Coronial

29 results for substance use disorder (perpetrator)

VICcommunity2018-03-14

Finding into death of C P

59y · Female·Gunshot injuries to the head

…ating pattern of physical and emotional family violence throughout their relationship. CP had experienced abuse since childhood, suffered mental and physical health complications, and became dependent on alcohol. She wa…

psychiatrydiagnosticcommunicationcitalopraam
VICcommunity2025-08-25

Finding into death of Tracey Ellen Knowles

42y · Female·Unascertained; possibly mixed drug toxicity (heroin and methylamphetamine) or sm…

Tracey Ellen Knowles, aged 42, was found deceased in a vehicle on 19 July 2021 from an unascertained cause. She had a history of heroin use and experienced family violence. Police misidentified her as the 'predomin…

forensic medicinetoxicologysystemcommunicationheroin
QLDcommunity2021-09-10

Lock, Karina May and Lock, Stephen Glenn - Non-inquest findings

49y · Female and male·Gunshot wound to head inflicted by spouse

…Lock to specialist domestic violence support services despite her explicit disclosure of intimate partner abuse; a general practitioner treating both victim and perpetrator concurrently without formal risk assessment or…

general practicepsychiatrydiagnosticcommunicationcannabis
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

…ed from. Critical clinical lessons include: early identification of escalating mental health crises with substance use; importance of comprehensive follow-up after acute psychiatric presentations; risk assessment in the…

psychiatryemergency medicinecommunicationsystemmethamphetamine
VIChome2025-10-28

Finding into death of HCG

39y · Female·Unascertained

…iolence was assaulted by her partner on 31 January 2021 and died approximately 5 hours later. The assault caused significant blood loss; however, the medical cause of death remained unascertained at autopsy. The coroner…

forensic medicinepaediatricssystemcommunicationmethamphetamine
QLD2025-10-01

Inquest into the death of Duke Allan Wayne Schafer

36y · Male·Ligature strangulation

…d recommended for specialist psychological treatment and medication by sentencing judge, he consistently refused engagement. Bloomfield could not be compelled to accept treatment under mental health legislation as he di…

psychiatrypsychologysystemcommunicationbuprenorphine
VIChome2020-11-10

Finding into death of Mr BT

27y · Male·Hanging

A 27-year-old carpenter with a long history of depression, suicidality, and substance abuse died by hanging. He had experienced recent family violence incidents as both perpetrator and victi…

psychiatrygeneral practicecommunicationsystemvenlafaxine
VICcommunity2025-09-01

Finding into death of Ms FSZ

32y · Female·Compression of the neck

…sessment despite documented family violence history, poor medication compliance, psychotic symptoms, and substance abuse; (2) NLU's diagnosis remained unclear (alcohol abuse vs. psychosis) without clear clinical rationa…

psychiatryemergency medicinediagnosticcommunicationolanzapine
NSWhome2024-12-12

Inquest into the death of Ms K

43y · Female·suffocation

…and through suffocation on 7 March 2017 after years of coercive control, physical violence, and emotional abuse. A critical police response on 17 August 2016 when Ms K reported car vandalism failed to recognise her seri…

general practicepsychologycommunicationsystemalcohol

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