Coronial

158 results for chronic pain disorder

VIChome2017-07-04

Finding into death of NJ

35y · Female·combined drug toxicity

A 35-year-old woman with long-standing substance use disorder, depression, and chronic pain died from combined drug toxicity involving methadone, pregabalin, methamphe…

general practiceaddiction medicineprescribingcommunicationmethadone
TAShome2023-05-01

Coroner's Finding: Koeter, Jacqueline Francis

59y · Female·Global hypoxic brain injury due to mixed drug toxicity, specifically alprazolam …

A 59-year-old woman with a 30-year history of alprazolam dependence for anxiety disorder died from global hypoxic brain injury following cardiac arrest caused by mixed drug toxicity, with alpraz…

general practicepsychiatryalprazolam
TAShospital2025-06-10

Coroner's Finding: Johnston, Trent Ian

40y · Male·aspiration pneumonitis with acute alcoholic hepatitis, pancreatitis, mixed drug …

Trent Ian Johnston, a 40-year-old man with a history of chronic paranoid schizophrenia, alcohol and substance abuse, died from aspiration pneumonitis complicated by mixe…

emergency medicineintensive carecodeine
VIC2017-02-28

Finding into death of Daniel Christian McKindley

40y · Male·Injuries sustained in a fall from height

Daniel McKindley, 40, died from injuries sustained in a fall from the 16-metre platform of Poppet Head Lookout tower in Bendigo. He had depression and anxiety treated by his GP with antidepressants (mirtazapine then sert…

general practicepsychiatrydiagnosticcommunicationmirtazapine
QLDhome2016-08-22

SJM - Non-inquest findings

57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)

…itoring, despite the patient exceeding recommended daily doses (8 tablets/day vs maximum 6). No alternative pain management strategies, specialist referrals, or genuine medication reduction plans were documented. Key cli…

general practicepathologymedicationdiagnosticpropoxyphene
TAShome2018-09-20

Coroner's Finding: Steer, Michael Allan

44y · Male·mixed drug toxicity

…uetiapine, codeine, diazepam, fluoxetine). He had complex psychiatric history with factitious and somatic disorders, chronic pain, and documented drug-seeking behaviour. His GP had implemented strict weekly medication pa…

general practicepsychiatrydiagnosticcommunicationquetiapine
TAScommunity2021-04-20

Coroner's Finding: Young, Jeremy Dean

45y · Male·drowning and intoxication with methamphetamine and other substances

45-year-old male with long-standing substance use disorder, depression, and anxiety died from drowning combined with acute methamphetamine intoxication. In the week…

pathologyaddiction medicinemethamphetamine
VIC2017-04-20

Finding into death of Helen Julia Mok

49y · Female·Multi-drug toxicity from intentional self-administration of intravenous fentanyl…

A 49-year-old paramedic with Ambulance Victoria died from multi-drug toxicity after deliberately self-administering intravenous fentanyl and midazolam accessed from her employer's medication safe. The coroner examined wh…

paramedicinepsychiatrysystemfentanyl
VIChospital2021-05-10

Finding into death of Karim Aarras

45y · Male·Blood loss due to multiple self-inflicted incised injuries

Karim Aarras, a 45-year-old man with longstanding mental health issues, chronic pain, and substance use disorder (methamphetamine), presented to police in a severely agitated state foll…

psychiatryemergency medicinemethamphetamine
NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

…tructured mental health care planning despite known suicidal ideation. Dr H. failed to refer to psychiatry, pain specialists, or drug/alcohol services despite complexity. The mental health team (RCNACS) performed appropr…

general practicepsychiatrymedicationdiagnosticmethadone
VIChome2019-06-12

Finding into death of MKT

38y · Male·Toxicity to heroin

…s. Despite brief post-release engagement (accommodation support, GP referrals to drug and alcohol services, pain management), the deceased declined formal addiction treatment and appears to have rapidly resumed heroin us…

emergency medicinegeneral practicesystemcommunicationheroin
VIChome2025-08-21

Finding into death of Ryan Andrew Robinson

31y · Male·Mixed drug toxicity (heroin, bromazolam, metonitazine, protonitazene, methamphet…

Ryan Robinson, a 31-year-old man with longstanding opioid use disorder and complex mental health conditions, died from mixed drug toxicity involving heroin, novel psychoactive …

general practiceaddiction medicineheroin
VICmental health2025-07-14

Finding into death of Maxwell Bernard Howard

84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…

…rary Treatment Order. He had multiple comorbidities including congestive heart failure, COPD, and bipolar disorder, with poor medication compliance from 2018. He was non-compliant with care, refusing physical examination…

psychiatryemergency medicinecarbamazepine
TAShome2023-10-01

Coroner's Finding: Czerniejewski, Roswitha

66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet

… untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couch, and refused hospital …

general practicerheumatologysystem
VIChome2011-10-31

Finding into death of Rory

4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet

…edication. The tablet was not appropriately stored and remained accessible to the child. His parents were chronically dependent on prescription opioids and benzodiazepines, frequently incapacitated and unable to supervi…

general practicepaediatricssystemdelayoxycodone
VIC2024-10-14

Finding into death of Scott Alan Murdoch

43y · Male·Amitriptyline toxicity

Scott Alan Murdoch, a 43-year-old maximum-security prisoner with chronic suicidal ideation, borderline personality disorder, and a documented history of medication hoarding and o…

psychiatrycorrectional healthmedicationsystemamitriptyline
VIChome2022-01-10

Finding into death of Deborah Marie Holtkamp

52y · Female·Mixed drug toxicity

…8 in circumstances consistent with suicide. She had a long history of depression, childhood abuse trauma, chronic pain conditions, and recent relationship breakdown. She presented to healthcare services multiple times e…

general practicepsychiatrydiagnosticcommunicationmorphine
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
SAhome2011-04-07

Coroner's Finding: LEE Troy Thomas and MATTHEWS Scott Leslie

Troy Thomas Lee: acute neck compression due to hanging; Scott Leslie Matthews: m…

Two men died by suicide while on home detention bail awaiting trial. Troy Thomas Lee (38, hanging) and Scott Leslie Matthews (23, mixed drug toxicity from tramadol and alprazolam overdose) both died on their parents' pre…

general practicepsychiatrycommunicationdelaytramadol
VIChome2026-03-19

Finding into death of Aisha Natasha Khan

44y · Female·Mixed alcohol and drug toxicity (tapentadol, diazepam, mirtazapine, amitriptylin…

… intentional polypharmacy overdose with alcohol consumption. She had a history of depression, alcohol use disorder, chronic pain, and two prior suicide attempts. On 12 September 2023, she called ACIS (Acute Crisis Interv…

psychiatryemergency medicinesystemdelaytapentadol
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