Coronial

84 results for possible alcohol use disorder

VIChome2019-06-12

Finding into death of MKT

38y · Male·Toxicity to heroin

…purity variations. Despite brief post-release engagement (accommodation support, GP referrals to drug and alcohol services, pain management), the deceased declined formal addiction treatment and appears to have rapidly …

emergency medicinegeneral practicesystemcommunicationheroin
TAShome2020-11-02

Coroner's Finding: Besgrove, Trevor Scott

46y · Male·cause of death cannot be determined

… mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, was found deceased in his Bicheno home after an estimated two-month absence. His body was in advanced deco…

psychiatrypsychologysystemprescribed medications
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

…. Critical clinical lessons include: early identification of escalating mental health crises with substance use; importance of comprehensive follow-up after acute psychiatric presentations; risk assessment in the contex…

psychiatryemergency medicinecommunicationsystemmethamphetamine
VIChome2025-09-11

Finding into death of ZSQ

26y · Female·Multiple stab wounds

ZSQ, a 26-year-old woman, was fatally stabbed by her intimate partner MJD in April 2020 after a relationship marked by escalating family violence. Critical clinical and systemic lessons include: (1) Recognition of intima…

emergency medicinepsychiatrycommunicationsystemcocaine
VIChospital2013-12-09

Finding into death of JM

17y · Female·Combined Drug Toxicity (heroin, alprazolam and diazepam)

A 17-year-old female with complex mental health and substance use disorders died from combined drug toxicity (heroin, alprazolam, and diazepam) following release from youth …

psychiatryaddiction medicinecommunicationsystemheroin
SAhome2019-10-29

Coroner's Finding: LATTUCA Christophe Thomas Bruno

34y · Male·neck compression due to hanging

…ices staff. In the 24 hours before death, he argued with his girlfriend about infidelity and had consumed alcohol, methylamphetamine, and cannabis in breach of bail conditions. Medical care providers had offered mental …

general practicepsychiatryalcohol
NT2019-05-07

Inquest into the death of Sean Daniel Collins

32y · Male·self-inflicted hanging

…ections. Systemic failures included poor communication between health and correctional services regarding alcohol and drug programs, inadequate supervision protocols, and lack of appropriate safeguards for isolated fore…

general practicepsychiatrydiagnosticcommunicationsertraline
NSW2022-07-06

Inquest into the death of Kevin BUGMY

57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…

…le in custody at Cessnock Correctional Centre. The coroner found the care received for his chronic inhalant use disorder was grossly inadequate. Clinical lessons include: (1) abnormal ECG results require timely speciali…

cardiologygeneral practicediagnosticcommunicationacetone
WAcommunity2021-03-25

Inquest into the Suspected Death of Jason Marcus LAWSON

32y · Male·unascertained; most likely exposure after walking in bushland

…s Lawson, a 32-year-old man with a complex psychiatric history including depression, anxiety, polysubstance use, and previous suicide attempts, disappeared on 11 December 2003, one week after discharge from an acute psy…

psychiatrypsychologycommunicationdelaycitalopram
VIChospital2022-05-17

Finding into death of Mr J

36y · Male·Multiple Sharp Force Injuries to Chest and Neck

…ld with a history of first-episode psychosis (2012) and relapse (2014) both associated with methamphetamine use, ceased antipsychotic medication in September 2019 with GP support after achieving 3 years stability. In ea…

general practicepsychiatrycommunicationdiagnosticpaliperidone
NT2015-08-14

Inquest into the death of Perry Langdon

59y · Male·idiopathic dilated cardiomyopathy (probably alcohol related)

A 59-year-old Aboriginal man died of idiopathic dilated cardiomyopathy in a Darwin police watch house following arrest for the minor offence of drinking in a designated public place. He had severe, documented …

emergency medicinecardiologysystemcommunication
NSWcommunity2024-08-13

Inquest into the death of Brett Walker

37y · Male·multiple gunshot wounds

…addiction and mental health issues including paranoid ideation, particularly during crystal methamphetamine use. Community Corrections did not meet pre-release service standards, including failure to conduct required fo…

psychiatryaddiction medicinesystemcommunicationcrystal methamphetamine
VICcommunity2017-02-20

Finding into death of Finding Peter Graham Chaucer

48y · Male·Injuries sustained when struck by a train

A 48-year-old man with mental health issues including depression and possible bipolar disorder died by suicide following train strike. He had a complex presentation with diagnostic un…

psychiatryemergency medicinecommunicationsystemlithium
VIChome2025-10-09

Finding into death of Narelle Catherine Simmons

42y · Female·Haemothorax and pneumonia in the setting of acute and chronic chest injuries and…

…othorax and pneumonia secondary to rib fractures, with contributing factors of hepatic cirrhosis, chronic alcoholism, and multiple drugs (methadone, methylamphetamine, diazepam, sertraline). She was assaulted by her int…

forensic medicinegeneral practicediagnosticcommunicationmethadone
NSWcommunity2021-10-22

Inquest into the death of Terence Gray

54y · Male·Multiple injuries from collision with motor vehicle

Terence Gray, a 54-year-old man with chronic alcohol abuse and depression, was removed from a train at Grafton by a Passenger Services Supervisor (Mr Beadman)…

psychiatryemergency medicinecommunicationsystemalcohol
WAhome2013

Inquest into the Death of Roll, Robert

75y · Male·Unascertainable due to advanced decomposition; likely lung cancer

…009 against planned palliative care arrangements. Although Silver Chain Hospice arranged home visits, he refused assistance after becoming paranoid, possibly from alcohol effects or early dementia. Silver Chain notified…

palliative caregeriatric medicinecommunicationsystem
SAhospital2013-04-24

Coroner's Finding: HOLLONDS Andrew David

37y · Male·compression of the neck consistent with hanging

Andrew David Hollonds, a 37-year-old man with personality disorder, substance misuse, and recent psychosis, presented to hospital after a suicide attempt (temazepam overdos…

psychiatryemergency medicinesystemcommunicationtemazepam
ACThospital2026-05-12

Inquest into the death of Mr Deleman

69y · Male·peritonitis due to perforated bowel

…ty in people with severe mental illness combined with physical comorbidities, malnutrition, and substance abuse.

emergency medicinegastroenterologypaliperidone
WAprison2017-02-28

Inquest into the Death of Jayden Stafford BENNELL

20y · Male·ligature compression of the neck (hanging)

Jayden Stafford Bennell, a 20-year-old Aboriginal man and sentenced prisoner at Casuarina Prison, died by ligature compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric h…

psychiatrycorrectional healthcommunicationsystemquetiapine
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…e coordination errors. She had been admitted to Mount Barker Hospital for anxiety, depression, substance misuse concerns, and self-harm behaviours. After one week, a psychiatrist recommended admission to a specialist me…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine

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