29y · Male·acute bronchopneumonia complicated by multi-drug toxicity
Nicholas Ang, aged 29, with schizoaffective disorder, died from acute bronchopneumonia complicated by multi-drug toxicity while in a psychiatric unit. Admitted 12 August 2005, he was on clozapine, valproic acid, and clon…
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…
26y · Male·Mixed drug toxicity (MDMA, ketamine, methylphenidate, and novel psychoactive sub…
Mr P, a 26-year-old man, died from mixed drug toxicity involving MDMA, ketamine, methylphenidate, and novel psychoactive substances (synthetic cathinones: ethylone, eutylone, N-ethylpentylone, N-ethylhexedrone). He consu…
Unknown·MDMA toxicity (3,4-methylenedioxymethylamphetamine toxicity) in each case
…. The Coroner made extensive recommendations including: trialling medically supervised drug checking/pill testing services; removing police drug detection dogs from festivals; limiting strip searches; improving onsite m…
17y · Male·Multi-organ failure with terminal fungal sepsis (Aspergillus) on a background of…
Ben Witham, a 17-year-old with acute lymphoblastic leukaemia, died from multi-organ failure with terminal fungal sepsis. The critical issue identified was a substantial delay in investigating acute severe abdominal pain …
28y · Female·3,4-methylenedioxy-N-methylamphetamine (MDMA) and ketamine toxicity
Trang Thi Thu Le, 28, died on her birthday from MDMA and ketamine toxicity after attending an electronic dance music event at John Cain Arena. She collapsed after consuming drugs purchased from an unknown source within t…
32y · Male·Mixed drug toxicity (25C-NBOMe, 4-fluoroamphetamine, doxylamine)
A 32-year-old man died from mixed drug toxicity after consuming tablets he believed were MDMA, which actually contained 25C-NBOMe and 4-fluoroamphetamine—novel psychoactive substances (NPS) of unknown potency obtained fr…
38y · Male·Mixed drug toxicity including metonitazene
A 38-year-old man with a long history of substance use, depression, anxiety and ADHD died from mixed drug toxicity involving metonitazene. He believed he was injecting heroin but had unknowingly obtained metonitazene (a …
39y · Male·Strychnine toxicity
Randall Coleman, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite p…
22y · Male·Hypoxic/ischaemic encephalopathy secondary to restraint in the context of combin…
A 22-year-old male died from hypoxic-ischaemic encephalopathy following restraint during acute intoxication with novel psychoactive substances (NPS). He unknowingly ingested 25C-NBOMe and 4-fluoroamphetamine (sold as MDM…
30y · Male·Mixed drug toxicity (4-Fluoroamphetamine, 25C-NBOMe, dimethylamphetamine, methyl…
Jason, aged 30, died from mixed drug toxicity after ingesting what he believed to be MDMA but which actually contained 25C-NBOMe and 4-fluoroamphetamine, combined with GHB. He experienced seizures and collapsed; CPR was …
25y · Male·Combined flualprazolam and alcohol toxicity
A 25-year-old man died from combined flualprazolam and alcohol toxicity after ingesting illicit drugs. He consumed alcohol heavily with housemates on 8 May 2021, then took a counterfeit 'Xanax' tablet containing flualpra…
17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)
A 17-year-old male died from mixed drug toxicity involving 25C-NBOMe and 4-fluoroamphetamine after consuming a substance he believed was MDMA or psilocybin, obtained from unregulated drug markets. He experienced severe s…
16y · Male·cardiac arrhythmia or hypoxia in the setting of hydrocarbon inhalation
Bradley Hope, 16, died from cardiac arrhythmia or hypoxia following inhalation of hydrocarbon propellants from an aerosol deodorant purchased at a supermarket self-checkout. After engaging in volatile substance use with …
27y · Male·Mixed drug (methylamphetamine and clozapine) toxicity
KT, a 27-year-old with treatment-resistant schizophrenia, died in custody from mixed drug toxicity (clozapine and methylamphetamine). He was prescribed appropriate clozapine treatment with adequate monitoring. Key failur…
22y · Male·Mixed Diflunisal and Buproprion (Zyban) toxicity
A 22-year-old man presented to Royal Adelaide Hospital's Emergency Department after taking approximately 110 Zyban (bupropion) tablets as a suicide attempt. Unknown to treating staff, he had also ingested a potentially l…
40y · Male·Mixed drug toxicity
Shae Paszkiewicz, a 40-year-old man with a long history of drug dependence and incarceration, died from mixed drug toxicity five days after being found unconscious following opioid injection. He had been released from pr…
25y · Male·hanging (self-inflicted)
…ne. He was discharged on 18 December 2002 with residual psychotic symptoms while denying mental illness. Toxicology showed sub-therapeutic drug levels, suggesting non-compliance. The coroner identified failures in weight…
44y · Male·Unascertained
Mark Skidmore, a 44-year-old man, died in Port Phillip Prison on 14 February 2017. Post-mortem examination revealed multiple prescribed drugs (methadone, mirtazapine, pregabalin) and unprescribed drugs (clonazepam, trama…
31y · Male·positional asphyxia due to synthetic cannabis use and obesity
Christopher Mark Malyschko, a 31-year-old male imprisoned for life, died in a Northern Territory prison cell from positional asphyxia caused by synthetic cannabis (Kronic) use combined with obesity. Clinical and systemic…
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