Coronial

533 results for methamphetamine use

VICprison2024-12-11

Finding into death of Jayke Michael Aleckson

24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging

Jayke Aleckson, 24, died by hanging in a non-BDRP compliant prison health cell while on remand at Marngoneet Correctional Centre in October 2018. Key clinical lessons: (1) Multiple unmet requests for antidepressant medic…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VICcommunity2015-05-07

Finding into death of Krisinda Carmen Smart

15y · Female·toxicity to heroin

Krisinda Carmen Smart, aged 15, died from heroin toxicity on 20 January 2008. She was a child in care of the Department of Human Services subject to a Custody to Secretary Order. In the days before her death, there were …

paediatricsemergency medicinediagnosticsystemheroin
NSWhospital2022-02-25

Inquest into the death of Carley METCALFE

41y · Female·unable to determine

…family contact. The police investigation was seriously inadequate: a missing person report was initially refused despite clear indication she should be found, investigative steps were grossly delayed, and critical CCTV …

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
QLDhome2024-07-22

Non-inquest findings into the domestic violence related death of a First Nations woman

31y · Female·Pressure applied to neck (asphyxia); not ascertained due to advanced post-mortem…

A 31-year-old First Nations woman was killed by her partner during intimate partner violence. She was pregnant at the time of death. Despite multiple contacts with police, court services, employment agencies, and domesti…

general practiceobstetricscommunicationsystemmethamphetamine
NSWhospital2024-02-26

Inquest into the disappearance of Luke Huggard

31y · Male·Unable to be determined (uncertain whether drowning or other cause following app…

A 31-year-old man with schizoaffective disorder and substance use was admitted involuntarily to the Kiloh Centre after presenting in acute psychosis with suicidal ideation o…

psychiatrydiagnosticcommunicationlisdexamfetamine
VIChome2023-01-19

Finding into death of Danny Lee O'Brien

37y · Male·Stab wound to the chest

…ed in the chest by his intimate partner Kerry Jones on 9 December 2016 during an argument at his boarding house. He had previously assaulted Ms Jones, leading to a Family Violence Intervention Order (FVIO) in May 2015. …

systemcommunicationmethamphetamine
WA2003-04-29

Inquest into the Death of Mark Anselo Ugle

36y · Male·Acute on Chronic Myocardial Infarction

…am and could not be revived despite resuscitation efforts. The coroner found the death arose from natural causes but identified systemic failures: inadequate cell monitoring, lack of alarm systems, limited officer visib…

cardiologyemergency medicinecommunicationsystemmethamphetamine
WA2020-11-28

Inquest into the Death of Wayne Thomas LARDER

42y · Male·ligature compression of the neck (hanging)

Wayne Larder, a 42-year-old man with depression, suicidal ideation, and substance use disorder, died by hanging in Hakea Prison on 22 February 2021. Critical failures in suicide risk management…

psychiatrypsychologydiagnosticsystemmethamphetamine
VIChospital2017-06-07

Finding into death of Samer Rony Damouni

21y · Male·Compression of the neck consequent upon hanging

A 21-year-old man with longstanding schizoaffective disorder, substance dependence and anti-social personality disorder died by hanging following absconding from hospital. He was admitted to Casey Hospital ED on 12 July …

psychiatryemergency medicinecommunicationsystemmethamphetamine
VIC2021

Finding into death of Thi Minh Phuong Nguyen

29y · Female·Mixed drug toxicity (gamma hydroxybutyrate, methylamphetamine, amphetamine, diaz…

…l health settings, recognition of the intersection between family violence, mental illness and substance misuse, and earlier intervention when patients disengage from mental health services.

general practicepsychiatrycommunicationsystemgamma hydroxybutyrate
WAcommunity2022-04-01

Inquest into the Death of Cherdeena Shaye WYNNE

26y · Female·hypoxic ischaemic encephalopathy and bronchopneumonia in a woman with methylamph…

Ms Cherdeena Wynne, a 26-year-old Noongar Yamatji woman, died from hypoxic ischaemic encephalopathy and bronchopneumonia following cardiac arrest during police restraint on Albany Highway. She was intoxicated with methyl…

psychiatryemergency medicineproceduralcommunicationmethamphetamine
WAcommunity2024-06-26

Inquest into the Death of Peter James WILSON

41y · Male·complications in association with effects of fire, with terminal palliative care

Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by suicide on 1 November 2021 after self-immolating with boat f…

psychiatryintensive carecommunicationsystempaliperidone
VICcommunity2021-09-20

Finding into death of Raymond Noel Lindsay Thomas

30y · Male·Multiple injuries sustained in a motor vehicle collision (driver)

… oncoming vehicles at the crest of a rise. The coroner found the pursuit was not justified under policy because no serious risk to public safety existed before police involvement; the dangerous driving resulted from the…

proceduralsystemcannabis
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
SA2024-12-20

Coroner's Finding: Huddy, Kobee Michael David

20y · Male·gunshot wound to the chest

…mental health services and Lifeline that morning expressing suicidal ideation, then left his girlfriend's house believing he was getting cigarettes. Police followed and stopped the vehicle he was in; he exited with a la…

psychiatryemergency medicinecommunicationsystemcannabis
NSWhome2025-06-24

Inquest into the death of Jade

3y · Female·Bilateral Bronchopneumonia (Streptococcus Pyogenes/Staphylococcus Aureus) with k…

…tal health issues. Brighter Futures' practitioner, despite observing concerning signs of parental substance use and suspected violence in March 2018, did not make a mandatory report due to misplaced concerns about maint…

paediatricspsychiatrydiagnosticcommunicationquetiapine
NSW2024-05-21

Inquest into the death of Mohamed Warwar

35y · Male·cardiac arrhythmia with amisulpride toxicity, and myocarditis being contributory…

…ight and 3am. Postmortem toxicology showed 4.4mg/L amisulpride (toxic level), suggesting overdose, though cause of access remains unclear. The coroner found multiple systemic failures in handover procedures, record-keep…

psychiatrycardiologycommunicationdiagnosticamisulpride
WAhospital2022-08-22

Inquest into the Death of Roderick Malcolm NARRIER

38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…

A 38-year-old Noongar man died from multiorgan failure following out-of-hospital cardiac arrest after being restrained in prone position by police. He had injected methylamphetamine and developed excited delirium, becomi…

emergency medicineintensive caremethamphetamine
QLDmental health2007-06-01

Huntington, Sparka Isarva aka Huntington, James Philip

31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…

…untington, a 31-year-old forensic mental health patient with a history of schizophrenia, violence, and drug use, died during physical restraint by hospital security officers and nursing staff on 14 December 2003. The co…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
VIChome2016-04-04

Finding into death of Frank Edward Frood

47y · Male·Bronchopneumonia on a background of methadone and benzodiazepine use

Frank Frood, a 47-year-old man with a 20-year history of heroin use and opioid replacement therapy (ORT) on methadone, died from bronchopneumonia with a background of methadon…

general practiceaddiction medicinemedicationsystemmethadone

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.