anxiety treated with Zoloft, and was taking alprazolam. On the morning of her death, s…

psychiatrytoxicologyalcohol

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