19y · Male·poisoning by diphenhydramine and dextromethorphan from 'Herbal Ecstasy'
…unregulated internet-sourced compounds, particularly those marketed as herbal alternatives to controlled substances. The coroner found no suspicious circumstances. Clinicians should be aware that patients presenting wit…
29y · Male·acquired methaemoglobinaemia in association with sodium nitrite toxicity
… disorder managed on a community treatment order, died from methaemoglobinaemia following sodium nitrite ingestion. He purchased 50g of sodium nitrite powder online on 10 May 2019 and ingested approximately 25g on 20 Ma…
Unknown·Toxicity to protonitazene
…as Vale (32), Michael Hodgkinson (37), and Abdul El Sayed (17)—all became unresponsive within minutes of ingestion in an unsafe environment where no one remained conscious to call emergency services or administer naloxo…
22y · Male·Combined drug toxicity (methadone and benzodiazepines)
…g and monitoring; (2) takeaway methadone storage and security require improvement; (3) benzodiazepine co-ingestion with opioids dramatically increases respiratory depression risk; (4) community pharmacies dispensing tak…
44y · Male·Positional asphyxia
Scott Allen Daniels, a 44-year-old with chronic schizophrenia/schizoaffective disorder and substance abuse history, died from positional asphyxia on 17-19 March 2016. He consumed significant alcohol (BAC 0…
23y · Male·Undetermined
…etechiae, and bruising suggesting possible neck compression. The precise cause remained undetermined but substance use was a significant contributing factor. Clinical lessons include recognising acute psychiatric sympto…
45y · Male·methylenedioxymethylamphetamine (MDMA or 'ecstasy') toxicity
… overdose. The coroner found the death accidental. Clinical lessons include: recognizing relapse risk in substance-dependent patients on leave from rehabilitation; understanding that tolerance decreases during abstinenc…
42y · Male·methadone toxicity
Andrew Gilbertson, a 42-year-old man with bipolar disorder and substance use disorder, died from methadone toxicity while in custody at Long Bay Correctional Centre. He was not …
41y · Male·Pheniramine toxicity
…erdose of antihistamine tablets. He had a long history of schizophrenia, acquired brain injury, and poly-substance abuse. When found by police behaving erratically, his presentation—agitation, disorientation, unsteady g…
49y · Female·Unascertained; most likely cardiac abnormality
Jennifer Gebert, a 49-year-old with long-standing mental illness and substance use disorder, died unexpectedly in an acute psychiatric unit on 6 December 2019. She presented to the ED…
26y · Male·shotgun wound of the chest
…Hobart Hospital on 2 January 2023 while under correctional officer supervision. He had been admitted for ingestion of foreign objects. Two correctional officers failed to follow security protocols: they removed his hand…
20y · Male·Hanging
… to traumatic internet imagery at age 10, a prior suicide attempt in 2015, and a suicide attempt by drug ingestion in May 2019. Despite concerning signs—including his suicide attempt months earlier and distressing messa…
30y · Female·Multi organ failure from hydrochloric acid ingestion
…cent-onset depression and anxiety, died from multi-organ failure following intentional hydrochloric acid ingestion on 22 September 2008. She had presented to mental health services on 18 September following suicidal ide…
65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…
…tery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However, the precise cause remains unascertained due to limited forensic invest…
Unknown·Flockhart: gunshot wounds to head and chest; Pauly: stab wound to chest perforat…
…in a confined kitchen space. While this is not a medical case, it demonstrates the significant impact of substance use and impulsive decision-making on fatal outcomes.
36y · Male·Head injuries from motor vehicle strike
…rson or vehicle responsible for his death has been identified. The case highlights risks associated with substance intoxication, inadequate vigilance, and the challenges of identifying hit-and-run incidents in community…
50y · Male·Acute methamphetamine toxicity
A 50-year-old man with significant cardiac history (previous stenting) died from acute methamphetamine toxicity. He had consumed a high concentration of methamphetamine solution orally, resulting in a markedly elevated b…
17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)
…ear-old male died from mixed drug toxicity involving 25C-NBOMe and 4-fluoroamphetamine after consuming a substance he believed was MDMA or psilocybin, obtained from unregulated drug markets. He experienced severe sympto…
38y · Male·Toxicity to gamma hydroxybutyrate
A 38-year-old man with a long history of drug use and criminal offending died from gamma hydroxybutyrate (GHB) toxicity after consuming approximately 60mL of GHB whilst at home. He had been released from prison on 11 May…
18y · Male·Heroin toxicity
…orted accommodation. He had a complex history of behavioural challenges, out-of-home care placement, and substance use. Edward deliberately ingested heroin for the first time, with internet searches suggesting he was re…
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