Coronial

415 results for drug abuse

WApolice custody2017-03-31

Inquest into the Death of Maureen MANDIJARRA

44y · Female·unascertained (consistent with Streptococcus dysgalactiae and Staphylococcus aur…

Maureen Mandijarra, a 44-year-old Aboriginal woman with poorly controlled diabetes and recurrent skin infections, was arrested at Male Oval on 29 November 2012 for street drinking under a zero-tolerance police approach. …

emergency medicineinfectious diseasesdiagnosticcommunicationalcohol
NTcommunity2022-05-20

Inquest into the death of Reginald Roy

16y · Male·Consequences of high voltage electrical injury due to mental disorder/psychosis

Reginald, a 16-year-old Aboriginal boy with first episode psychosis, intellectual disability, and fetal alcohol spectrum disorder, was admitted to the Youth Inpatient Unit and improved significantly with inpatient care. …

psychiatrypaediatricscommunicationsystemaripiprazole
SA2003-12-18

Coroner's Finding: LINDSAY Margaret

38y · Female·neck compression due to hanging

…Women's Prison on 23 May 2001 whilst remanded in custody. She had a complex history of psychiatric illness, drug and alcohol abuse, and multiple suicide attempts. Despite comprehensive documentation from police identifyi…

psychiatrycorrectional healthcommunicationsystemdiazepam
TAS2023-09-01

Coroner's Finding: Hunt, Paul George; Reynolds, Paul James; Darke, Simon Graham; Cooke, Robert Anthony

Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…

This coronial finding examined four police suicides in Tasmania between 2016-2020. Constable Hunt died by gunshot wound after being stood down from duty without welfare support; his personal phone was unlawfully seized, …

psychiatrypsychologysystemcommunicationpseudoephedrine
WAhospital2025-04-17

Inquest into the Deaths of HC and Child HR

terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…

…nation of nearly 24/7 support workers in the home (2020-2021), HC's documented relapse into severe alcohol abuse and unauthorized use of her daughter's medications (particularly clonazepam) in early 2022 prompted placem…

paediatricspalliative care
WAcommunity2025-06-09

Inquest into the Death of Joyce Gladis CLARKE

29y · Female·gunshot wound to the abdomen

…propriately discharged from Sir Charles Gairdner Hospital following involuntary mental health admission for drug-induced psychosis; acute symptoms had resolved. The discharge was clinically sound with community follow-up…

psychiatryemergency medicinesystemmethamphetamine
NSWhome2023-04-14

Inquest into the death of Stanley Leonard RUSSELL

45y · Male·gunshot wound to the chest with associated significant blood loss

…d by NSW police executing a bench warrant at his home on 9 November 2021. He had suffered childhood sexual abuse, his brother died by suicide in custody, and he feared incarceration due to prior self-harm episodes. Poli…

forensic medicineemergency medicinediagnosticcommunicationmethamphetamine
NSWcommunity2025-09-24

Inquest into the death of Matthew Richard Lothian

37y · Male·self-inflicted gunshot wound to the head and neck

…from Correctional Services Officer Harvey and shot himself. Lothian had a history of depression, substance abuse, and was facing serious charges with limited prospects of escape from his legal predicament. The coroner i…

psychiatrycorrectional healthsystemcommunicationmethadone
VIC2024-06-19

Finding into death of X Y

17y · Female·Neck compression by hanging (suicide)

XY, a 17-year-old Wemba Wemba Aboriginal girl, died by suicide on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as …

paediatricspsychiatrycommunicationsystemvenlafaxine
SAhome2002-09-06

Coroner's Finding: HUNT Kunmanara

25y · Female·inhalation of petrol (hydrocarbon inhalation)

This is a complex coroner's inquest into three Aboriginal deaths from petrol inhalation on the Anangu Pitjantjatjara Lands. Kunmanara Hunt, age 25, died on 27 January 2001 after inhaling petrol fumes while lying face-dow…

toxicologyforensic medicinesystemdelaypetrol
WAcommunity2004-03-11

Inquest into the Death of Warren Bradley Jack

29y · Male·Head Injury

Warren Bradley Jack, 29-year-old fisherman, died from severe head injury after falling from a fishing vessel during a refuelling operation. On 24 April 2000, after returning from a fishing trip, he consumed approximately…

emergency medicineintensive carealcohol
SAcommunity2000-03-13

Coroner's Finding: STRANGWAYS Kenneth Charles

34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…

…ental health services for patients with multiple diagnoses; service fragmentation between mental health and drug and alcohol agencies; severe staff shortages at the Public Advocate's office (1:150 caseload ratio); lack o…

psychiatryneurosurgerycommunicationsystemanticonvulsant medications
SAhome2001-07-16

Coroner's Finding: BRADY Mary

64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage

A 64-year-old woman died from doxepin overdose complicated by haemorrhagic bronchopneumonia. She had attempted suicide in April 1999 and was referred to a psychiatrist (Professor Schioldann) who prescribed sertraline. He…

general practicepsychiatrycommunicationmedicationdoxepin
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

…ice must be reinforced with at-risk families; multidisciplinary safeguarding must be robust when substance abuse and previous child injuries are known; systems failures can render clinical care irrelevant when children …

paediatricsforensic medicinesystemdelaymorphine
QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

Peter Owen Pilkington, 48, died from a gunshot wound sustained during a police siege on 6 December 2021. After escalating behaviour at his NDIS support office in Stretton, Queensland, Peter produced what police believed …

emergency medicinetrauma surgerysystemmethamphetamine
TAShospital2019-09-26

Coroner's Finding: Peck, Edward Paisley

23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…

A 23-year-old man with bipolar disorder, polysubstance dependence, and chronic self-harm died by jumping from the Tasman Bridge hours after psychiatric discharge. Despite two suicide attempts within 48 hours preceding as…

psychiatryemergency medicinecommunicationdiagnosticlithium carbonate
QLDhome2009-10-16

Anderson, Andrew Scott

14y · Male·gunshot wound to the head

…te concerns or coordinate with police. Andrew obtained a handgun and ammunition from associates involved in drug use; his grandfather failed to confiscate the weapon despite clear danger. Andrew died from a self-inflicte…

psychiatrypaediatricsdiagnosticcommunicationmarijuana
NSW2024-12-19

Inquest into the death of Ian Turner

35y · Male·multi-drug toxicity

CPL Ian Turner, a 35-year-old Special Forces soldier with combat-related PTSD, died from multi-drug toxicity in July 2017. His death followed multiple deployments to Afghanistan and Iraq, domestic violence i…

psychiatrygeneral practicediagnosticcommunicationamitriptyline
NSWprison2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

…tal arrival. Systemic failures included poor prisoner access to opioid substitution therapy driving illicit drug use, ready availability of stockpiled paracetamol, and misunderstandings of transfer protocols.

emergency medicinetoxicologydiagnosticcommunicationparacetamol
VIC2015-01-30

Finding into death of Matthew Aaron Condie

21y · Male·upper airway obstruction and plastic bag asphyxia

Matthew Aaron Condie, a 21-year-old prisoner serving a 12-year sentence at Port Phillip Prison, died by asphyxiation using a plastic bag on 27-28 September 2007. The coroner found his death was potentially preventable du…

psychiatrypsychologycommunicationsystem

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