Coronial

846 results for substance use

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, pregaba…

general practiceaddiction medicineprescribingcommunicationmethadone
NSWcommunity2020-02-24

Into the death of Rodney Scarman

52y · Male·Blunt force injuries to head

Rodney Scarman, a 52-year-old man with a history of mental illness and substance use, died from blunt force injuries to the head on 25 December 2011. He was found in a utility closet at…

forensic medicinealcohol
SA2016-09-22

Coroner's Finding: HENEKER Scott Maxwell

36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…

…rdiac arrest occurring during physical restraint by a homeowner. The deceased had entered the homeowner's house without permission while experiencing acute psychiatric symptoms (paranoia, delusions) likely triggered by …

psychiatryemergency medicinedelaycommunicationmethamphetamine
NSWhome2015-10-23

Inquest into the death of Scott Clements

36y · Male·Unknown - advanced decomposition precluded determination

Scott Clements, a 36-year-old man with longstanding mental illness, depression, substance use disorder and multiple suicide attempts, was found dead at his home between 19 August and 14 October …

psychiatrygeneral practicecommunicationsystemmethamphetamine
TAShome2025-08-01

Coroner's Finding: de-identified UV

33y · Male·Mixed drug toxicity

…complex psychiatric history (bipolar disorder, schizoaffective disorder, autism, ADHD) and long-standing substance use disorder died from mixed drug toxicity. Postmortem toxicology revealed high-concentration morphine a…

psychiatrygeneral practicesystemcommunicationmorphine
TAShome2019-03-26

Coroner's Finding: Burns, Brendan Craig

52y · Male·Asphyxia due to smoke inhalation from caravan fire

Brendan Craig Burns, a 52-year-old man with schizophrenia, bipolar disorder, and substance use disorder, died from asphyxia due to smoke inhalation in a caravan fire on 5 November 2016. He had pr…

psychiatryforensic medicineclozapine
VIChome2016-10-28

Finding into death of Zane Bradbury

3y · Male·Head injury resulting from blunt force trauma

…ental injury. The paramedics appropriately called police due to inconsistencies. The death was criminally caused, not medically preventable, highlighting the importance of family violence recognition and protective serv…

cannabis
VICaged care2012-04-30

Finding into death of Kenneth Agnew

37y · Male·combined ethanol and drug toxicity

…ons include: Dr L., the facility doctor, was unaware of Mr Agnew's methadone prescription and heavy alcohol use despite the care team documenting excessive drinking and warning of dangerous interactions. Dr L. altered p…

general practicegeneral medicinediagnosticcommunicationmethadone
WAaged care2020-03-27

Inquest into the Death of Laureen Kaye REILLY

54y · Female·combined drug toxicity (heroin, morphine, cannabis, and prescription medications…

…s and mood stabilizers. She had complex mental health disorders, acquired brain injury, and longstanding substance abuse history. While under a Community Treatment Order and receiving fortnightly depot injections, she r…

psychiatrygeneral practiceheroin
SAhome2024-09-13

Coroner's Finding: Sulley, Matthew Wade

46y · Male·neck compression due to hanging

…suicide attempt by hanging (1997), prior suicidal ideation presentation (2021), and chronic methamphetamine use. Despite appearing compliant and reporting no mental health concerns on 7 March 2022, toxicology revealed c…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
TAScommunity2025-07-04

Coroner's Finding: de-identified PD

41y · Male·Chest and limb injuries resulting from deliberately jumping from the Tasman Brid…

…ssion, and PTSD died by suicide by jumping from the Tasman Bridge. He had a long history of methamphetamine use and psychotic episodes, with multiple involuntary mental health admissions. He disengaged from community me…

psychiatryemergency medicinemethamphetamine
VICcommunity2017-10-16

Finding into death of Skye Suzanne Turner

36y · Female·Mixed drug toxicity

Skye Turner, a 36-year-old woman with borderline personality disorder and substance use disorder, died from mixed drug toxicity after being discharged from Maroondah Hospital on 8 March 20…

psychiatryemergency medicinecommunicationsystemheroin
VIChome2020-01-31

Finding into death of X Y

27y · Female·Combined drug toxicity

XY, a 27-year-old woman, died from combined drug toxicity on 21–22 December 2016 at a friend's house in Melbourne. She had a history of opioid use, depression, and anxiety following a violent crime. She was e…

general practiceaddiction medicinesystemmethamphetamine
VIChome2011-03-08

Finding into death of Shane Stephen Hubezak

33y · Male·Combined drug toxicity (heroin, alprazolam, methadone)

Shane Hubezak, aged 33, died from combined drug toxicity involving heroin, alprazolam (Xanax), methadone, and cannabis. On 25 July 2010, he was arrested following a police pursuit and motor vehicle collision. He was tran…

heroin
VICmental health2020-03-13

Finding into death of PATIENT A

35y · Female·mixed drug toxicity (fentanyl, morphine, clozapine and aripiprazole)

A 35-year-old woman with schizoaffective disorder, opiate use disorder, and amphetamine use disorder died from mixed drug toxicity (fentanyl, morphine, clozapine, and ar…

psychiatryfentanyl
VIChome2026-02-17

Finding into death of Laurence Mark O'brien

22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…

…ired brain injury from a childhood motor vehicle accident, died from mixed drug toxicity involving eight substances including prescribed opioids, benzodiazepines, and unprescribed ketamine. He had a documented substance

general practicepsychiatrymedicationsystemtapentadol
VICcommunity2022-07-12

Finding into death of Terry John Chandler

42y · Male·Drowning

…thout a marine licence. His personal flotation device was only partially inflated. Key clinical lessons: substance use significantly impairs judgment and motor coordination in high-risk activities; the chest pain he exp…

systemalcohol
VIChome2025-02-07

Finding into death of T

15y · Male·Combined heroin and methamphetamine toxicity

…had experienced multiple placement instability (over 20 placements in two years), early trauma, parental substance use history, and escalating mental health issues including suicidal ideation. Despite referrals to multi…

paediatricspsychiatrycommunicationsystemheroin
WA2024-09-05

Inquest into the Death of Robert Fredrick PARNELL

29y · Male·butane and propane toxicity from inhalation of canola oil spray propellants

…ling propellants from a can of canola oil spray in a prison kitchen toilet. He had a long history of polysubstance use including solvent sniffing dating to age 13. Working as a kitchen cleaner at Albany Regional Prison,…

forensic medicineemergency medicinesystemsupervisionbutane
TAS2022-03-10

Coroner's Finding: Cooper, Joanne Dulcie

41y · Female·Brain, chest, abdominal and pelvic injuries sustained in a motor vehicle collisi…

…unsel patients on medication side effects affecting driving ability and reinforce the risks of illicit drug use.

emergency medicineintensive careamitriptyline
145643

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