Coronial

97 results for heroin abuse

SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

…ailure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital presentations with refusal of care. In the months before deat…

respiratory medicineintensive carepregabalin
VIChome2023

Finding into death of Mr ZJF

27y · Male·Dextromethorphan toxicity

Mr ZJF, a 27-year-old man with a longstanding history of schizophrenia, polysubstance use disorder, and depression, died from dextromethorphan toxicity. He was subject to a Community Treatment Order at the time of death …

psychiatrygeneral practicesystemdextromethorphan
VIChome2010-08-13

Finding into death of Mr X

53y · Male·multiple large incised defects to the head and single stab wound to the chest

…ental Health Services. Mr A had a complex history of mental illness (schizophreniform paranoia), substance abuse, and anti-social behaviour. In the weeks before the killing, Mr X and his wife reported escalating concern…

psychiatryaddiction medicinesystemcommunicationdiazepam
NSWcommunity2018-11-02

Inquest into the death of Marlon Shawn McDonald

42y · Male·Cause of death remains unknown

…, domestic violence, and involvement in criminal networks. Key clinical considerations relate to substance abuse disorders and their association with vulnerability to crime, though this case is not primarily a medical m…

methamphetamine
SAhospital2013-09-03

Coroner's Finding: MUMFORD Michael John

41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity

A 41-year-old man with depression, anxiety, and substance abuse history deliberately ingested 390 metformin tablets on 24 December 2009 in a suicide attempt. He presented…

intensive careemergency medicinemetformin
WAmental health- 11 April 2014

Inquest into the Death of Luke Isaac FORKIN

28y · Male·ligature compression of the neck (hanging)

Luke Isaac Forkin, a 28-year-old man with a long history of substance abuse and mental health issues, died by suicide while absent without leave from Graylands Hospital. He had been …

psychiatrysystemdelayamphetamine
VIChome2023-02-01

Finding into death of Michael Andrew Power

31y · Male·Stab wound to the neck

…and did not complete required family violence risk assessment forms. Inadequate police response, substance abuse by both parties, and systemic failures in supporting family violence victims contributed to the fatal outc…

systemcommunicationmethamphetamine
ACThospital2016-12-16

AN INQUEST INTO THE DEATH OF PAUL FENNESSY

21y · Male·combined effect of a cocktail of drugs causing central nervous system depression…

…He presented to the Emergency Department that afternoon after overdosing on methadone, benzodiazepines and heroin, was resuscitated with Narcan, and discharged the same evening. Critical failures included: no discharge s…

emergency medicinepsychiatrycommunicationsystemmethadone
ACT1999-08-05

In The Matter Of An Inquest Into The Death Of Ian Glen Bransby At Canberra On 14.2.98

31y · Male·extensive global cerebral hypoxia following prolonged asphyxia following attempt…

Ian Glen Bransby, a 31-year-old remandee with a history of substance abuse and depression, died from asphyxia following attempted hanging at Calvary Hospital on 14 February 1998. He…

psychiatrygeneral practicecommunicationsystemchlorpromazine
WAcommunity

Inquest into the Death of Dean Anthony POLLARD

41y · Male·unknown

…iolence. Clinical lessons include: psychiatric patients with dual diagnosis (mental illness plus substance abuse) require sustained engagement; single assessments showing stability may miss chronic risk; the biopsychoso…

psychiatryemergency medicinesystemcommunicationmethamphetamine
SAmental health2008-10-16

Coroner's Finding: SWEETLAND Charles James

28y · Male·hanging

A 28-year-old man with treatment-resistant paranoid schizophrenia and substance abuse died by hanging while detained under the Mental Health Act in a closed psychiatric ward. He had chronic au…

psychiatrysystemproceduralsodium valproate
VICmental health2025-12-11

Finding into death of Tania Louise De Jong

48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…

…lafaxine, amitriptyline, and zopiclone. Critical clinical lessons include: the need for rigorous substance abuse screening in mental health admissions, recognition that self-reported drug histories are often inaccurate,…

psychiatrygeneral practicesystemcommunicationmorphine
QLDhospital2007-09-03

Henderson, Robert Joseph

31y · Male·mixed drug toxicity

… to hospital on 9 July 2005 after his case manager appropriately identified escalating violence, substance abuse, and non-compliance with medication. However, he absconded from the psychiatric ward the next morning befo…

psychiatryemergency medicinediagnosticdelaymorphine
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
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

…12 months), and did not consistently use prescribed treatment. The parents, both struggling with substance abuse, were unable to implement required lifestyle changes. Community Services received multiple reports but fai…

respiratory medicineendocrinologycommunicationsystemmethadone
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

…e of potential evidence. The case highlights the catastrophic consequences of unmanaged parental substance abuse on child safety and the need for better systems to identify and intervene in prescription opioid misuse.

paediatricsgeneral practicemedicationdiagnosticmorphine
QLDhospital2014-06-17

Murray, Vaughan

14y · Male·Undetermined; high suspicion of non-accidental injury, most likely smothering, b…

Vaughan Murray, a 14-week-old infant, died at Ipswich General Hospital with an undetermined cause despite autopsy findings highly suggestive of non-accidental injury. He had five partially healed rib fractures (3-6 weeks…

forensic medicinepaediatricsmarijuana/cannabis
ACTcommunity2016-12-16

An Inquest Into The Death Of Paul Fennessy

21y · Male·combined effect of a cocktail of drugs taken by him, which caused central nervou…

…atory depression with positional asphyxia on 6 January 2010. He had a decade-long history of polysubstance abuse, doctor shopping across multiple general practices and pharmacies. On the day he died, he was brought to h…

general practiceemergency medicinemedicationproceduralmethadone
VIC2012-09-21

Timothycaseypart1 127708

29y · Male·hanging

…e Assessment Prison, Nurse T D assigned Casey a P3 rating despite six previous suicide attempts, substance abuse, and schizophrenic symptoms. After self-harm on 29 February, registrar Dr S T urgently requested psychiatr…

psychiatrycorrectional healthdiagnosticcommunicationheroin
NSWhospital2017-09-08

Inquest into the death of James BARTON

21y · Male·external neck compression due to hanging; intentional self-harm

James Barton, aged 21, died by suicide on 27 March 2013, three days after discharge from psychiatric care. He was appropriately assessed and admitted as a mentally disordered person on 3 March following a deliberate over…

psychiatrytoxicologysystemcommunicationalprazolam

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