Coronial

98 results for polysubstance abuse disorder

WAcommunity2024-12-06

Inquest into the death of Jaxon Charles Kinnane

22y · Male·Immersion in water (drowning) in a man with combined drug effect

…ber 2020. He had chronic schizophrenia with persistent delusional beliefs (microchip in ear) and was a polysubstance user, particularly methylamphetamine. He received treatment in Casuarina Prison, the Frankland Centre,…

psychiatrycorrectional healthcommunicationsystempaliperidone
WAcommunity

Inquest into the Death of Kim Martin FRANKER

36y · Male·Combined effects of trihexyphenidyl (benzhexol) toxicity, amphetamine-type stimu…

A 36-year-old man with schizoaffective disorder, substance abuse issues, and undiagnosed cardiomyopathy died from combined toxicity of benzhexol (prescri…

psychiatrygeneral practicecommunicationsystembenzhexol
QLD2025-10-29

Inquest into the death of Selesa Tafaifa

44y · Female·Cardiac arrest in the context of several contributory factors (physical exertion…

Selesa Tafaifa, a 44-year-old woman with Samoan heritage, died in custody at Townsville Women's Correctional Centre on 30 November 2021 during physical restraint by correctional officers, including application of a safet…

forensic medicineemergency medicineproceduralsystemmixtard 30/70 insulin
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

Ziad Hamawy, a 51-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following his discharge from Concord Hosp…

psychiatryemergency medicinediagnosticcommunicationheroin
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 poiso…

general practiceemergency medicinemedicationdiagnosticmethadone
QLDhospital2016-11-23

SPB - Non-inquest findings

36y · Male·hanging

A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxicated. Despite polic…

psychiatryemergency medicinediagnosticcommunicationdiazepam
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…

… highlights gaps in medical-police communication regarding driver fitness and over-medication risks in polysubstance-using patients with psychiatric conditions.

general practicepsychiatrysystemcommunicationdextroamphetamine
NSW2017-11-09

Inquest into the death of David Veech

35y · Male·Fentanyl toxicity

…ticularly overnight when staff failed to conduct required two-hourly checks. He had a history of substance abuse, drug-seeking behaviour, and multiple medications. While his GP appropriately prescribed Fentanyl after co…

general practicepsychiatrysystemcommunicationfentanyl
WAhome2024-04-04

Inquest into the Death of Child LT (Name Subject to Suppression Order)

11y · Male·unascertained

…artment of Communities had an open child safety investigation due to concerns about his mother's substance abuse, parental capacity, and neglect. The child was returned to his mother's care despite these concerns, with …

paediatricscardiologycommunicationsystemcocaine
VICcommunity2014-08-25

Finding into death of Travis Joseph Hartskeerl

32y · Male·Head and neck trauma (train impact)

Travis Hartskeerl, a 32-year-old man with a complex history of schizophrenia, polysubstance abuse, and multiple serious suicide attempts, died by suicide on railway tracks on 16 December 2008. H…

psychiatrygeneral practicecommunicationsystemzuclopenthixol decanoate
SAcommunity2004-07-16

Coroner's Finding: DINSDALE Cheree Ann and KLINGNER Peter James

20y · Unknown·Traumatic brain damage complicating gunshot wound to the head

…ner had paranoid schizophrenia with antisocial personality traits, poor medication compliance, amphetamine abuse, and morbid jealousy directed at Ms Dinsdale. Despite intensive mental health involvement, threats of viol…

psychiatryemergency medicinediagnosticcommunicationolanzapine
WAmental health2019-12-20

Inquest into the Death of Jason James Sutherland MALLETT

46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis

Jason Mallett, a 46-year-old man with bipolar affective disorder and schizo-affective disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and my…

psychiatrycardiologysystemcommunicationquetiapine
NSWhome2021-04-30

Inquest into the deaths of Gabriella THOMPSON and Tafari WALTON

27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…

…ortunity to intervene. Critical clinical and system factors in Tafari's case (22 years old, mental health disorder, substance misuse) were inadequately managed: he admitted drug use on parole but was not subjected to man…

psychiatrygeneral practicecommunicationsystemmethamphetamine
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
VIChome2026-01-06

Finding into death of Michelle Margaret Darragh

32y · Female·Stab wound to the back extending into the posterior neck, causing subtotal trans…

…She was pregnant with their third child. The relationship involved progressive coercive control, financial abuse, obsessive jealousy, and controlling behaviours, though no prior physical violence occurred. Coman had att…

psychiatryemergency medicinediagnosticcommunicationsertraline
VIC2016-11-22

Finding into death of Mahmoud Taiba

36y · Male·Hanging

A 36-year-old male prisoner with complex psychiatric history, substance use disorder, and recent cancer diagnosis died by hanging in prison. Recent mental health assessments (within 3 days) …

psychiatrycorrectional healthcommunicationsystemolanzapine
WAhome2020-07-16

Inquest into the Death of CHILD RM

17y · Female·ligature compression of the neck (hanging)

…ing discharged from secure care. She had experienced complex developmental trauma, family violence, sexual abuse, and severe alcohol-related liver disease. Critical gaps were identified in the child protection system: t…

paediatricspsychiatrysystemcommunicationalcohol
VIC2015-09-24

Finding into death of Jason Govan

26y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…or minor offences, the challenges of engaging voluntary patients with serious mental illness and substance abuse, and communication gaps in police information systems.

psychiatryemergency medicinediagnosticsystem
VICmental health2021-05-28

Finding into death of Christopher John Peter Dewhurst

27y · Male·Multiple injuries sustained after being struck by a train

…sessment; (4) No formal reassessment occurred post-meeting despite known risks with Cluster B personality disorders and impulsivity. The coroner identified missed opportunities to intervene. Risk assessments for patients…

psychiatryemergency medicinecommunicationsystemdesvenlafaxine
QLD2019-09-06

Blair, Colin Wayne

44y · Male·Hanging

Colin Wayne Blair, a 44-year-old Aboriginal man with a history of mental illness and substance use, died by hanging in the High Dependency Unit of Brisbane Correctional Centre on 13 November 2015. He was on hourly observ…

psychiatrypsychologycommunicationsystem

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