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TAShome2024

Coroner's Finding: Heraghty, Susanna Elizabeth

68y · Female·mixed prescription drug toxicity (oxycodone, metoprolol, diazepam)

Ms Heraghty, a 68-year-old woman with multiple comorbidities including obesity (BMI 47.3), atrial fibrillation, COPD, and severe chronic pain, died from mixed prescription drug toxicity (oxycodone, metoprolol, diazepam) …

orthopaedic surgeryanaesthesiaoxycodone
TAShome2023-12-14

Coroner's Finding: Drummond, Samuel Patrick

44y · Male·acute alcohol intoxication

Samuel Patrick Burke Drummond, aged 44, died from acute alcohol intoxication with blood alcohol level of 0.572g/100ml (above the lethal threshold of 0.4g/100ml), combined with methylamphetamine use. He had a longstanding…

toxicologypathologyalcohol
TAShome2023-11-07

Coroner's Finding: Humphries, Leeanne Margaret

55y · Female·smoke inhalation from domestic fire caused by unextinguished cigarette

A 55-year-old woman with a prior stroke causing physical disability, intellectual disability, schizophrenia, epilepsy, diabetes and atrial fibrillation died from smoke inhalation in a domestic fire. She was a heavy smoke…

psychiatryneurologytapentadol
TAShome2023-10-01

Coroner's Finding: Czerniejewski, Roswitha

66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet

A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…

general practicerheumatologysystem
TAS2023-09-01

Coroner's Finding: Hunt, Paul George; Reynolds, Paul James; Darke, Simon Graham; Cooke, Robert Anthony

Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…

This coronial finding examined four police suicides in Tasmania between 2016-2020. Constable Hunt died by gunshot wound after being stood down from duty without welfare support; his personal phone was unlawfully seized, …

psychiatrypsychologysystemcommunicationpseudoephedrine
TAScommunity2023-07-31

Coroner's Finding: de-identified BK

18y · Male·blunt trauma and drowning

An 18-year-old male with emerging depression died by suicide from the Tasman Bridge. He had presented to his GP in May 2021 with depressive symptoms, received antidepressant medication, and showed improvement by Septembe…

general practicepsychiatryantidepressant medication
TAShome2023-07-24

Coroner's Finding: QD de-identified

45y · Female·combined drug (tapentadol, nortriptyline, venlafaxine, codeine, oxycodone, queti…

QD, a 45-year-old woman with significant comorbidities including obesity, obstructive sleep apnoea, COPD, depression, and substance abuse history, died from mixed drug and alcohol intoxication. Toxicology revealed toxic/…

general practicepsychiatrydelaysystemtapentadol
TAScommunity2023-07-24

Coroner's Finding: de-identified FR

27y · Female·carbon monoxide intoxication due to voluntary and intentional inhalation of exha…

A 27-year-old woman with a lengthy history of depression, anxiety, and previous suicide attempts died by carbon monoxide poisoning. She was referred to mental health crisis services on 4 July 2020 with documented suicida…

psychiatrygeneral practicecommunicationsystem
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
TAS2023-06-30

Coroner's Finding: Barron Rickie Underwood

61y · Male·hanging, the result of actions undertaken by the deceased alone, voluntarily and…

Rickie Underwood Barron, aged 61, died by hanging in Tasmania's Ron Barwick Minimum Security Prison on 10-11 January 2022. He had been incarcerated since 2019 for sexual offences and received appropriate medical care for…

psychiatrycorrectional healthsystemantidepressant medication
TAShome2023-05-25

Coroner's Finding: CE de-identified

69y · Male·amitriptyline and alcohol toxicity with ischaemic heart disease

A 69-year-old man with longstanding anxiety, depression, heavy alcohol use, and multiple prior intentional overdoses of amitriptyline died from combined amitriptyline and alcohol toxicity with underlying ischaemic heart …

psychiatrygeneral practicesystemcommunicationamitriptyline
TAS2023-05-22

Coroner's Finding: Hyde-Wyatt, Michael Phillip

61y · Male·Pulmonary aspiration of gastric contents (post seizure) due to chronic communica…

Michael Phillip Hyde-Wyatt, aged 61, died from pulmonary aspiration of gastric contents following a seizure. He had chronic communicating hydrocephalus and encephalomalacia. At 1:30am, support worker Julie Magrath observ…

general practiceneurologycommunicationdelay
TAScommunity2023-05-19

Coroner's Finding: Kirkwood, Jordan Thomas

19y · Male·hypoxic brain injury following asphyxia due to hanging

Jordan Kirkwood, a 19-year-old male, died by hanging on 30 April 2019 after being admitted to a newly established community-based mental health program (MHHITH) on 3 April 2019. He presented with depression, cannabis wit…

psychiatryemergency medicinediagnosticcommunicationfluoxetine
TAShome2023-05-10

Coroner's Finding: PQ de-identified

51y · Male·self-inflicted chest injuries due to gunshot wound to chest

A 51-year-old man with a 37-year history of depression and alcoholism died by self-inflicted gunshot wound. He had ceased anti-depressant medication (desvenlafaxine) in September 2019 without documented clinical reason, …

general practicepsychiatrycommunicationsystemdesvenlafaxine
TAScommunity2023-05-08

Coroner's Finding: Johns, Ross Alexander

36y · Male·hanging, with contributing factors of alcohol dependence and depression

Ross Johns, aged 36, died by hanging on 14-15 June 2021 after a long history of bipolar disorder, major depression, and alcohol dependence. He was discharged from Northside Mental Health Unit on 9 June 2021 following adm…

psychiatryemergency medicineprescription medications at therapeutic levels
TAShome2023-05-01

Coroner's Finding: Koeter, Jacqueline Francis

59y · Female·Global hypoxic brain injury due to mixed drug toxicity, specifically alprazolam …

A 59-year-old woman with a 30-year history of alprazolam dependence for anxiety disorder died from global hypoxic brain injury following cardiac arrest caused by mixed drug toxicity, with alprazolam levels in the fatal r…

general practicepsychiatryalprazolam
TAShome2023-04-20

Coroner's Finding: Young, Luke Trevor

42y · Male·mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapin…

Luke Trevor Young, 42, died from mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapine) in a suicide by overdose. He had severe, longstanding bipolar II disorder with chronic suicidality, comp…

psychiatrygeneral practicesystemdelaysertraline
TAShospital2023-04-13

Coroner's Finding: Leader, Andrew

60y · Male·sepsis/leg cellulitis with peripheral oedema and congestive cardiac failure in t…

Andrew Leader, a 60-year-old man with treatment-resistant schizophrenia, emphysema, COPD, chronic hyponatraemia, and heart failure, died of sepsis from leg cellulitis with peripheral oedema and congestive cardiac failure…

general medicinepsychiatry
TAShome2023-04-03

Coroner's Finding: De-identified HJ

71y · Female·starvation

A 71-year-old woman with chronic mental illness died of starvation in her home in Tasmania. Police attended on 9 December 2021 for a welfare check and found her severely malnourished, mentally unwell, and unable to care …

psychiatrygeneral practicecommunicationsystem
TASmental health2023-03-07

Coroner's Finding: Culic, Jana

35y · Female·neck and chest injuries and drowning due to intentional fall/jump from Tasman Br…

Jana Culic, aged 35, died by suicide jumping from the Tasman Bridge on 4 June 2020 while subject to a Mental Health Act treatment order for schizophrenia, borderline personality disorder, and bipolar disorder. She had a …

psychiatryemergency medicinemethamphetamine

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