Coronial

173 results for cannabis abuse disorder

VICmental health2024-04-26

Finding into death of Allison Leah Randall

37y · Female·Hanging

…ng acute concerns about her partner's behaviour towards their daughter. She was diagnosed with delusional disorder on 21 May 2020 and died by hanging on 22 May 2020. The coroner found the clinical care appropriate, inclu…

psychiatrysystemdiazepam
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
SA2003-03-28

Coroner's Finding: ROGERS Justin Malcolm

27y · Male·propoxyphene toxicity

…Andre Connell, who he had already placed on restricted daily dispensing (8 capsules/day) due to known drug abuse. The coroner found the prescription was reckless: Dr R. claimed he wrote a daily-dispensing restriction on…

general practicepsychiatrydiagnosticmedicationpropoxyphene
VIChome2026-03-20

Finding into death of HD S

41y · Female·Multiple injuries from assault

…es; and adult safeguarding legislation is needed to coordinate responses to vulnerable adults experiencing abuse. Police missed opportunities to include the victim's child on protection orders, ensure proper referrals t…

communicationsystemcannabis
TAS2021-09-17

Coroner's Finding: Infant Deaths

varied: sudden unexpected death in infancy (unsafe sleeping environment); drowni…

…sleeping, unsafe bedding), inadequate parental engagement with health services, family violence, substance abuse, and parental mental health issues. Coroner emphasizes system-level failures: workforce shortages, inadequ…

paediatricspsychiatrydiagnosticcommunicationalcohol
VIChome2021-08-12

Finding into death of M J

37y · Male·Acute external and internal blood loss from single stab wound to upper left ches…

MWJ, aged 37, was fatally stabbed by his intimate partner EW on 24 December 2016 during an escalating domestic argument. The coroner identified significant systemic failures in Community Corrections management of both of…

general practicepsychiatrysystemcommunicationmethamphetamine
WA2008-07-07

Inquest into the Death of Kirsty Anne Slater

24y · Female·Ligature compression injury to the neck (hanging)

Kirsty Anne Slater, a 24-year-old woman with extensive mental illness and substance abuse history, was found hanging from a tree in a park on 19 April 2006, nine days after absconding from Fremant…

psychiatryintensive carecommunicationsystemmorphine
WAhome2016-07-21

Inquest into the Deaths of Heather GLENDINNING and Jessica Rose CUZENS and Jane Lesley margaret CUZENS

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…

…lled her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficulties dating back to 2000. Over the decade preceding her death, multiple ag…

psychiatrypsychologycommunicationsystemcannabis
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
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

Shannon Lees, a 23-year-old with schizoaffective disorder and polysubstance abuse, absconded from a mental health rehabilitation unit and died from multidrug overd…

psychiatryaddiction medicinesystemmethadone
VIChome2025-06-24

Finding into death of Jessica Geddes

27y · Female·Complications of multiple blunt force injuries

…d extensive acute, subacute and chronic injuries inconsistent with accidental trauma, indicating prolonged abuse. Jessica had experienced escalating family violence including hammer attacks, hair cutting, and forced beg…

general practicepsychiatrydiagnosticsystemmethamphetamine
NSWhome2020-12-11

Inquest into the death of X Y

45y · Male·Shotgun wound to the head

…(no rehabilitation facilities in far west NSW); understanding the lethal risk posed by untreated substance abuse combined with depression and firearm access; and the importance of family and community support networks i…

emergency medicinepsychiatrysystemdelaymethamphetamine
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
QLDcommunity2021-09-10

Lock, Karina May and Lock, Stephen Glenn - Non-inquest findings

49y · Female and male·Gunshot wound to head inflicted by spouse

… Lock to specialist domestic violence support services despite her explicit disclosure of intimate partner abuse; a general practitioner treating both victim and perpetrator concurrently without formal risk assessment o…

general practicepsychiatrydiagnosticcommunicationcannabis
SAhome2012-02-20

Coroner's Finding: WYATT David James and WYATT Jakob James

24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…

A 24-year-old man with schizoaffective disorder and substance abuse killed his 2-year-old son and himself in March 2009. The deceased had been released o…

psychiatrycorrectional healthsystemcommunicationmethamphetamine
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
VIChome2013-10-01

Finding into death of Christina Mifsud

45y · Female·Combined Drug Toxicity

Christina Mifsud, aged 45, died from combined drug toxicity including methadone, diazepam, paroxetine and cannabis. She accessed methadone prescribed to her partner stored unsecured in their home. The coroner identified …

pharmacologyaddiction medicinesystemmethadone
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

…. Critical clinical lessons include: clinicians must recognise accumulated suicide risk factors (substance abuse, incarceration, interpersonal conflict, recent bereavement); brief crisis assessments without follow-up tr…

psychiatryemergency medicinediagnosticcommunicationalcohol
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…

…cide rates increased dramatically in 2006 (100% increase), with deaths strongly correlated to alcohol and cannabis abuse. The primary cause of death across most cases was ligature compression of the neck (hanging). The i…

public healthpsychiatrysystemdelayalcohol
NT2000-09-15

Inquest into the death of Glen Anthony Huitson and Rodney William Ansell

37y · Male·Sergeant Huitson: gunshot wound to chest and abdomen; Ansell: multiple gunshot w…

… August 1999 where Rodney Ansell, a man suffering from deteriorating mental health and chronic amphetamine abuse, opened fire on the Stuart Highway killing Sergeant Glen Huitson and wounding three civilians. Ansell had …

psychiatryforensic medicinesystemamphetamine
14569

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