Coronial

110 results for quetiapine toxicity

VICcommunity2024-10-04

Finding into death of T K

18y · Female·Mixed drug toxicity

…erline personality disorder, chronic suicidality, and a history of childhood trauma, died from mixed drug toxicity following intentional overdose. She had multiple psychiatric admissions in early 2021 for suicidal crises…

psychiatrygeneral practicesystemdelaytramadol
VIChome2014-06-27

Finding into death of Caroline Courtenay Webster

53y · Female·Combined drug toxicity (propranolol and insulin)

…istered nurse with longstanding depression, anxiety and benzodiazepine dependency died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webster engaged in sys…

psychiatrygeneral practicesystemcommunicationpropranolol
VIChome2021

Finding into death of Tate Hobbs

36y · Male·Combined drug toxicity (pregabalin, morphine, amitriptyline)

A 36-year-old motor mechanic with chronic pain from a 2014 knee injury died from combined drug toxicity (pregabalin, morphine, amitriptyline). His general practitioner, Dr S., prescribed excessive amounts of m…

general practicepain medicinemedicationcommunicationpregabalin
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…

emergency medicineintensive caredelaycommunicationmethamphetamine
WAhome2012-09-07

Inquest into the Death of Mulvaney

54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…

Linda Christina Mulvaney, 54, died of multi-organ failure following a prolonged period of unconsciousness caused by a combination of obstructive and central sleep apnoea complicated by sedating substances. On 2 June 2008…

respiratory medicineintensive caredelaydiazepam
QLDmental health2026-01-29

Inquest into the death of Tiesha Marie Derbyshire

18y · Female·Mixed drug toxicity

…lth conditions including eating disorder, PTSD, and borderline personality disorder, died from mixed drug toxicity after intentionally overdosing on propranolol while admitted to an acute mental health unit under involun…

psychiatrygeneral practicecommunicationsystempropranolol
VIChome2010-05-06

Finding into death of Simon Mark Gray

31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …

Simon Mark Gray, a 31-year-old man, died from combined effects of multiple medications in the setting of obesity and bronchopneumonia, less than 24 hours after discharge from psychiatric hospital. He had suffered a workp…

psychiatrypain medicinesystemmorphine
VIChome2014-10-30

Finding into death of Anne Christine Brain

44y · Female·Intoxication by the combined effects of tramadol, methadone, diazepam, codeine, …

Anne Christine Brain, a 44-year-old woman with schizophrenia, anxiety, and depression who was opioid-dependent, died from intoxication by combined effects of tramadol, methadone, diazepam, codeine, alprazolam, risperidon…

general practiceaddiction medicinesystemcommunicationtramadol
NSW2017-11-09

Inquest into the death of David Veech

35y · Male·Fentanyl toxicity

David Veech, aged 35, died of accidental Fentanyl toxicity while residing at Tarlo Intensive Residential Support Service. He extracted Fentanyl from prescribed tran…

general practicepsychiatrysystemcommunicationfentanyl
VIChome2025-12-19

Finding into death of Narisha Faye Cash

41y · Female·Combined Drug Toxicity (ethanol and benzodiazepine)

Narisha Faye Cash, 41-year-old Aboriginal woman, died on 26 March 2020 from combined drug toxicity (ethanol and benzodiazepines) following an inadequate emergency services response to her mental health cr…

emergency medicinepsychiatrysystemcommunicationalcohol
VIChome2025-07-28

Finding into death of Heather Ida Simone Calgaret

30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…

…oid-naïve or with very low tolerance, obese (BMI 54), had poorly controlled diabetes, and was prescribed quetiapine. Following injection on 22 November 2021, she experienced symptoms consistent with opioid intoxication (…

general practiceaddiction medicinemedicationdiagnosticbuprenorphine
VIChome2025-09-02

Finding into death of Mr IKL

29y · Male·Mixed drug toxicity (gabapentin, codeine, diazepam, oxycodone, doxylamine, prome…

A 29-year-old man died from mixed drug toxicity involving multiple CNS depressants. His GP, Dr X, had maintained an inappropriate three-year sexual relat…

general practicepsychiatrydiagnosticmedicationgabapentin
SAhospital2018-02-05

Coroner's Finding: SISSONS Anthony Vincent

38y · Male·metastatic poorly differentiated carcinoma on a background of delirium and schiz…

Anthony Sissons, aged 38, died of metastatic renal carcinoma while under a Mental Health Act inpatient treatment order. He presented to hospital on three separate occasions (13-15 June 2012) with constipation, which was …

general practiceemergency medicinediagnosticzuclopenthixol
TASNew2026-06-03

Coroner's Finding: Brown, Nicholas, Wiki, Toni, Winwood, Matthew and Kemp, Belinda

Male, female, male, female·Nicholas Brown: combined drug (methadone and benzodiazepine) intoxication; Toni …

…ord-keeping. Dr J.'s negligent prescribing directly caused deaths of Brown and Winwood from combined drug toxicity. Kemp died of pneumonia with prescription drug toxicity contributing. Wiki died from cardiac arrest after…

addiction medicinegeneral practicediagnosticmedicationmethadone
VICcommunity2016-02-12

Finding into death of ARCHIVE Finding Hunter Joseph Stewart

27y · Male·Combined drug toxicity (heroin, methadone, diazepam and amphetamines)

…to use heroin, benzodiazepines, and amphetamines. He was found deceased ten days later from combined drug toxicity. The coroner found the psychiatric care appropriate but identified a system failure: the referral for com…

psychiatryaddiction medicinecommunicationsystemheroin
NSWaged care2012-05-11

Inquest into the deaths of Shaneen BATTS, Ilona TAKACS, Dorothy HUDSON, Ian BIRKS, Donald MacKELLAR and Mohammed RAMZAN

Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …

…, COPD, obesity). The coroner found preventable clinical failures: (1) antipsychotic polypharmacy without toxicity monitoring despite critically elevated drug levels found at autopsy; (2) dangerously low body weight not …

psychiatrygeneral practicediagnosticmedicationolanzapine
NSWcommunity2014-06-27

Inquest into the deaths of Christopher SALIB, Nathan ATTARD and Shamsad AKHTAR

Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…

This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxici…

general practiceemergency medicinediagnosticmedicationalprazolam
SAhome2015-01-30

Coroner's Finding: GIBSON Justin Lee

30y · Male·mixed butane, isobutane and propane toxicity

Justin Lee Gibson, a 30-year-old Indigenous man on home detention bail, died from inhalation of butane/propane causing fatal cardiac arrhythmia. He had a documented history of substance abuse (alcohol, cannabis, and buta…

emergency medicineforensic medicinecommunicationsystembutane
WAprison2020-11-04

Inquest into the Death of Damien PURNELL

47y · Male·organ failure following cardiorespiratory impairment in a man with arteriosclero…

Damien Matthew Purnell, a 47-year-old prisoner with a long history of polysubstance abuse and undiagnosed coronary artery disease, collapsed in his cell after smoking synthetic cannabinoids (Kronic). Despite immediate re…

emergency medicineintensive caresystemmethadone
VICmental health2022-12-12

Finding into death of Scott Adam Brown

50y · Male·Hanging

A 50-year-old man with Parkinson's disease died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary to Parkinson's disease and its treatment…

psychiatryneurologysystemcommunicationmadopar

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