106 results for “alcohol misuse”
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
…e), combined with benzodiazepines. His GP of 13 years prescribed Doloxene for 10 years despite documented alcohol abuse history, which was contraindicated. The GP also prescribed multiple central nervous system depressa…
26y · Female·Multiple stab wounds
ZSQ, a 26-year-old woman, was fatally stabbed by her intimate partner MJD in April 2020 after a relationship marked by escalating family violence. Critical clinical and systemic lessons include: (1) Recognition of intima…
terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…
… coordination of nearly 24/7 support workers in the home (2020-2021), HC's documented relapse into severe alcohol abuse and unauthorized use of her daughter's medications (particularly clonazepam) in early 2022 prompted…
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…
32y · Female·Opiate toxicity; toxic combination of morphine and codeine causing respiratory d…
Mrs Edwards, a 32-year-old woman with severe depression and psychiatric history, was found dead in bed. Autopsy revealed opiate toxicity with high levels of morphine and codeine. Toxicology expert opinion indicated morph…
50y · Male·Neck compression secondary to hanging
…personal safety alarm response in family violence contexts. Jason had prior suicide attempts, depression, alcohol use disorders, history of perpetrating violence, and recent relationship separation. Clinicians should un…
49y · Female and male·Gunshot wound to head inflicted by spouse
…ds, seek collateral information from family members, and integrate care across mental health and substance misuse.
14y · Female·ligature compression of the neck (hanging); suicide
…rauma, including attachment difficulties, emotional dysregulation, self-harm, suicidal ideation, substance misuse, and school disengagement. The coroner identified multiple missed opportunities: lack of complex case conf…
36y · Female·Stab wound to the right chest
…substance abuse assessment, despite documented history of polysubstance dependence. When Eckersley ceased alcohol and cannabis use and was commenced on desvenlafaxine three days before the homicide, he developed acute p…
32y · Female·Compression of the neck
…oor medication compliance, psychotic symptoms, and substance abuse; (2) NLU's diagnosis remained unclear (alcohol abuse vs. psychosis) without clear clinical rationale, affecting medication planning; (3) Family violence…
35y · Male·Fentanyl toxicity
…e coordination between agencies (mental health, community health, probation); failure to provide drug and alcohol rehabilitation despite clear indication it was urgent; and staff fear affecting supervision. No specific …
37y · Male·compression of the neck consistent with hanging
Andrew David Hollonds, a 37-year-old man with personality disorder, substance misuse, and recent psychosis, presented to hospital after a suicide attempt (temazepam overdose) following job lo…
41y · Female·Multiple injuries from assault
A 41-year-old woman with physical disability and stable mental health was killed by her adult son through severe blunt force trauma including extensive rib fractures causing flail chest, pneumohaemothorax, liver lacerati…
24y · Male·Combined drug toxicity (morphine and diazepam)
James, aged 24, died from combined drug toxicity (morphine and diazepam) following intentional overdose. He had engaged in prescription shopping across 19 doctors and 32 pharmacies over three years, obtaining large quant…
65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …
A 65-year-old woman with chronic alcohol use disorder, multiple comorbidities, and progressive functional decline died from combined effects of pn…
4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet
Four-year-old Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents …
0y · Female·unascertained
A nine-month-old First Nations child (Baby Q) was killed by her psychotic father in November 2018. The family, transient and homeless, were known to child protection and police in NSW and Queensland with complex mental h…
31y · Male·mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen)
A 31-year-old man subject to a post-sentence supervision order died from mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen) at a residential facility. He was a vulnerable person with acquired …
43y · Female·suffocation
Ms K, aged 43, was killed by her husband through suffocation on 7 March 2017 after years of coercive control, physical violence, and emotional abuse. A critical police response on 17 August 2016 when Ms K reported car va…
15y · Male·multiple injuries caused by a motor vehicle accident
Kailab Moir, a 15-year-old Aboriginal boy with FASD, complex trauma, and ADHD, died in a single-vehicle rollover while a passenger in a stolen vehicle. He had been in out-of-home care since age 5 with approximately 35 di…
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