Coronial

115 results for heroin addiction

VIChome2020-06-12

Finding into death of Daniel Isaac Semple

39y · Male·Multiple drug toxicity (methadone, diazepam, oxazepam, carbamazepine, levetirace…

…ng GP failed to implement planned benzodiazepine tapering and continued takeaway dosing despite documented heroin use in August-January prior to death. Clinical records lacked documentation of safety discussions. Improve…

general practiceaddiction medicinediagnosticmedicationmethadone
SAhome2025-11-27

Coroner's Finding: Nguyen, Van Tam

47y · Male·self-inflicted stab wound to the chest with penetration of the left ventricle of…

…ing his sentence on home detention died from a self-inflicted stab wound to the chest. He had a history of heroin and methamphetamine use and was receiving methadone maintenance and mirtazapine while in custody. In early…

correctional healthpsychiatryheroin
VICcommunity2015-07-24

Finding into death of Jamie Laurence Apap

34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …

…usness on discharge after 7-hour observation, he was released without adequate psychiatric assessment or addiction management. He died the following day from mixed drug overdose. Critical clinical lessons include: (1) h…

emergency medicinegeneral practicediagnosticsystemheroin
TAShospital2021-08-23

Coroner's Finding: Cooper, Melanie Sarah 2021 TASCD 475

51y · Female·embolic infarcts complicating infective endocarditis

Melanie Sarah Cooper, aged 51, died from embolic infarcts complicating infective endocarditis secondary to chronic intravenous opioid use. She presented with severe physical deterioration over three days including swolle…

intensive careinfectious diseasesdelaymorphine
VIChome2020-03-20

Finding into death of Janet Foster

55y · Female·Mixed drug toxicity in a woman with cardiomegaly and chronic obstructive airway …

Janet Foster, 55, died from mixed drug toxicity involving heroin/morphine combined with benzodiazepines in the context of cardiomegaly and chronic obstructive airway disea…

emergency medicinegeneral practicecommunicationsystemmorphine
NSWcommunity2018-11-02

Inquest into the death of Marlon Shawn McDonald

42y · Male·Cause of death remains unknown

…igative challenges in missing person cases involving individuals with complex backgrounds including drug addiction, domestic violence, and involvement in criminal networks. Key clinical considerations relate to substanc…

methamphetamine
TAShome2015-10-08

Coroner's Finding: Mundy, Kaylene Louise

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

…azolam tablets. She had a long history of opioid and polysubstance abuse, with recent escalation involving heroin, amphetamine, and oxycodone. She was enrolled in Tasmania's opioid pharmacotherapy program receiving daily…

addiction medicineemergency medicinealprazolam
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

…ating opioid dependence and drug-seeking behaviour despite clear warning signs; failure to refer them to addiction treatment services; police investigating the death as SIDS rather than suspicious circumstance initially…

paediatricsgeneral practicemedicationdiagnosticmorphine
VIChome2012-09-28

Finding into death of Damien Perceval

33y · Male·Aspiration pneumonia and hypoxic brain injury in a man consuming alcohol and met…

…ined with alcohol. The methadone was prescribed to and supplied by a visiting houseguest with a history of heroin addiction who had legal access to 'take-away' methadone doses. Three adults present—the houseguest, the de…

toxicologyemergency medicinedelaymethadone
VIChome2025-02-07

Finding into death of T

15y · Male·Combined heroin and methamphetamine toxicity

T, a 15-year-old boy subject to a Care by Secretary Order, died from combined heroin and methamphetamine toxicity on 24 November 2019. He had experienced multiple placement instability (over …

paediatricspsychiatrycommunicationsystemheroin
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…

…cription monitoring allowing doctor shopping; lack of coordination between emergency, mental health, and addiction services; a pharmacy error administering a double methadone dose hours before death; and absence of form…

general practiceemergency medicinemedicationproceduralmethadone
NSW2011-05

Coroner's Finding: Michael Morris

32y · Male·hypoxic brain injury from hanging in custody

…oxic brain injury sustained while hanging himself in Penrith Local Court cells on 4 May 2009. Arrested for heroin possession with a prior drug parole sentence, Morris was transferred to Department of Corrective Services …

systemproceduralheroin
VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

… with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after release from prison. Two critical clinical failures contributed: Dr W. prescribed five t…

general practiceaddiction medicinemedicationcommunicationheroin
TAShome2021-12-02

Coroner's Finding: Lowe, Paul 2021 TASCD 684

42y · Male·acute methadone intoxication

Paul William Lowe, a 42-year-old man with treatment-resistant epilepsy, schizophrenia, and long-standing opioid dependence, died from acute methadone intoxication on 12-13 August 2018. Evidence strongly indicates he inje…

addiction medicinepsychiatrymedicationmethadone
QLDhome2021-02-17

T, an eight week old infant - Non-inquest findings

0y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…

…mother fell asleep and slumped forward over him. The infant was born to a mother with a 12-year history of heroin addiction (on methadone maintenance), who tested positive for amphetamines and methamphetamine postnatally…

neonatologypaediatricssystemcommunicationheroin
TAShome2020-05-19

Coroner's Finding: Steer, Marianne

56y · Female·combined drug toxicity (methadone, diazepam, amitriptyline and mirtazapine); pul…

Marianne Steer, 56, died from combined drug toxicity involving methadone, diazepam, amitriptyline, and mirtazapine. She had a long history of substance dependence and had voluntarily ceased methadone treatment five month…

general practiceaddiction medicinesystemmethadone
VICaged care2026-01-19

Finding into death of Kevin Thomas Maloney

39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…

…r-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) while residing in a supported residential service (SRS). Key clinica…

psychiatryaddiction medicinecommunicationsystemheroin
VIChome2020-11-20

Finding into death of Baby S

1y · Male·head injury

…d from head injuries inflicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and presented with concerning brui…

paediatricsgeneral practicediagnosticcommunicationheroin
QLD2024-06-18

Inquest into the deaths of Shiralee Deanne Tilberoo and Vlasta Wylucki

Female·Vlasta Wylucki: ischaemic heart disease due to coronary atherosclerosis (previou…

Two women died of natural causes in Queensland police watchhouses but supervisory failures raised serious concerns. Ms Wylucki (50) died from ischaemic heart disease after inadequate cell checks failed to detect her vomi…

cardiologyaddiction medicineproceduralcommunicationdiazepam
WA2020-02-05

Inquest into the Death of Tania Marie HODGKINSON

48y · Female·Ligature compression of the neck (hanging)

…ligature compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief from her partner's recent drug-related death, and initial self-harm ideation, b…

psychiatrypsychologycommunicationsystemheroin

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