113 results for “substance misuse”
34y · Male·unascertained; most likely immersion after swimming at City Beach
…as potential warning signs, and assessing suicide risk in patients with comorbid psychiatric illness and substance misuse.
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
…ation reduction plans were documented. Key clinical lessons: Doloxene should be avoided in patients with substance abuse history; concurrent CNS depressants require careful justification and monitoring; long-term benzod…
26y · Male·Suffocation due to inhaling nitrous oxide
A 26-year-old man died from suffocation after intentional recreational nitrous oxide use via a full-face gas mask connected to a cream whipper dispenser. He had purchased 300 cream chargers plus a 640g tank online two da…
16y · Male·cardiac arrhythmia or hypoxia in the setting of hydrocarbon inhalation
…opellants from an aerosol deodorant purchased at a supermarket self-checkout. After engaging in volatile substance use with friends, he rapidly deteriorated with unresponsive state, respiratory distress, and colour chan…
0y · Male·Scimitar syndrome
…ventual palliative care. The child was in Department of Communities (child welfare) care due to parental substance misuse. The coroner found the Department's care, supervision, and financial support (accommodation and t…
26y · Male·Mixed drug toxicity (MDMA, ketamine, methylphenidate, and novel psychoactive sub…
…old man, died from mixed drug toxicity involving MDMA, ketamine, methylphenidate, and novel psychoactive substances (synthetic cathinones: ethylone, eutylone, N-ethylpentylone, N-ethylhexedrone). He consumed these drugs…
35y · Male·Fentanyl toxicity
…sed, particularly overnight when staff failed to conduct required two-hourly checks. He had a history of substance abuse, drug-seeking behaviour, and multiple medications. While his GP appropriately prescribed Fentanyl …
20y · Female·Plastic bag asphyxia with inhalation of helium
A 20-year-old woman with a history of depression, anxiety, and self-harm died by helium inhalation asphyxia. She had been treated by her GP with antidepressants and mental health referral to a psychologist but never disc…
32y · Male·Multiple drug toxicity (including heroin)
Kirk Steven Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after release from prison. Two cri…
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…
49y · Male·Ligature compression of the neck (hanging)
A 49-year-old sentenced prisoner died by suicide via ligature compression of the neck at Acacia Prison in Western Australia. The deceased had a psychological profile characterised by denial and minimisation of adverse ex…
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…
19y · Female·Mixed drug toxicity, with morphine (from poppy seeds) and dextromethorphan (from…
…e value of emergency ambulance services. Key clinical lessons include the danger of combining depressant substances, the critical importance of recognizing respiratory depression signs, and the need for public education…
49y · Female and male·Gunshot wound to head inflicted by spouse
…safeguards, seek collateral information from family members, and integrate care across mental health and substance misuse.
27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…
… intervene. Critical clinical and system factors in Tafari's case (22 years old, mental health disorder, substance misuse) were inadequately managed: he admitted drug use on parole but was not subjected to mandatory dru…
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 …
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 …
22y · Male·Combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan and op…
Adrian Westlund, a 22-year-old with complex drug-seeking behaviour and polypharmacy addiction, died of combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan). He manipulated multiple GPs by misreprese…
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…
47y · Female·Mixed drug toxicity (pregabalin, oxycodone and mirtazapine)
A 47-year-old woman died from mixed drug toxicity involving pregabalin, oxycodone, and mirtazapine. She had chronic pain, anxiety, and depression, and attended a medical clinic frequently. Over five days before her death…
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