Coronial

106 results for alcohol misuse

VIC2014-09-11

Finding into death of Lloyd Felman

58y · Male·Amitriptyline toxicity

Lloyd Felman, a 58-year-old man with chronic pain, depression, and alcohol use, died from amitriptyline toxicity in July 2008. In the three weeks prior, he presented to hospital th…

psychiatryemergency medicineamitriptyline
VIChome2025-01-09

Finding into death of C M

25y · Female·Neck compression secondary to hanging

CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family violence. Sh…

emergency medicinepsychiatrydiagnosticsystemalprazolam
NThospital2016-09-02

Inquest into the death of Christopher Murrungun

53y · Male·Left intra cerebral and left subdural haemorrhage

…l and inappropriate, though did not contribute to his death. The case highlights systemic failures in the Alcohol Mandatory Treatment Act implementation—Murrungun had 60 protective custody episodes but was only assessed…

emergency medicineneurologysystemcommunicationalcohol
WAcommunity

Inquest into the Death of Gary John LYDDIETH

54y · Male·Unknown - death established on balance of probabilities but manner and cause und…

A 54-year-old man with major depressive disorder, chronic suicidality, and alcohol abuse was discharged from psychiatric hospital on 23 April 2014 while remaining at "very high chronic sui…

psychiatrygeneral medicinesystemcommunication
WAhome2013-09-05

Inquest into the Death of Doherty, Craig James

39y · Male·propofol toxicity

Craig Doherty, a 39-year-old clinical theatre nurse at Royal Perth Hospital, died from propofol toxicity in June 2010. He had unrestricted access to propofol as an anaesthetic agent and misappropriated it for recreationa…

anaesthesiapharmacysystemdelaypropofol
VIChome2016-01-18

Finding into death of Dean Wayne Wright

30y · Male·Mixed drug toxicity (codeine, tramadol, oxazepam, diazepam)

Dean Wright, a 30-year-old man with bipolar disorder, schizophrenia, anxiety and opioid dependence, died from mixed drug toxicity involving codeine, tramadol, oxazepam and diazepam. He systematically obtained prescriptio…

general practicepsychiatrysystemcommunicationcodeine
VIChome2024-02-12

Finding into death of Zoha Khan

20y · Female·Mixed drug toxicity including tramadol and flualprazolam

Zoha Khan, a 20-year-old university student, died from mixed drug toxicity involving tramadol and flualprazolam (a novel psychoactive substance benzodiazepine). She obtained tramadol from a friend and consumed what she b…

toxicologyemergency medicinetramadol
VICcommunity2011-05-16

Finding into death of Aaron

14y · Male·injuries sustained in fall from height

…s, he had 14 child protection notifications for exposure to domestic violence, neglect, parental substance misuse, poor school attendance, and homelessness. The coroner found that DHS failed to conduct proper mental heal…

paediatricspsychiatrydiagnosticsystem
VIC2021-09-22

Finding into death of Ruth Ridley

58y · Female·homicide of unknown causes

Ruth Ridley, aged 58, disappeared on 26-27 October 2019 during a camping trip with her husband Gary at Neil's Reserve, Walwa, Victoria. Her body was never located. The coroner found on the balance of probabilities that M…

TAShome2022-05-19

Coroner's Finding: Dillon, Kelly John

58y · Male·pulmonary thromboemboli complicating deep venous thrombosis

Kelly John Dillon, a 58-year-old disability support worker, died of pulmonary thromboembolism complicating deep venous thrombosis. Three days before death, he sustained a leg injury at work (chair thrown at his lower leg…

general practiceemergency medicine
VIChome2008-06-04

Finding into death of Kath Bergamin

37y · Female·unlawful killing

…e was rebuilding her life—working, studying, and developing independence despite rheumatoid arthritis and alcohol misuse. The coroner found that Kath was unlawfully killed and her remains secretly disposed of, though th…

psychiatrygeneral practicesystemcommunicationcitalopram
QLDhospital2016-11-23

SPB - Non-inquest findings

36y · Male·hanging

…ry admission, he was discharged after brief assessment by junior staff who attributed his presentation to alcohol intoxication rather than acute psychosis. He died by suicide hours later. Key clinical lessons: collatera…

psychiatryemergency medicinediagnosticcommunicationdiazepam
QLD2018-06-28

Hamilton, Blair Andrew

54y · Male·Extensive burns due to detonation of LPG gas cylinder

…th chronic severe depression, grief from his wife's sudden death, severe debilitating skin condition, and alcohol dependence called emergency services on 12 December 2015, warning them not to approach his unit as it was…

psychiatrygeneral practiceproceduralcommunicationvenlafaxine
NSWhome2015-10-23

Inquest into the death of Christine Drinnan

45y · Female·Multi-drug toxicity

…i-drug toxicity involving lethal morphine levels combined with pethidine, quetiapine, benzodiazepines and alcohol. Over 12 years, her GP Dr H. prescribed dangerous quantities of addictive opioids, benzodiazepines and ot…

general practicepsychiatrydiagnosticmedicationmorphine
QLDcommunity2023-04-05

Grimes, William George

31y · Male·Burns

…r-old George Grimes with longstanding schizophrenia was found threatening self-immolation after consuming alcohol and missing antipsychotic medication. Despite police de-escalation attempts, he doused himself with petro…

psychiatryemergency medicinediagnosticcommunicationquetiapine
TAShome2015-10-08

Coroner's Finding: Mundy, Kaylene Louise

40y · Female·acute right-sided congestive heart failure (cor pulmonale) resulting from intrav…

Kaylene Mundy, aged 40, died from acute right-sided congestive heart failure (cor pulmonale) caused by intravenous injection of crushed alprazolam tablets. She had a long history of opioid and polysubstance abuse, with r…

addiction medicineemergency medicinealprazolam
TAShome2026-01-07

Coroner's Finding: de-identified UN

43y · Male·hypoxic brain injury caused by cardiac arrest due to unintentional drug poisonin…

A 43-year-old man with long-standing opioid use disorder and polysubstance dependence died from hypoxic brain injury following cardiac arrest caused by drug poisoning. He had been prescribed large quantities of pregabali…

general practiceemergency medicinemedicationdiagnosticmethadone
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…are 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 m…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
VIChome2020-11-16

Finding into death of Hilton Davis

50y · Male·mixed drug (oxycodone and methadone) and ethanol toxicity

A 50-year-old Torres Strait Islander man died from mixed drug (oxycodone and methadone) and ethanol toxicity in the context of family violence and suicidality. He had a 7-year history of suicide attempts and mental healt…

general practiceforensic medicinecommunicationsystemoxycodone
WAmental health- 11 April 2014

Inquest into the Death of Aaron Luke PRISGROVE

32y · Male·ligature compression of the neck (hanging)

Aaron Luke Prisgrove, a 32-year-old man with depression, alcohol abuse, and acromegaly, died by hanging on 12 July 2011, shortly after involuntary admission to Graylands …

psychiatryemergency medicinecommunicationsystemparacetamol/codeine

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