Coronial

106 results for alcohol misuse

NThome2011-03-15

Inquest into the death of Dwayne Joseph Berto

23y · Male·Suicide by hanging

…man, died by suicide by hanging in his home in Darwin on 25 August 2010. He was highly intoxicated (blood alcohol 0.268%) and deeply distressed. Contributing factors included recent family separation, arguments with his…

psychiatryemergency medicinealcohol
VIChome2012-03-08

Finding into death of Rory Brett Denman

37y · Male·mixed drug toxicity

…ence of real-time prescription monitoring allowed dangerous polypharmacy despite clear signs of medication misuse. Clinical lessons include recognizing prescription shopping warning signs, coordinating care across multip…

general practicepain medicinesystemcommunicationavanze
VIChome2015-07-24

Finding into death of James Stewart Dougan

32y · Male·Mixed drug toxicity (codeine, methadone, alprazolam, diazepam) in a man with cor…

James Dougan, 32-year-old man with longstanding polysubstance abuse, died from mixed drug toxicity (codeine, methadone, alprazolam, diazepam) complicated by severe coronary artery atherosclerosis. He engaged in prescript…

general practiceaddiction medicinemedicationcommunicationalprazolam
WAcommunity2019-11-15

Inquest into the Suspected Death of Brian Anthony DUFFY

52y · Male·Drowning in Falcon Bay

…d man with multiple serious chronic conditions including osteoarthritis, diabetes, liver dysfunction from alcohol abuse, and peripheral vascular disease requiring bypass surgery, disappeared into the ocean near his home…

VIChome2019-01-08

Finding into death of Fiona Kellie Burke

32y · Female·hanging

…relationship with Darren Mather. The death occurred in a context of escalating intimate partner violence, alcohol misuse, mental health concerns, and prior suicidal ideation. Critical failings in service coordination we…

paediatricspsychiatrycommunicationsystemalcohol
TAShospital2022-02-08

Coroner's Finding: Bruinewoud, Brieley Joyce

36y · Female·Traumatic closed head injury

… heavily intoxicated. She had consumed most of a bottle of vodka over 12 hours at a party and had a blood alcohol level of 0.150g/100ml several hours post-incident (likely considerably higher at time of injury). Followi…

neurosurgerytrauma surgeryalcohol
WAcommunity2023-02-03

Inquest into the Suspected Death of Roly NIXON

44y · Male·Unascertained; presumed exposure

…e disorder, disappeared from Fitzroy Crossing, Western Australia on 28 January 2018. He had been drinking alcohol and was not carrying his essential medications (warfarin and levetiracetam). Medical staff had advised he…

emergency medicinecardiologywarfarin
VICcommunity2020-05-07

Finding into death of Mark Beames

44y · Male·Unascertained

Mark Beames, a 44-year-old Aboriginal man with epilepsy, acquired brain injury, and alcohol dependency, disappeared on 4 September 2014 from Swan Hill, Victoria. He had recently been discharged fro…

psychiatryneurologydiazepam
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

…g of methadone, did not conduct adequate risk assessment despite documented prior overdoses and medication misuse, and inappropriately continued polypharmacy with multiple CNS depressants. Critical clinical failures incl…

psychiatrypain medicinediagnosticmedicationvenlafaxine
VIChome2012-12-12

Finding into death of B K

Female·Hanging

The deceased was a woman with a long history of heroin abuse, benzodiazepine misuse, and mental health issues including depression and psychotic behaviour. She received treatment for opiate …

addiction medicinepsychiatryheroin
WAcommunity2020-02-03

Inquest into the Death of Jose DA SILVA

34y · Male·unascertained; most likely immersion after swimming at City Beach

Jose da Silva, a 34-year-old man with a history of schizophrenia and problematic alcohol use, disappeared on 30 April 2017 from Perth, Western Australia. The coroner found he died on or about th…

psychiatrygeneral practiceolanzapine
TAShome2022-08-03

Coroner's Finding: Linklater, Brian Gary

50y · Male·mixed drug and alcohol toxicity (pentobarbitone and ethanol)

Brian Gary Linklater, aged 50, died from mixed drug and alcohol toxicity after intentionally injecting pentobarbitone (a barbiturate used in veterinary practice) obtaine…

pentobarbitone
VIChome2025-03-11

Finding into death of Stephen Peter O'Brien

68y · Male·Head injuries

…ad been the primary carer for Scott, who had untreated mental illness (suspected schizophrenia), drug and alcohol misuse, and a significant history of unreported violence towards his parents. Stephen was a 'hidden' care…

general practicepsychologysystemcommunication
TAShome2022-11-25

Coroner's Finding: GW de-identified

68y · Male·traumatic brain injury due to a gunshot wound to the head

A 68-year-old man with history of depression, heavy smoking, excessive alcohol consumption, and prior bowel cancer shot himself fatally with a licensed firearm. He had been assessed as…

system
ACThospital2016-12-16

AN INQUEST INTO THE DEATH OF PAUL FENNESSY

21y · Male·combined effect of a cocktail of drugs causing central nervous system depression…

… ED medical notes documenting he "didn't care if he died"; lack of coordination between Mental Health and Alcohol & Drug Services; no referral to addiction specialist despite multiple overdoses; receipt of a second meth…

emergency medicinepsychiatrycommunicationsystemmethadone
WA2025-06-20

Inquest into the Death Suspected Death of Jeanne Christine D'ARCY

75y · Female·Drowning (presumed; insufficient evidence to establish with certainty)

…oon and evening, she made multiple calls to family and friends whilst appearing intoxicated, having mixed alcohol with her regular Valium medication. CCTV footage showed her leaving the hotel at 11:09 pm walking unstead…

diazepam
TAShome2025-12-11

Coroner's Finding: de-identified SH

57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…

…medical and mental health conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. She had severe chronic pain following abdominal surgeries, opioid addiction managed with methad…

general practicepharmacologymedicationmethadone
NSWcommunity2014-06-27

Inquest into the deaths of Christopher SALIB, Nathan ATTARD and Shamsad AKHTAR

Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…

This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, multi…

general practiceemergency medicinediagnosticmedicationalprazolam
VIChospital2018

Finding into death of Anthony Sean Jenkins

49y · Male·Hypoxic ischaemic brain injury complicating neck compression in the circumstance…

Anthony Sean Jenkins, a 49-year-old man with significant alcohol consumption, died by hanging on 30 August 2017 after police notified him of child sexual abuse allegation…

intensive carepalliative caresystemalcohol
SAhome2007-11-09

Coroner's Finding: RANDALL Treenor Heather

50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)

…oss services, delayed specialist psychiatric referral despite clear indications, inadequate monitoring of alcohol misuse (which significantly complicated her condition), and insufficient early engagement with cognitive-…

general practicepsychiatrycommunicationdelayquetiapine

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