SPB - Non-inquest findings
36y · Male·hanging
A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxicated. Despite polic…
52 results for “polysubstance dependence”
36y · Male·hanging
A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxicated. Despite polic…
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…
26y · Male·Neck compression from hanging
…ectional centre cell on 26 October 2011. He had a history of mixed personality disorder, anxiety, opiate dependence and previous suicide attempt (age 13), but was not assessed as 'at risk' at the time of death. Clinical …
35y · Male·Hypoxic brain injury complicating cardiac arrest in the setting of combined hero…
Yara Sturak Mignon, a 35-year-old with a 10-year heroin addiction, was found unconscious in a restaurant bathroom on Victoria Street Richmond in November 2018. He had combined heroin, alcohol, and doxylamine (antihistami…
35y · Male·serotonin syndrome
Nicholas Moorby, a 35-year-old male, was found deceased at home in Lynbrook, Victoria on 11 April 2013, having last been seen alive on 9 April 2013. The coroner determined he died from serotonin syndrome. Moorby was pres…
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…
47y · Female·ligature compression of the neck (hanging)
A 47-year-old woman remanded in custody at Melaleuca Women's Prison died by ligature compression of the neck (hanging) on 13 August 2020. Ms Davis had significant history of substance use, mental health issues, and prior…
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…
26y · Male·ligature compression of the neck (hanging)
Callum Mitchell, aged 26, died by ligature compression of the neck (hanging) in his cell at Hakea Prison on 21 April 2019. He had a longstanding history of self-harm, severe personality disorders (borderline and antisoci…
25y · Female·Chest injuries due to fall from height
…inical deterioration postpartum. AW spent 462 days in an unsuitable acute ward, developed severe alcohol dependence unchecked by behavioural management, and died on the day of a Mental Health Review Tribunal hearing. Key…
25y · Male·Multiple organ failure due to acute paracetamol poisoning
Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November 2015 with vomiting …
Unknown·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. …
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