Coronial

158 results for chronic pain disorder

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, pregabali…

addiction medicinegeneral practicemedicationcommunicationmethadone
VIChospital2021-11-17

Finding into death of H J

76y · Female·Undetermined (natural causes)

HJ, a 76-year-old woman with chronic psychotic disorder and paranoid delusions, presented with abdominal pain, vomiting, and small bowel obstr…

general surgerypsychiatryaugmentin df
QLD2011-10-20

Hornby, Grace Ann; Hornby, Jessica Lee; Mansell, Denise Ann; Thomson, Anthony Paul

Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…

… treating doctors' management of his complex medical conditions (brain injury, ADHD, anxiety, depression, chronic pain) or their assessments of his fitness to drive. The case highlights gaps in medical-police communicat…

general practicepsychiatrysystemcommunicationdextroamphetamine
SA2011-11-24

Coroner's Finding: BEGG Peter Albert

62y · Male·Ischaemic heart disease due to coronary atherosclerosis

…city. He collapsed while pushing a food trolley and did not respond to resuscitation. He had reported chest pain and shortness of breath two months prior, for which the prison doctor prescribed nitrolingual spray. An exp…

forensic medicinecardiologydiagnosticdosulepin
TAShome2020-08-13

Coroner's Finding: Wellington, Timothy John

44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…

Timothy Wellington, a 44-year-old man with longstanding opioid and polysubstance use disorder, died from acute pulmonary hypertension caused by intravenous injection of foreign debris (crushed tablet…

general practiceaddiction medicinemedicationsystemmethadone
QLDhospital2018-07-30

Matthew Douglas McLachlan - Non-inquest findings

28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…

Matthew McLachlan, a 28-year-old paraplegic with chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infectio…

infectious diseasesemergency medicinecommunicationsystemfentanyl
TAShome2021-12-21

Coroner's Finding: O'Donnell, Margaret Joy

51y · Female·Cannot be determined; likely mixed drug (including alcohol) toxicity or undeterm…

…g of patients prescribed multiple sedating substances, particularly Schedule 8 narcotics; (2) importance of pain specialists reviewing complex polypharmacy regimens; (3) accessing real-time prescription monitoring system…

general practicepsychiatrymedicationsystemoxycodone
VIC2010-05-28

Finding into death of Katherine Fiona Walton

47y · Female·insulin overdose

…from insulin overdose in April 2007. She had a complex medical history including hepatitis C, depression, chronic back pain, epilepsy, and substance use issues. After an argument at home on 23 April, she was assessed at…

emergency medicinepsychiatrycommunicationsysteminsulin
VIChome2026-02-17

Finding into death of Laurence Mark O'brien

22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…

…cluding prescribed opioids, benzodiazepines, and unprescribed ketamine. He had a documented substance use disorder and engaged in prescription shopping. Three general practitioners failed to check SafeScript (Victoria's …

general practicepsychiatrymedicationsystemtapentadol
VIChome2025-08-13

Finding into death of Lillian Rose Thomas

21y · Female·Compression of the neck secondary to hanging

…oria. She had complex mental health conditions including CPTSD, anxiety, depression, OCD, and personality disorder traits, with a history of chronic suicidality, self-harm, and a prior suicide attempt. In the early morni…

psychiatrygeneral practicesystemdelayprazosin
VIChospital2020-04-16

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

Jessica Higgins, a 33-year-old woman with chronic pain on high-dose opioids, underwent ketamine infusion with planned opioid rotation to methadone in May 2…

pain medicineemergency medicinecommunicationdiagnosticmethadone
ACThome2019-09-20

Inquest into death of Kurt Mellick Andriske

52y · Male·septicaemia caused by Streptococcus Milleri group pneumonia

…cus Milleri pneumonia, with drug toxicity as a contributing factor. He was a complex patient with bipolar disorder, chronic pain, hepatitis B and C, and a history of substance use managed by a single GP. Dr W. co-prescri…

general practicepsychiatrydiazepam
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 r…

psychiatrygeneral medicinesystemcommunication
SAmental health2012-12-13

Coroner's Finding: Jenkinson Jacqueline Mary

46y · Female·mixed drug toxicity

46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roomma…

psychiatrypsychologycommunicationsystemclozapine
VIChome2024-10-09

Finding into death of D M

43y · Female·Combined drug toxicity (tapentadol, sertraline, gabapentin, periciazine, carbama…

A 43-year-old woman with complex psychiatric history including schizoaffective disorder, borderline personality disorder, and chronic suicidality died from combined drug toxicity involving eigh…

psychiatrygeneral practicecommunicationsystemtapentadol
VIChome2022-08-08

Finding into death of Kim Michelle Cooper

47y · Female·Mixed drug toxicity (pregabalin, oxycodone and mirtazapine)

…47-year-old woman died from mixed drug toxicity involving pregabalin, oxycodone, and mirtazapine. She had chronic pain, anxiety, and depression, and attended a medical clinic frequently. Over five days before her death,…

general practiceaddiction medicinemedicationsystempregabalin
VIC2026-04-22

Finding into death of Natasha Stojkoski

38y · Female·Multiple injuries sustained when struck by a train

…ted to HR despite being a multi-person bullying complaint. This mishandling, combined with ongoing physical pain and workplace distress, contributed to severe major depression. Despite attendance at emergency department …

psychiatryoccupational and environmental healthsystemcommunicationescitalopram
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose an…

general practicepain medicinesystemproceduraloxycodone
ACT2017-12-22

AN INQUEST INTO THE DEATH OFANDREW NOLAN CHRISTIE

37y · Male·asphyxia due to oxygen deprivation secondary to inhalation of helium

Andrew Nolan Christie, a 37-year-old former soldier with PTSD and back pain, died by suicide using helium inhalation on 16 August 2017. Key clinical lessons: (1) Military veterans wit…

QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

…s against police, but identified Peter's untreated mental health conditions (PTSD, borderline personality disorder, chronic suicidality), substance use, and easy access to a realistic gel blaster as contributing factors.…

emergency medicinetrauma surgerysystemmethamphetamine
13458

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.