Coronial

59 results for polysubstance addiction

VIChome2016-06-06

Finding into death of Jim Zanis

33y · Male·Mixed drug toxicity (heroin, buprenorphine and benzodiazepines)

A 33-year-old man with polysubstance abuse disorder and mental illness died from mixed drug toxicity (heroin, buprenorphine, and benzodiaze…

general practiceemergency medicinediagnosticcommunicationheroin
NSWhospitalNew2026-06-19

Inquest into the Death of Simon Myles Mackay

37y · Male·Neck compression and the complications thereof

…y 2022 for acute methamphetamine-induced psychosis with paranoia and aggression, complicated by severe polysubstance dependence. Although some mental state improvement was noted by 21 July, he remained psychotic with po…

psychiatryaddiction medicinepaliperidone
TAShome2020-08-13

Coroner's Finding: Wellington, Timothy John

44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…

Timothy Wellington, a 44-year-old man with longstanding opioid and polysubstance use disorder, died from acute pulmonary hypertension caused by intravenous injection of foreign debris…

general practiceaddiction medicinemedicationsystemmethadone
WAhome2015-09-02

Inquest into the Death of Priscilla Fay STEPHENSON

28y · Female·combined drug toxicity (heroin and prescribed psychiatric medications)

Priscilla Stephenson, a 28-year-old Aboriginal woman with longstanding mental illness and polysubstance abuse, died from combined drug toxicity (heroin plus prescribed psychiatric medications) shortly after…

psychiatryemergency medicineheroin
VIChome2012-12-12

Finding into death of B K

Female·Hanging

The deceased was a woman with a long history of heroin abuse, benzodiazepine misuse, and mental health issues including depression and psychotic behaviour. She received treatment for opiate dependence at North Yarra Comm…

addiction medicinepsychiatryheroin
WA2024-11-15

Inquest into the death of Kingsley Dean Garlett

32y · Male·ligature compression of the neck (hanging) in a man with methadone and methylamp…

…alls. Critical clinical lessons emerge: the deceased had emotionally unstable personality disorder and polysubstance use disorder but did not warrant psychiatric hospitalization. However, he was able to access illicit d…

psychiatrypsychologysystemdelaymethadone
SAhome2025-11-27

Coroner's Finding: Brown, Logan Reece

25y · Male·hanging

…bail, died by hanging. He had a complex psychiatric history including borderline personality disorder, polysubstance use disorder, and chronic suicidal ideation dating from childhood. Despite multiple episodes of mental…

psychiatrygeneral practicemethamphetamine
TAShome2025-12-02

Coroner's Finding: de-identified DQ

54y · Female·mixed drug toxicity (methadone and diazepam)

…g screening frequency, inadequate investigation of reports she was diverting methadone, and not pursuing addiction specialist referral more forcefully. The coroner noted that stricter adherence to Tasmanian opioid pharm…

general practicepharmacologydiagnosticmedicationmethadone
VIC2015-02-23

Finding into death of Michael Theodore Anthony

28y · Male·toxicity to heroin

…t the Braybrook Hotel on 8-9 March 2011. He had a 13-year history of heroin dependence, complicated by polysubstance use including methylamphetamines, benzodiazepines, and hepatitis C infection. He was severely depresse…

emergency medicineforensic medicinesystemdelayheroin
VIChome2013-06-12

Finding into death of Matthew Robert Frandsen

41y · Male·mixed drug toxicity (ethanol, amitriptyline, methadone, morphine, diazepam, tema…

…placement of care, understanding that brief police intervention lacks medical oversight, and considering addiction medicine and public health responses to reduce such preventable deaths.

forensic medicineaddiction medicinesystemdelayalcohol
TAShome2023-12-14

Coroner's Finding: Drummond, Samuel Patrick

44y · Male·acute alcohol intoxication

…nical sense, it underscores the challenges of treating alcohol use disorder, the importance of sustained addiction treatment, and the critical need for comprehensive psychosocial support for patients with concurrent men…

toxicologypathologyalcohol
SAcommunity2009-03-18

Coroner's Finding: WANGANEEN John Frederick

29y · Male·multiple drug toxicity (buprenorphine, oxazepam, diazepam, alprazolam, and methy…

John Frederick Wanganeen, a 29-year-old with documented heavy polysubstance use, died of multiple drug toxicity after injecting crushed buprenorphine tablets mixed with water whi…

toxicologyforensic medicinecommunicationsystembuprenorphine
VICcommunity2013-09-04

Finding into death of Cassilla Ellen Dooley

34y · Female·Mixed drug toxicity (ethanol, methadone, diazepam and risperidone)

…ommunication protocols for welfare checks in supported housing, ensuring intoxication policies address polysubstance interactions, and recognizing that missed doses in opioid-dependent patients significantly increase ov…

psychiatryemergency medicinecommunicationsystemalcohol
TAS2020-05-18

Coroner's Finding: Barber, Gavin John

55y · Male·head injury sustained in a single motorcycle crash

… time. While crash speed was appropriate and conditions excellent, the combination of unhealed injury, polysubstance use, and reduced respiratory capacity created unsafe riding conditions. Clinical learning: patients wi…

general practiceorthopaedic surgerycommunicationmethadone
VIChospital2024-12-02

Finding into death of S K

25y · Male·Gunshot injury to the head

…ubstance abuse services (SK had to navigate separate systems), the challenge of managing patients with polysubstance dependence who disengage from treatment without clear reason, and the need for comprehensive safety pl…

emergency medicinepsychiatrysystemdelaymethamphetamine
VICcommunity2010-10-15

Finding into death of Jason David Jenkins

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

…on on a Community Treatment Order. He had a 15-year history of chronic paranoid schizophrenia, chronic polysubstance abuse (marijuana, heroin, amphetamines), and recurrent suicidal ideation with previous attempts. The c…

psychiatryaddiction medicinesystemcommunicationmarijuana
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

Shannon Lees, a 23-year-old with schizoaffective disorder and polysubstance abuse, absconded from a mental health rehabilitation unit and died from multidrug overdose involving t…

psychiatryaddiction medicinesystemmethadone
NSWmental health2014-05-08

Inquest into the death of Hugh David LISLE

24y · Male·cardio-respiratory arrest due to multi-drug toxicity

Hugh Lisle, a 24-year-old man with severe chronic arthritis, depression, polysubstance addiction and gambling disorder, died in a private psychiatric facility after admission for substance …

psychiatryemergency medicinecommunicationsystemdiazepam
VICcommunity2019-06-18

Finding into death of Yara Sturak Mignon

35y · Male·Hypoxic brain injury complicating cardiac arrest in the setting of combined hero…

Yara Sturak Mignon, a 35-year-old with a 10-year heroin addiction, was found unconscious in a restaurant bathroom on Victoria Street Richmond in November 2018. He had com…

emergency medicineintensive caresystemheroin
VIChome2023-10-12

Finding into death of Amanda Jane Harris

36y · Female·Stab wound to the right chest

… over 22 months by his GP without documented substance abuse assessment, despite documented history of polysubstance dependence. When Eckersley ceased alcohol and cannabis use and was commenced on desvenlafaxine three d…

general practicepain medicinemedicationcommunicationtramadol

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