Coronial

141 results for amphetamine use disorder

VIC2019-10-16

Finding into death of FDS

34y · Male·Mixed drug toxicity

…hem vulnerable to fatal overdose; FDS attended a GP requesting benzodiazepines without disclosing substance use relapse concerns; no urgent opiate pharmacotherapy was arranged despite his expressed relapse concerns to c…

general practiceforensic medicinecommunicationdelayheroin
QLDhome2017-07-26

Richards, Karen Louise

41y · Female·mixed drug and alcohol toxicity

…cal lessons: rapid recognition of altered consciousness and immediate emergency response are critical; drug users and their contacts require education on overdose recognition and first aid; delay in treatment initiation…

psychiatryemergency medicinedelaysystemheroin
VIChospital2023-12-13

Finding into death of RW C

43y · Male·exsanguination from incised wounds to the arms - self inflicted

A 43-year-old man with schizophrenia, PTSD, and methamphetamine use died from exsanguination following self-inflicted incised wounds to both arms. He had been discharg…

psychiatryemergency medicinecommunicationdelayrisperidone
VIChome2022-08-26

Finding into death of David Patrick Hardisty

32y · Male·Mixed drug toxicity

A 32-year-old man with bipolar disorder and substance abuse history died from mixed drug toxicity (oxycodone 0.7 mg/L, tramadol, benzodiazepines,…

emergency medicineparamedicinecommunicationdiagnosticoxycodone
ACThospital2023-03-08

Inquest into the death of Brontë Haskins

23y · Female·Hypoxic-ischaemic brain damage due to self-inflicted hanging with intention of t…

…cases with minimal resources), delayed CADAS assessment (scheduled one week post-release despite known drug use and suicide risk), failure to arrange mental health bail conditions despite documented suicidality in custo…

psychiatryemergency medicinesystemdelayheroin
VIChospital2016-10-04

Finding into death of Damien Marius Van Der Korput

50y · Male·Hypoxic ischaemic brain injury in the context of hanging

…al lessons include the importance of assessing imminent suicide risk in patients with depression, substance use, and relationship conflict, especially after recent psychiatric contact. The coroner identified a system is…

psychiatryemergency medicinecommunicationsystemalcohol
VICcommunity2025-08-25

Finding into death of Tracey Ellen Knowles

42y · Female·Unascertained; possibly mixed drug toxicity (heroin and methylamphetamine) or sm…

Tracey Ellen Knowles, aged 42, was found deceased in a vehicle on 19 July 2021 from an unascertained cause. She had a history of heroin use and experienced family violence. Police misidentified her as the 'predomin…

forensic medicinetoxicologysystemcommunicationheroin
VIC2014-05-08

Finding into death of Gregory John Caulfield

34y · Male·Multiple injuries sustained in a fall from a height

…; Caulfield locked the door behind them and fled to the balcony to attempt escape. The coroner found police use of force was reasonable in the circumstances and did not contribute to his death. Key issues included lack …

forensic medicineemergency medicinecommunicationproceduralamphetamine
TAShome2025-12-02

Coroner's Finding: de-identified DQ

54y · Female·mixed drug toxicity (methadone and diazepam)

A 54-year-old woman with long-standing opioid use disorder died from mixed methadone and diazepam toxicity. She had tripled her methadone dose by injecting a…

general practicepharmacologydiagnosticmedicationmethadone
WAhospital2012-03-30

Inquest into the Death of Ellery

25y · Male·Ligature compression of the neck (hanging)

David Peter Ellery, a 25-year-old man with long-standing amphetamine addiction and deteriorating mental health, died by hanging on 31 July 2007. He presented to Bentley Hos…

emergency medicinepsychiatrycommunicationsystemamphetamine
VIC2024-10-16

Finding into death of Craig John Reynolds

62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus

… heart disease with diabetes mellitus. He was residing in NDIS-funded short-term accommodation at Carroll House when he suffered a fall on 22 June 2023. He subsequently developed severe anaemia, hypoglycaemia, and gastr…

cardiologygastroenterologyoxycodone
VICcommunity2019-04-16

Finding into death of Sophie Margery Nicholas

27y · Female·Injuries sustained in motor vehicle incident (pedestrian)

…ck while walking along a road at 1:30am on 15 September 2016. She had longstanding borderline personality disorder (BPD) and alcohol dependency, with frequent crises involving multiple admissions to psychiatric units and…

psychiatryaddiction medicinecommunicationsystemalcohol
VIChome2023-10-26

Finding into death of Simon Peter Scarff

52y · Male·Effects of fire

… his rental unit. He called 000 stating he couldn't get out, but emergency services were not dispatched because the call details were unclear and his location could not be reliably confirmed from available technologies.…

alcohol
WAhospital2019-07-09

Inquest into the Death of Troy Michael CONLEY

45y · Male·severe chronic obstructive pulmonary disease

…ned. He had developed progressive lung disease from occupational exposure to gyprock dust, intravenous drug use (talcosis), and decades of smoking. Clinical examination revealed pulmonary fibrosis, emphysema, and pulmon…

respiratory medicinegeneral medicinedelaymethadone
NSWhospital2014-09-26

Inquest into the death of AA

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

…ated medical interventions and explicit warnings that his condition was life-threatening, parents failed to use prescribed CPAP equipment, attend follow-up appointments, or implement dietary changes. Key systemic failur…

respiratory medicineendocrinologycommunicationsystemmethadone
WAcommunity2001-12-19

Inquest into the Death of Martin Raymond Coffey

24y · Male·Aspiration of vomit associated with combined drug effect

…ce for traffic offences. He had a history of depression (following the death of his young son), substance abuse, and self-harm. Released to home detention on 27 December 2000, he struggled with marital difficulties, acc…

psychiatrygeneral practicesystemcommunicationamitriptyline
QLDhome2011-03-25

Clarke, Daniel James

36y · Male·Gunshot wound to the forehead

A 36-year-old man with a 10-year history of forensic mental health order died by gunshot wound during a siege after police arrived to enforce psychiatric hospitalisation. The coroner found mental health care was appropri…

psychiatrycorrectional healthcommunicationsystem
WAhome2023-07-14

Inquest into the Death of Matthew James WORTHINGTON

Male·Gunshot injury to the head

…ovember 2020. He was experiencing a relationship breakdown, had recently lost his father, was using methamphetamine, and had threatened his former partner with a firearm. Police implemented a 'contain and negotiate' str…

emergency medicineintensive caremethamphetamine
WA2003-04-29

Inquest into the Death of Mark Anselo Ugle

36y · Male·Acute on Chronic Myocardial Infarction

…am and could not be revived despite resuscitation efforts. The coroner found the death arose from natural causes but identified systemic failures: inadequate cell monitoring, lack of alarm systems, limited officer visib…

cardiologyemergency medicinecommunicationsystemmethamphetamine
VICcommunity2012-12-10

Finding into death of Benjamin Jason Pappas

28y · Male·consistent with drowning

Benjamin Pappas, a 28-year-old with a history of substance abuse, depression, borderline personality disorder, and suicidal ideation, died by drowning on approximately 4 Ma…

general practicepsychiatrysystemcommunicationheroin
14568

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