Coronial

113 results for substance misuse

VIC2021-07-06

Finding into death of Simone Leslie Quinlan

33y · Female·Multiple Injuries

Simone Quinlan, a 33-year-old woman with a history of substance misuse and homelessness, was murdered on 25 August 2015 by her partner Brendan Neil and his associate Wa…

systemcommunicationmethamphetamine
TAShome2018-11-16

Coroner's Finding: Taylor, Michael John

50y · Male·methadone and alprazolam intoxication

…hing and injecting his prescribed methadone tablets, a practice inherently dangerous due to pill binding substances causing lung and vascular damage. He was found unresponsive at home approximately 1.5 hours after becom…

general practicepain medicinecommunicationsystemmethadone
QLDhome2015-06-19

Sweeney, Michael Shawn

42y · Male·Gunshot wound to the head

…. Relevant clinical concerns included possible untreated mental health issues (suspected schizophrenia), substance misuse (methamphetamine), and inadequate mental health service engagement despite parole officer referra…

psychiatrygeneral practicedelaymethamphetamine
TAShome2018-02-05

Coroner's Finding: Towns, Martin John

38y · Male·acute on chronic right hemisphere subdural haematoma

…lation risk, and the need for safety planning in patients with both psychiatric vulnerability and severe substance misuse.

psychiatryneurosurgerysystemalcohol
VIChome2024-04-29

Finding into death of Mr A

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

… with a 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 …

psychiatrygeneral practicecommunicationsystemalcohol
VIC2021

Finding into death of Thi Minh Phuong Nguyen

29y · Female·Mixed drug toxicity (gamma hydroxybutyrate, methylamphetamine, amphetamine, diaz…

…t in mental health settings, recognition of the intersection between family violence, mental illness and substance misuse, and earlier intervention when patients disengage from mental health services.

general practicepsychiatrycommunicationsystemgamma hydroxybutyrate
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlaf…

psychiatrypain medicinediagnosticmedicationvenlafaxine
VIChome2024-03-18

Finding into death of C J

44y · Female·Mixed drug toxicity (buprenorphine, ketamine, diazepam, fluvoxamine and lacosami…

…ould monitor for relapse during opioid agonist transitions; and workplace access controls for controlled substances warrant strengthening in veterinary settings.

addiction medicinepsychiatrybuprenorphine
VICcommunity2024-09-20

Finding into death of Frank Mellia

39y · Male·Drowning in the setting of a very high blood alcohol level

… level (0.33g/100mL). He was not a confident swimmer and had a history of anxiety, depression, and alcohol misuse. He had ceased psychological treatment due to financial difficulties and did not engage with offered couns…

alcohol
TAShome2018-09-20

Coroner's Finding: Steer, Michael Allan

44y · Male·mixed drug toxicity

…nitoring systems. Key clinical lessons include recognising limitations in managing complex patients with substance misuse disorders, maintaining restrictive prescribing protocols despite patient resistance, accessing DO…

general practicepsychiatrydiagnosticcommunicationquetiapine
QLDcommunity2017-11-09

Vance, Jason John

42y · Male·Undetermined

Jason Vance, a 42-year-old man with a history of substance misuse, disappeared in October 2013 after walking into Barakula State Forest near Chinchilla, Queensland…

delaycommunicationmethamphetamine
VIChome2026-04-17

Finding into death of Harrison William Ladd

25y · Male·Combined drug toxicity

…involving clonazepam, dexamphetamine, codeine, diazepam and pholcodine. He had complex mental health and substance use disorder requiring specialist addiction care unavailable in his regional location. Multiple GPs pres…

general practicepsychiatrymedicationcommunicationclonazepam
VIChome2020-04-23

Finding into death of Baillee Petra Schneider

25y · Female·Compression of the neck

…eider, a 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…

psychiatrytoxicologyalcohol
VIChome2025-01-09

Finding into death of C M

25y · Female·Neck compression secondary to hanging

CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family vio…

emergency medicinepsychiatrydiagnosticsystemalprazolam
NSWcommunity2014-06-27

Inquest into the deaths of Christopher SALIB, Nathan ATTARD and Shamsad AKHTAR

Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…

…nadequate communication between GPs and pharmacists; prescribing of benzodiazepines and opioids to known substance-dependent patients; failure to consult psychiatrists for long-term psychiatric medication; emergency dep…

general practiceemergency medicinediagnosticmedicationalprazolam
QLDhome2007-11-22

Hanley, Timothy Michael

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…

toxicologyemergency medicinediphenhydramine
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 …

addiction medicinepsychiatryheroin
QLD2016-05-09

Blutcher, Micheal Wayne

31y · Male·accidental overdose of fentanyl

…00 times more potent than morphine with a narrow therapeutic margin; the high-risk population for fentanyl misuse (males aged 30-39); and extraction from transdermal patches represents a common fatal administration metho…

emergency medicinetoxicologysystemdelayfentanyl
VIChome2024-02-12

Finding into death of Zoha Khan

20y · Female·Mixed drug toxicity including tramadol and flualprazolam

…ersity student, died from mixed drug toxicity involving tramadol and flualprazolam (a novel psychoactive substance benzodiazepine). She obtained tramadol from a friend and consumed what she believed was Xanax but likely…

toxicologyemergency medicinetramadol
NSWhome2016-11-24

Inquest into the death of Dr Beta Vandeville

46y · Female·acute mixed drug toxicity due to accidental self-administered drug overdose

…) via intravenous injection. The coroner found her fiancé, anaesthetist Dr K., diverted these restricted substances from hospitals where he worked, providing them to Dr V. who self-administered them. While Dr V. experie…

anaesthesiaobstetricssystempropofol

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