Coronial

52 results for amphetamine dependence

VIChome2015-04-16

Finding into death of Nicholas William Moorby

35y · Male·serotonin syndrome

…e based on his own self-reporting rather than specialist communication. He was also using illicit methylamphetamine and had been given benzodiazepines. The coroner found critical failures in GP prescribing practice: Dr …

general practicepsychiatrymedicationdiagnosticduloxetine
VICcommunity2021-11-25

Finding into death of Daniel Neil Thomas

35y · Male·Gunshot wound to the head (self-inflicted)

Daniel Thomas, aged 35, died from a self-inflicted gunshot wound during a police siege. He had a history of substance-induced psychosis from ice use, with multiple psychiatric admissions in 2015-2016. Following discharge…

psychiatryemergency medicinesystemcommunicationmethamphetamine
VIC2019-10-18

Finding into death of Mr A

24y · Male·Mixed drug toxicity

…rapeutic levels of multiple CNS depressants (pregabalin, clonazepam, buprenorphine, pholcodine) plus dexamphetamine and bupropion. He was found unresponsive with blue lips and unable to be resuscitated. Key clinical les…

psychiatrygeneral practicecommunicationsystempregabalin
TAShome2025-12-02

Coroner's Finding: de-identified DQ

54y · Female·mixed drug toxicity (methadone and diazepam)

A 54-year-old woman with long-standing opioid use disorder died from mixed methadone and diazepam toxicity. She had tripled her methadone dose by injecting additional takeaway doses alongside her prescribed pharmacy dose…

general practicepharmacologydiagnosticmedicationmethadone
WA2017-03-07

Inquest into the Death of Barry Matt STUART

49y · Male·ligature compression of the neck (hanging)

Barry Matt Stuart, a 49-year-old prisoner at Hakea Prison, died by suicide via ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essen…

psychiatrygeneral practicemedicationsystemolanzapine
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

Julie Anne Bramble, a 50-year-old woman with alcohol dependence and recent drug use, died from septicaemia on 1 April 2011 at her home in Bundaberg. Over 4-5 days prior…

emergency medicineparamedicinedelaycommunicationmethamphetamine
WAmental health2015-12-31

Inquest into the Deaths Alma Street Centre

Female·Five separate deaths: Ruby Nicholls-Diver—ligature compression of neck (hanging)…

Five former psychiatric patients of Alma Street Centre (part of Fremantle Hospital) died between March 2011 and March 2012. Two died by suicide within 24 hours of discharge; one disappeared and was found deceased; one ab…

psychiatryemergency medicinediagnosticcommunicationantidepressants
WAmental health2015-12-31

Inquest into the Death of Michael Ronald THOMAS

Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…

Five young adults died by suicide within 12 months (March 2011 to March 2012), all connected to Alma Street Centre mental health services at Fremantle Hospital. Four were discharged (Ruby Nicholls-Diver, Carly Elliott, M…

psychiatryemergency medicinediagnosticcommunicationantidepressants
WAmental health2015-12-31

Inquest into the Death of Carly Jean ELLIOTT

Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…

Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma Street Centre mental health services in Western Australia. Rub…

psychiatryemergency medicinecommunicationsystemantidepressants
WAmental health2015-12-31

Inquest into the Death of Anthony Ian EDWARDS

Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…

Five psychiatric patients from Alma Street Centre (Fremantle Hospital) died by suicide within 12 months (March 2011-March 2012). Two died within 24 hours of discharge, demonstrating critical failures in mental health ser…

psychiatryemergency medicinediagnosticcommunicationantidepressants
QLD2024-05-13

HARVEY, Thompson

33y · Male·Neck compression (hanging)

Thompson James Harvey, aged 33, died by hanging in his cell at Capricornia Correctional Centre on 13 November 2017, four days after remand for serious offences including attempted murder. He had a recent suicide attempt …

psychiatrypsychologycommunicationdiagnosticmorphine
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…

This coronial inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. …

public healthpsychiatrysystemdelayalcohol

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