40 results for “substance use concern”
38y · Male·Compression of the neck (hanging)
…de 24 days after release from custody. He had complex psychosocial needs including mental health issues, substance use history, and prior suicide attempts. While reintegration supports were provided, including emergency…
0y · Male·Acute traumatic head injury (non-accidental)
…nfants with unexplained vomiting, subdued behaviour, and head sensitivity. Dr V. appropriately recognised concerning signs and referred urgently, but the mother did not attend hospital. Had the referral been followed, i…
34y · Male·Mixed drug toxicity
Rajesh Pala, a 34-year-old man with polysubstance abuse disorder, borderline personality disorder, and chronic depression, died from mixed drug toxicity f…
27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…
…abbed by her partner Tafari Walton in domestic violence circumstances on 13 March 2019. Police received a concern for welfare report from a friend who explicitly expressed fear Tafari would kill Gabriella, but police di…
60y · Male·burn wounds and the consequences thereof
…60-year-old man with long-standing psychiatric history (schizophrenia/schizoaffective disorder) and alcohol use disorder, set his house alight on 19 September 2017 after becoming acutely unwell with paranoid ideation an…
16y · Male·Hanging (ligature compression of neck)
…cluster in Mackay, Queensland in 2008. JE's death was impulsive, occurring after paint sniffing and alcohol use combined with acute anger from assault by his sister. JJ's death followed deliberate ideation, with multipl…
27y · Male·chest and abdominal injuries from single motorcycle crash
…icology revealed multiple prescription drugs (diazepam, quetiapine, fluvoxamine, pregabalin) and illicit substances including opium alkaloids, indicating poppy tea consumption. These central nervous system depressants i…
27y · Male·suicide by hanging
Luke Anthony Rich, age 27, died by suicide by hanging in a prison cell in the Alexander Maconochie Centre (ACT) on 1 February 2022, one day after being remanded in custody on domestic violence allegations. The coroner fo…
40y · Male·unascertained
Justin Foster, a 40-year-old man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton House) on 3 January 2012. He was adm…
25y · Male·opiate toxicity (heroin overdose)
Andrew Nicholas Petrelis, a witness protection program participant, was found dead in his Caloundra apartment on 11 September 1995 from opiate toxicity (heroin overdose). He had relocated from Western Australia to Queens…
48y · Male·Hypovolaemic shock due to incised wounds to the arms; other significant conditio…
…h deterioration after 7 May was not recognised or escalated despite a Code Blue event; no notification of concern was raised; and continuity with Prison Mental Health Services was lost. Staff handling the note about "pr…
31y · Male·gunshot wounds to chest
…ene, failure to contact the Critical Incident Response Team despite Chapman's known mental illness and drug use, and the ineffectiveness of multiple capsicum spray and foam deployments. While the shooting itself was jus…
70y · Male·Cyanide Toxicity
Anthony Lansell Churches, a 70-year-old man with a history of substance use and criminal offences, died from cyanide toxicity after absconding from St Vincent's Hospital's Emer…
40y · Male·gunshot wounds
Todd McKenzie, a 40-year-old man with treatment-resistant schizophrenia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. Todd became acutely psychotic, waving a knife and expressi…
38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia
A 38-year-old remand prisoner with schizophrenia on clozapine died suddenly in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to prison on 20 Jul…
33y · Male·hanging
…ention Centre in January 2019 after four years in immigration detention. He had schizophrenia, PTSD, and substance dependence, with a prior suicide attempt in 2016. Clinical lessons include: the PSP/SME monitoring syste…
39y · Male·Strychnine toxicity
…, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite police searches…
37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…
…stently from withdrawal and other medical conditions but was not transferred to hospital despite clinical concern from nursing staff. She was transferred to mainstream prison on 1 January 2020 despite remaining unwell. …
31y · Male·mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen)
…re extensively stockpiled by another resident and accessible to the deceased; failure to escalate serious concerns raised by treatment providers about his deteriorating mental state; failure to invoke urinalysis testing…
41y · Female·Combined Drug Toxicity (ethanol and benzodiazepine)
Narisha Faye Cash, 41-year-old Aboriginal woman, died on 26 March 2020 from combined drug toxicity (ethanol and benzodiazepines) following an inadequate emergency services response to her mental health crisis. She called…
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