Coronial

533 results for methamphetamine use

VIChome2009-06-29

Finding into death of Leigh Sarah Sinclair

25y · Female·effects of fire / inhalation of fire fumes

Two young people died in a preventable building fire at an unregistered rooming house in Brunswick, Victoria. The fire started from faulty electrical wiring in the pizza restaurant ceiling belo…

systemcommunicationalcohol
NSW2025-03-06

Inquest into the death of Moses Kellie

33y · Male·hanging

Moses Kellie, aged 33, died by hanging at Villawood Immigration Detention Centre in January 2019 after four years in immigration detention. He had schizophrenia, PTSD, and substance dependence, with a prior suicide attem…

psychiatrygeneral practicesystemcommunicationpaliperidone
VIC2023-12-01

Finding into death of J ZA

17y · Female·Gamma hydroxybutyrate (GHB) toxicity

…usness as sleep. The coroner found that BSV residential care workers lacked awareness of the 2015 substance use policy requiring 5-minute monitoring intervals for substance-affected sleeping youths, signs of deteriorati…

communicationsystemgamma-hydroxybutyrate
VICcommunity2019-04-16

Finding into death of Sophie Margery Nicholas

27y · Female·Injuries sustained in motor vehicle incident (pedestrian)

…tween services; and inadequate post-discharge follow-up. The coroner concluded no single service directly caused her death but highlighted systemic failures in coordinating care for complex cases with BPD and addiction,…

psychiatryaddiction medicinecommunicationsystemalcohol
VIC2017-08-01

Finding into death of Maria Liordos

16y · Female·Mixed drug toxicity

Maria Liordos, a 16-year-old in state care with complex trauma, substance abuse, mental health issues and high-risk behaviours, died from mixed drug toxicity. The coroner identified signi…

paediatricspsychiatrycommunicationsystemheroin
QLDcommunity2017-08-17

JJKD - Non-inquest findings

34y · Male·drowning

… opportunities despite multiple warning signs (McDonald's incident, medication non-compliance, illicit drug use, family concerns), and failure to implement structured case reviews. The coroner found poor judgment precip…

psychiatrycommunicationsystemclozapine
QLD2017-10-20

Anthony William Young, Shaun Basil Kumeroa, Edward Wayne Logan, Laval Donovan Zimmer and Troy Martin Foster

Male·Police use of lethal force; coroner found in each case the officers acted approp…

This multi-death inquest examined five police shootings in Queensland (2013-2014) where all deceased had mental health histories. The coroner found officers acted appropriately in each case but made 19 recommendations to…

emergency medicinepsychiatrysystemcommunicationmethamphetamine
QLD2014-04-17

McGrath, Nathan David

35y · Male·methylamphetamine toxicity

Nathan McGrath, 35, died in the Cairns Watchhouse from methylamphetamine toxicity with coronary artery atheroma as a significant contributor. He was arrested…

emergency medicineparamedicineproceduralsystemmethamphetamine
VIC2019-02-13

Finding into death of Gordon Harvey

62y · Male·Blunt force trauma to the head

…for non-heterosexual relationships; (3) the substantial vulnerability of victims with comorbid substance misuse and mental health conditions; and (4) failures by Corrections Victoria to manage Mr Kepenci despite identif…

forensic medicinetoxicologycommunicationsystemmirtazapine
QLDhome2017-12-14

Robertson, Charlie Mark John

19y · Male·Toxic effects of multiple drugs, primarily gammahydroxybutyric acid (GHB), causi…

… 100% chance" of survival. Key clinical lessons: (1) profound unresponsiveness unrelated to obvious alcohol use should trigger overdose suspicion during drug warrant execution; (2) snoring does not exclude coma or respi…

forensic medicinetoxicologydiagnosticcommunicationgammahydroxybutyric acid
NSWhospital2025-02-21

Inquest into the death of David Freeman

46y · Male·Respiratory arrest secondary to acute exacerbation of bronchial asthma caused by…

A 46-year-old man with poorly controlled asthma and known ibuprofen hypersensitivity presented to a rural hospital with chest pain. A remote on-call doctor prescribed aspirin without knowledge of the allergy or availabil…

emergency medicinegeneral practicediagnosticmedicationaspirin
VIC2024-05-14

Finding into death of Brian Richard Pope

40y · Male·compression of the neck due to hanging

…health issues including major depressive disorder, anxiety, learning disability (dyslexia), and substance abuse history, died by suicide in prison 20 days after remand. He had been recently discharged from hospital foll…

psychiatrycorrectional healthcommunicationsystemmirtazapine
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

…e Alexander Maconochie Centre in the ACT. He was assessed as opioid naive despite representations of heroin use and prescribed 30 mg methadone daily after two doses. The coroner found the medical assessment and prescrip…

addiction medicinegeneral practicediagnosticsystemmethadone
VIChome2025-05-20

Finding into death of CDE

33y · Female·Sharp force neck and chest injuries

…ntal health conditions. The perpetrator had a history of schizophrenia, anxiety, depression and substance abuse. Prior incidents in January 2018 involved severe physical assaults but were inadequately prosecuted. In the…

psychiatryemergency medicinesystemcommunicationsynthetic marijuana
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

…erns, and without a documented discharge plan. The mental health assessment by a nurse practitioner did not use standardised assessment forms, did not adequately explore the patient's complex history, and failed to obta…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
NSWhome2023-04-14

Inquest into the death of Stanley Leonard RUSSELL

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

… 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. Polic…

forensic medicineemergency medicinediagnosticcommunicationmethamphetamine
QLDcommunity2023-11-17

MOLAYEE, Omid (Farsi Translation)

43y · Male·Gunshot wounds to the chest; exsanguination and respiratory failure secondary to…

Imad Damouni (43) died from gunshot wounds to the chest after self-immolating with petrol in a parking lot in Sunnybank, Brisbane on 6 April 2020, following a domestic dispute. Police responded appropriately to a suicide…

emergency medicinetrauma surgerymethamphetamine
NSWhome2025-08-08

Inquest into the death of Jacob

0y · Male·Non-accidental infliction of significant force to the head/face and gum region, …

…care despite these suspicious injuries, expert child protection concerns about maternal attachment and drug use indicators, and evidence of ongoing harm. DCJ transferred his case to a lower-risk team and eventually clos…

paediatricsforensic medicinediagnosticsystemmethamphetamine
NSW2022-10-12

Inquest into the death of ZH

29y · Male·Hanging

ZH, a 29-year-old man serving a 9-year sentence for drug supply, died by hanging in his minimum-security cell at Parklea Correctional Centre on 11 August 2021. The coroner found his death was self-inflicted. Key clinical…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VIC2025-11-12

Finding into death of Wendy Ann McCabe

40y · Female·hypoxic ischaemic encephalopathy due to ligature compression of the neck

Wendy McCabe, a 40-year-old woman with a history of depression, anxiety, substance use and previous self-harm, died of asphyxiation from ligature compression after fashioning a noose from a stan…

correctional healthemergency medicineproceduralcommunicationmethadone
123242527

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