Coronial

105 results for cannabis dependence

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 detention. Despite extensive involvement from d…

psychiatryaddiction medicinecommunicationsystemheroin
VICmental health2024-04-26

Finding into death of Allison Leah Randall

37y · Female·Hanging

Allison Randall, a 37-year-old woman with a history of anxiety, depression, and childhood trauma, was admitted to the Northern Hospital psychiatric unit on 15 May 2020 following acute concerns about her partner's behavio…

psychiatrysystemdiazepam
VIChome2022-01-31

Finding into death of Leeanne Matheson

52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)

A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabalin, valproic acid, and benzodiazepines…

addiction medicinegeneral practicemedicationcommunicationmethadone
VIChospital2014-01-29

Finding into death of Renee Andrea Treen

24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway

…must increase with risk changes; leave conditions must be clearly documented and monitored; and nicotine dependence requires active management in psychiatric units.

psychiatrydiagnosticsystemrisperidone
TAScommunity2024-01-22

Coroner's Finding: de-identified TX

30y · Male·Drowning due to jumping from the Batman Bridge

…ssions included: failure to access DORA (prescription monitoring system) despite alerts about his opioid dependence history; lack of collateral information gathering; absence of documented mental health monitoring despit…

general practicepsychiatrydiagnosticsystemclonazepam
WAhospital2025-05-08

Inquest into the Death of Tony RUICH

55y · Male·decompensated liver failure in a man with metastatic hepatocellular carcinoma, w…

…ative care. He had pre-existing cirrhosis diagnosed in 2012, likely from hepatitis C and chronic alcohol dependence. In October 2023, abdominal pain investigations revealed advanced hepatocellular carcinoma with portal v…

hepatologypalliative careheroin
ACT2025-04-30

Inquest into the death of Nathan Booth

40y · Male·hypothermia

Nathan Booth, a 40-year-old Aboriginal man with opioid addiction, was reported missing on 2 September 2019 after last being seen on 27 June 2019 when he obtained his methadone dose at Canberra Hospital. His body was foun…

forensic medicinetoxicologycommunicationdelaymethadone
VIChome2025-03-18

Finding into death of R T

66y · Male·Complications of excess alcohol intake in a man with heart disease

A 66-year-old man died from complications of excess alcohol intake in the setting of underlying heart disease. He had a 40+ year history of heavy daily alcohol consumption (12+ cans of beer plus whiskey daily), chronic p…

general practiceemergency medicinealcohol
VIChome2024-08-28

Finding into death of Laurence John Cox

Sodium nitrite toxicity

A 63-year-old man with a history of depression, anxiety, and chronic medical conditions including emphysema and blindness, and his 32-year-old daughter with depression, anorexia, and substance abuse, died from sodium nit…

psychiatrypsychologysodium nitrite
VIChome2024-08-28

Finding into death of Ryley Ann Cox

Unknown·Sodium nitrite toxicity

Two deaths from sodium nitrite toxicity: Laurence Cox (63) and his daughter Ryley Cox (32). Laurence had a history of depression, anxiety, chronic pain, and medical conditions including emphysema and legal blindness, and…

psychiatrypsychologysodium nitrite
VIChome2023-07-27

Finding into death of Mr A

31y · Male·Hanging

Mr A, a 31-year-old man with a history of family violence, substance misuse, and mental health issues, died by hanging in April 2018. Key clinical lessons include: (1) the importance of regular, systematic mental health …

psychiatrygeneral practicesystemcommunicationmethamphetamine
VIChome2013-10-01

Finding into death of Dion Heather

38y · Male·Aspiration of Gastric Content and Combined Drug Toxicity (Methadone, Benzodiazep…

A 38-year-old man died from aspiration of gastric content secondary to combined drug toxicity involving methadone, benzodiazepines, olanzapine and alprazolam. He had confused the day of the week and self-administered two…

addiction medicinegeneral practicesystemdelaymethadone
VIChome2015-10-28

Finding into death of Hannah Rachel Charles

17y · Female·Combined drug toxicity (heroin, codeine, methadone, benzodiazepines)

Hannah Charles, a 17-year-old with substance abuse issues, died from combined drug toxicity (heroin, codeine, methadone, benzodiazepines) at a private residence where she had been staying with two opioid replacement ther…

addiction medicineforensic medicinediagnosticsystemheroin
SAhome2016-01-28

Coroner's Finding: NAPIER Ebony Simone

0y · Female·Blunt head trauma from multiple deliberate blows inflicted by father

…as compromised by inadequate radiological consultation and failure to challenge the parental explanation. Cannabis consumption affecting Napier-Tucker's behaviour, domestic violence in September 2011, and the family's di…

paediatricsradiologydiagnosticcommunicationcannabis
VICcommunity2025-05-09

Finding into death of PLM

40y · Female·Stab wounds to the chest and abdomen

A 40-year-old woman was fatally stabbed by her former intimate partner who had an extensive history of family violence offending and multiple breaching intervention orders. Despite multiple service contacts in the days b…

systemcommunicationalcohol
SA2019-12-20

Coroner's Finding: MORGAN Martina

60y · Female·neck compression by ligature strangulation

Martina Morgan, aged 60, died from ligature strangulation by her own leggings while in police custody at Sturt Police Station in March 2015. She was significantly intoxicated (BAC 0.23%) and taking benzodiazepines when a…

diagnosticcommunicationalcohol
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

Steven Claude Freeman, a 25-year-old Aboriginal man, died of aspiration pneumonia secondary to methadone toxicity on 27 May 2016, while incarcerated at the Alexander Maconochie Centre in the ACT. He was assessed as opioi…

addiction medicinegeneral practicediagnosticsystemmethadone
WAhome2004-06-04

Inquest into the Death of Paul John Long

37y · Male·Acute Aspiration Pneumonitis following on Quetiapine Ingestion

Paul John Long, a 37-year-old man with chronic schizoaffective disorder and alcohol dependence, died on 4 November 2002 from acute aspiration pneumonitis following quetiapine overdose. After presenti…

psychiatrygeneral practicecommunicationsystemquetiapine
NSW2024-08-22

Inquest into the death of Russell Zaska

33y · Male·hanging

Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by hanging in custody at the Metropolitan Remand and Receptio…

psychiatrycorrectional healthsystemdelayolanzapine
NSWhome2023-12-21

Inquest into the death of Timothy Ricketts

43y · Male·The combined effects of subacute myocardial injury and methadone toxicity

Timothy Ricketts, a 43-year-old man with complex psychiatric and substance use history, died from combined subacute myocardial injury and methadone toxicity. He had been admitted to hospital in November 2021 with elevate…

cardiologyaddiction medicinediagnosticdelaymethadone

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