Coronial

61 results for intentional drug overdose

VIChome2014-06-27

Finding into death of Caroline Courtenay Webster

53y · Female·Combined drug toxicity (propranolol and insulin)

…old registered nurse with longstanding depression, anxiety and benzodiazepine dependency died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webster engaged…

psychiatrygeneral practicesystemcommunicationpropranolol
TAShome2015-09-30

Coroner's Finding: Mr R

61y · Male·combined drug intoxication (doxepin, mianserin and fluoxetine)

A 61-year-old man died from combined drug intoxication involving doxepin, mianserin, and fluoxetine—all antidepressants prescribed over several years…

general practicepsychiatrycommunicationdoxepin
VIChospital2010-05-03

Finding into death of Christian Gonzalo Diaz

28y · Male·hypoxic brain injury presumed to have occurred as a direct result from toxicity …

…leave were appropriate and documented. The coroner concluded the death was an unintended consequence of intentional illicit drug use, not suicide, and was unrelated to his status as a person in care. No recommendations …

psychiatryintensive careheroin
WAhome2013-09-05

Inquest into the Death of Doherty, Craig James

39y · Male·propofol toxicity

…cked cupboards with minimal monitoring or auditing requirements, unlike restricted Schedule 4 or Schedule 8 drugs. The coroner found that propofol's availability without adequate storage controls or accountability measur…

anaesthesiapharmacysystemdelaypropofol
NSWmental health2014-06-18

Inquest into the death of Mark Richard GLEESON

39y · Male·respiratory failure as a result of the interaction of prescribed medication and …

…e. He was dispensed a 7-day supply of medication as standard practice. The coroner found no evidence of intentional suicide, instead concluding accidental death from reckless medication consumption. Clinicians appropria…

psychiatryolanzapine
VIC2016-12-13

Finding into death of Finding

16y · Female·mixed drug toxicity (oxycodone, citalopram, fluoxetine and quetiapine)

JF, aged 16, died by intentional overdose of prescription medications after being removed from her long-term foster home. JF had a histo…

psychiatrypaediatricscommunicationsystemoxycodone
VIChome2002-08-30

SMEETON Debra

34y · Female·Dothiepin toxicity in a setting of post-natal depression

Debra Smeeton, 34, died on 12 November 1999 from dothiepin toxicity following intentional overdose at home, eight days after giving birth. She had severe post-natal depression after her first c…

psychiatryobstetricscommunicationmedicationdosulepin
NSWhospital2017-09-08

Inquest into the death of James BARTON

21y · Male·external neck compression due to hanging; intentional self-harm

…was appropriately assessed and admitted as a mentally disordered person on 3 March following a deliberate overdose of 30 ecstasy and 5 Xanax tablets. Dr N. discharged him on 4 March. On 23 March, following another acute …

psychiatrytoxicologysystemcommunicationalprazolam
QLDmental health2026-01-29

Inquest into the death of Tiesha Marie Derbyshire

18y · Female·Mixed drug toxicity

…tal health conditions including eating disorder, PTSD, and borderline personality disorder, died from mixed drug toxicity after intentionally overdosing on propranolol while admitted to an acute mental health unit under …

psychiatrygeneral practicecommunicationsystempropranolol
VIChome2023-05-29

Finding into death of Stuart John Noble

47y · Male·Multidrug toxicity (ethanol, quetiapine, baclofen, benzodiazepines)

Stuart Noble, 47, died from multidrug toxicity involving baclofen, quetiapine, benzodiazepines, and ethanol in an intentional overdose. He was pr…

general practiceaddiction medicinediagnosticsystembaclofen
VICaged care2015-09-03

Finding into death of Beverley Broadbent

83y · Female·Pentobarbitone toxicity

Beverley Broadbent, 83, died from pentobarbitone toxicity after deliberately taking a lethal dose to end her life. Her GP, Dr C., who had known of her long-standing intention to die and had even discussed what he might c…

general practiceforensic medicinecommunicationsystempentobarbitone
VICcommunity2024-10-04

Finding into death of T K

18y · Female·Mixed drug toxicity

…th borderline personality disorder, chronic suicidality, and a history of childhood trauma, died from mixed drug toxicity following intentional overdose. She had multiple psychiatric admissions in early 2021 for suicidal…

psychiatrygeneral practicesystemdelaytramadol
VIChome2021-03-19

Finding into death of Kim Melissa Hall

36y · Female·combined effects of baclofen toxicity and blunt head injury

…, sustaining multiple injuries over several hours while alone at home. The coroner found no evidence of intentional self-harm or third-party involvement. Key clinical lesson: baclofen toxicity can cause profound CNS dep…

general practiceaddiction medicinemedicationbaclofen
VIChome2026-02-17

Finding into death of Laurence Mark O'brien

22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…

… O'Brien, a 22-year-old with acquired brain injury from a childhood motor vehicle accident, died from mixed drug toxicity involving eight substances including prescribed opioids, benzodiazepines, and unprescribed ketamin…

general practicepsychiatrymedicationsystemtapentadol
VIChome2015-07-20

Finding into death of Brenton James Grosser

49y · Male·Drug toxicity (methadone)

…rent ethanol present. The coroner found methadone toxicity was the cause, likely accidental rather than intentional. This case highlights critical public health concerns regarding diversion of takeaway methadone doses a…

toxicologyforensic medicinesystemmethadone
TAShome2024-01-18

Coroner's Finding: KT - deidentified

47y · Female·insulin and mixed drug toxicity, the result of actions undertaken by the decease…

A 47-year-old woman with depression and a history of suicidal ideation died from insulin and mixed drug toxicity after deliberately injecting insulin from her daughter's insulin pens. She had been seen by her GP…

psychiatrypsychologycommunicationsysteminsulin
VIChome2013-05-21

Finding into death of John Crivera

31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine

31-year-old with bipolar disorder died from quetiapine toxicity while taking sertraline and mirtazapine. He was under a Community Treatment Order and his treating team reduced his antipsychotic dose while he deteriorated…

psychiatryemergency medicinediagnosticcommunicationquetiapine
TAShospital2020-09-02

Coroner's Finding: Breen, Kylie Anne

40y · Female·hypoxic brain injury and acute lung injury; multiple drug toxicity with oxycodon…

A 40-year-old woman with advanced multiple sclerosis died from drug toxicity and hypoxic brain injury following intentional overdose and gas inhalation. She had completed an A…

emergency medicineintensive carecommunicationsystemoxycodone
VIChome2020-11-16

Finding into death of Hilton Davis

50y · Male·mixed drug (oxycodone and methadone) and ethanol toxicity

A 50-year-old Torres Strait Islander man died from mixed drug (oxycodone and methadone) and ethanol toxicity in the context of family violence and suicidality. He had a …

general practiceforensic medicinecommunicationsystemoxycodone
ACThome2019-06-04

Inquest into the death of Lauren Maree Johnstone

48y · Female·Combined toxic effect of prescription and non-prescription medications including…

…. Critical clinical lessons include: (1) obtaining complete medication histories including over-the-counter drugs, particularly sedating agents; (2) ensuring communication between treating specialists about concurrent me…

general practicesurgerycommunicationsystemdoxylamine

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