Coronial

45 results for methamphetamine withdrawal

TAS2017-06-30

Coroner's Finding: Monson, Troy Colin; Michael, Robin and Mitchell, Scott Clifford

Unknown·Troy Monson: asphyxia due to partially suspended hanging using seatbelt; Robin M…

This inquest examined three deaths in Tasmanian custody: Troy Monson (asphyxiation in prison van during transport in June 2015), Robin Michael (hanging in prison cell June 2015), and Scott Mitchell (cardiac arrhythmia fr…

psychiatrypsychologydiagnosticsystemolanzapine
QLDcommunity2017-08-17

JJKD - Non-inquest findings

34y · Male·drowning

…between public and private services. Critical failures included: inadequate supervision during clozapine withdrawal (managed by multiple clinicians without shared care plan), excessive case manager caseload (32 consumers…

psychiatrycommunicationsystemclozapine
TASprison2024-04-18

Coroner's Finding: Gerard, Robert Harold

48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)

Robert Harold Gerard, aged 48, died by hanging in Risdon Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suici…

psychiatrycorrectional healthsystemdelayzuclopenthixol decanoate
VIChome2025-12-04

Finding into death of Raymond John Flaherty

57y · Male·Mixed drug toxicity (heroin, methadone, benzodiazepines including novel benzodia…

Raymond John Flaherty, a 57-year-old Wurundjeri man with longstanding opioid and benzodiazepine dependence, died from mixed drug toxicity involving heroin, methadone, prescribed diazepam, unprescribed benzodiazepines inc…

addiction medicinegeneral practicesystemcommunicationheroin
NSW2020-08-26

Inquest into the death of Tane Chatfield

22y · Male·hypoxic ischaemic encephalopathy as a result of hanging

Tane Chatfield, a 22-year-old Aboriginal man, died by hanging in his prison cell at Tamworth Correctional Centre on 20 September 2017. He had been admitted to hospital the preceding night with seizures, assessed as unlik…

emergency medicineneurologydiagnosticcommunicationparacetamol

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