Coronial

87 results for substance withdrawal

VIC2010-02-12

Finding into death of Wesley Robert Jennings

42y · Male·incised wound to the neck

Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demo…

psychiatrypsychologycommunicationsystemcitalopram
SAhospital2012-11-15

Coroner's Finding: Butler Mark Andrew

49y · Male·pneumonia, hypoxic brain injury and cardiac arrest

…c arrest with hypoxic brain injury and died. Contributing factors included failure to recognise cannabis withdrawal contributing to delirium, use of anticholinergic olanzapine potentially worsening confusion, and shackli…

colorectal surgerypsychiatrydiagnosticmedicationfentanyl
VICcommunity2026-03-16

Finding into death of JBV JBV

Unknown

…e case highlights the importance of comprehensive assessment and appropriate management of patients with substance use disorders in community settings. Key clinical lessons include: ensuring thorough initial assessment …

VICcommunity2017-10-16

Finding into death of Skye Suzanne Turner

36y · Female·Mixed drug toxicity

Skye Turner, a 36-year-old woman with borderline personality disorder and substance use disorder, died from mixed drug toxicity after being discharged from Maroondah Hospital on 8 March 20…

psychiatryemergency medicinecommunicationsystemheroin
QLD2024-05-13

HARVEY, Thompson

33y · Male·Neck compression (hanging)

…ted murder. He had a recent suicide attempt by gunshot wound (31 October), was on opiate medications for withdrawal management, and presented with anxiety and withdrawal symptoms. Initially assessed as medium risk with 6…

psychiatrypsychologycommunicationdiagnosticmorphine
ACThome2017-09-11

AN INQUEST INTO THE DEATH OF LESLEY MAREE SMITH

47y · Female·Sudden Unexpected Death in Alcohol Misuse (SUDAM)

…misuse (2 bottles nightly) and was prescribed diazepam by her GP, Dr H., starting April 2013 for alcohol withdrawal symptoms without specialist addiction training or formal guidelines. Autopsy revealed alcoholic liver di…

general practicepathologydiagnosticcommunicationdiazepam
VIC2015-05-29

Finding into death of Ignac Lecek

68y · Male·Ischaemic small and large intestine complicating cardiogenic shock in the settin…

…mptoms like vomiting and diarrhoea in elderly prisoners may indicate serious pathology, not just alcohol withdrawal; (2) vital sign distortions (diastolic hypertension, hypothermia) require medical assessment; (3) system…

emergency medicinevascular surgerycommunicationsystemdiazepam
VICcommunity2016-08-31

Finding into death of Leigh Joseph Riley

30y · Male·Head injury; severe traumatic brain injury with global cerebral ischaemic injury…

Leigh Joseph Riley, a 30-year-old man with intellectual disability and substance abuse history, died from severe head injury following a physical altercation. He was punched in the face…

forensic medicinepathologyalcohol
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
NT2001-12-19

Inquest into the death of Johnno Wurramarba

15y · Male·compression of the neck by hanging

…tors; (4) inadequate mental health assessment on admission despite reported petrol sniffing and cannabis withdrawal; (5) possible depression and psychotic symptoms (hearing voices) not adequately documented or investigat…

paediatricspsychiatrydiagnosticproceduralcannabis
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

…year-old with a long history of benzodiazepine dependence and previous psychiatric episodes triggered by withdrawal. He presented to Calvary Mater Hospital after a deliberate overdose of 48 Etizolam tablets with stated i…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
TAShome2020-11-02

Coroner's Finding: Besgrove, Trevor Scott

46y · Male·cause of death cannot be determined

…complex mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, was found deceased in his Bicheno home after an estimated two-month absence. His body was in advanc…

psychiatrypsychologysystemprescribed medications
VIChospital2018-06-22

Finding into death of Liaqat Ali Hamid Kayani

44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity

…as resuscitated by emergency services but suffered irreversible brain damage and died after life support withdrawal. The case highlights the complexity of drug-related deaths and the role of harm minimisation policies in…

emergency medicineintensive careheroin
VIC2022-06-03

Finding into death of Micky Craig Revera

40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…

… about his altered consciousness, he was cleared for police custody. In prison, he presented with opioid withdrawal symptoms, minimal oral intake, drowsiness, and difficulty mobilising. Despite appropriate medical and ps…

emergency medicineforensic medicinediagnosticcommunicationheroin
WAcommunity

Inquest into the Death of Dean Anthony POLLARD

41y · Male·unknown

… 17 May 2010 at Swan District Hospital where psychiatric assessment found no acute risks despite chronic substance use and aggression. He had poor medication compliance, escalating drug dependence, and episodes of viole…

psychiatryemergency medicinesystemcommunicationmethamphetamine
SAhome2008-02-11

Coroner's Finding: LYDEN-BAKER Elizjah Monique Ivy

0y · Female·undetermined; possible suffocation not definitively established at autopsy

A 4-week-old neonate died at home with undetermined cause, though suffocation on a soft pillow was considered possible. The infant was born prematurely on a concrete pavement to a mother with untreated opioid addiction a…

neonatologypaediatricscommunicationsystemmorphine
SAhome2020-07-09

Coroner's Finding: HALES Fiona Joy

33y · Female·hanging

…n and appropriate treatment. This case highlights the importance of identifying at-risk individuals with substance use disorders, prior suicide attempts, and psychosocial stressors for intensive mental health monitoring…

psychiatryaddiction medicinemethamphetamine
QLD2008-03-17

Waite, Thomas Dion; Huynh, Mieng; Jacobs, James Henry; Gear, James Michael

gunshot wounds; multiple deaths during police interventions with mentally ill in…

…roved medication monitoring including drug screening, better police-health information sharing, tactical withdrawal training for officers, and critical incident review procedures.

psychiatryemergency medicinediagnosticcommunicationantipsychotic medications
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

…is testing, fell within acceptable clinical practice given the doctor's experience and Steven's reported withdrawal symptoms. Critical gaps existed in handover protocols between health and corrections staff, wellbeing ch…

addiction medicinegeneral practicediagnosticsystemmethadone
VIC2024-12-16

Finding into death of Peter Christofidis

27y · Male·undetermined

…ned cause in the context of poor mental health. Peter had a history of self-harm, suicidal ideation, and substance use, with recent psychiatric hospitalisations. He had recently been discharged from psychiatric care and…

psychiatrysystem

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