Coronial

59 results for polysubstance addiction

VIChome2024-05-14

Finding into death of PJQ PJQ

18y · Female·Multidrug toxicity (GHB, amphetamines, benzodiazepines)

… discharged early from a residential rehabilitation program. She had complex trauma history, PTSD, and polysubstance abuse. Following early discharge from the Gippsland Youth Residential Rehabilitation Program on 15 Feb…

paediatricspsychiatrysystemdelayGHB
WAprison2020-11-04

Inquest into the Death of Damien PURNELL

47y · Male·organ failure following cardiorespiratory impairment in a man with arteriosclero…

Damien Matthew Purnell, a 47-year-old prisoner with a long history of polysubstance abuse and undiagnosed coronary artery disease, collapsed in his cell after smoking synthetic cannabino…

emergency medicineintensive caresystemmethadone
WA2012-01-12

Inquest into the Death of Brennan

38y · Male·Exsanguination due to penetration of arm veins

… his arm veins. Brennan had a long-standing history of paranoid schizophrenia with fixed delusions and polysubstance abuse. In the months before death, he became non-compliant with psychiatric medication despite treatme…

psychiatrycorrectional healthsystemdelaylithium
VIChospital2021-02-23

Finding into death of Christopher Douglas Ritson

22y · Male·Hypoxic ischaemic encephalopathy complicating hanging

Christopher Ritson, a 22-year-old with severe alcohol and polysubstance dependence (ICE, cannabis), depression, anxiety and social phobia, died by suicide via hanging on 17 M…

psychiatryemergency medicinecommunicationdelaydiazepam
VICcommunity2026-03-18

Finding into death of NJC

17y · Male·drowning

NJC, aged 17, drowned in Lake Nagambie while subject to a Care by Secretary Order. He was in stable kinship care with his sister and receiving appropriate support from Child Protection and Anglicare. At a family wedding …

forensic medicineaddiction medicinealcohol
VIChome2015-10-28

Finding into death of Hannah Rachel Charles

17y · Female·Combined drug toxicity (heroin, codeine, methadone, benzodiazepines)

Hannah Charles, a 17-year-old with substance abuse issues, died from combined drug toxicity (heroin, codeine, methadone, benzodiazepines) at a private residence where she had been staying with two opioid replacement ther…

addiction medicineforensic medicinediagnosticsystemheroin
VIChome2020-06-12

Finding into death of Daniel Isaac Semple

39y · Male·Multiple drug toxicity (methadone, diazepam, oxazepam, carbamazepine, levetirace…

A 39-year-old man with epilepsy and opioid dependence died from multiple drug toxicity involving methadone, benzodiazepines (diazepam, oxazepam), antiepileptics (carbamazepine, levetiracetam), and mirtazapine. He was pre…

general practiceaddiction medicinediagnosticmedicationmethadone
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 …

general practiceaddiction medicinemedicationcommunicationalprazolam
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

…ce of comprehensive follow-up after acute psychiatric presentations; risk assessment in the context of polysubstance use, alcohol, and prescription medications; and the need for integrated care coordination between ment…

psychiatryemergency medicinecommunicationsystemmethamphetamine
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

JC was a 30-year-old with a long history of benzodiazepine dependence and previous psychiatric episodes triggered by withdrawal. He presented to Calvary Mater Hospital after a deliberate overdose of 48 Etizolam tablets w…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
VIChome2014-10-06

Finding into death of Peter Andrew McNay

50y · Male·hanging

50-year-old male with long-standing substance abuse history (alcohol, marijuana, heroin until 2009) and complex mental health issues including depression, anxiety, personality traits, and multiple prior suicide attempts.…

psychiatryaddiction medicinealcohol
QLD2011-10-20

Hornby, Grace Ann; Hornby, Jessica Lee; Mansell, Denise Ann; Thomson, Anthony Paul

Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…

… highlights gaps in medical-police communication regarding driver fitness and over-medication risks in polysubstance-using patients with psychiatric conditions.

general practicepsychiatrysystemcommunicationdextroamphetamine
QLDhome2022-01-18

Lewis, Daniel Patrick

36y · Male·Gunshot wounds to the chest and abdomen

…rs for violent behaviour, and the challenge of managing acute crises in patients with brain injury and polysubstance use.

psychiatryemergency medicinecommunicationsystemalcohol
VICaged care2026-01-19

Finding into death of Kevin Thomas Maloney

39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…

Kevin Thomas Maloney, a 39-year-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) while residing in a supported resident…

psychiatryaddiction medicinecommunicationsystemheroin
ACThospital2023-03-08

Inquest into the death of Brontë Haskins

23y · Female·Hypoxic-ischaemic brain damage due to self-inflicted hanging with intention of t…

Brontë Haskins, aged 23, died by suicide via hanging on 18 February 2020, three days after her release from custody on bail. The inquest identified multiple systemic failures in supervision, assessment, and coordination …

psychiatryemergency medicinesystemdelayheroin
TAS2023-07-05

Coroner's Finding: Crump, Damian Michael

36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…

Damian Crump, aged 36, was an intensive care paramedic with Ambulance Tasmania who died by suicide on 23 December 2016 by deliberately consuming fatal quantities of morphine, lignocaine, amiodarone and midazolam stolen f…

paramedicinepsychiatrysystemdelaymorphine
VIChospital2024-05-24

Finding into death of Jacob William Kennedy

36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…

Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatien…

psychiatryaddiction medicinemedicationproceduralmethadone
NSW2023-07-21

Inquest into the death of Reuben Button

34y · Male·ischaemic heart disease secondary to coronary atherosclerosis as an antecedent c…

Reuben Button, a 34-year-old Aboriginal man, died in custody from ischaemic heart disease secondary to coronary atherosclerosis. During his 5-year imprisonment, his weight increased from 86kg to 162kg despite attempts at…

psychiatrygeneral practicediagnosticsystembuvidal
NSWcommunity2023-08-08

Inquest into the death of Simon Miles

42y · Male·heroin and methylamphetamine toxicity

Simon Miles, a 42-year-old First Nations man with severe heroin and methylamphetamine dependence, died from accidental drug overdose while on Stage 2.5 of the Compulsory Drug Treatment Program (CDTP). Despite progressing…

addiction medicinepsychiatrysystemcommunicationheroin

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