Coronial

604 results for substance use disorder

TAShome2023-07-24

Coroner's Finding: QD de-identified

45y · Female·combined drug (tapentadol, nortriptyline, venlafaxine, codeine, oxycodone, queti…

… woman with significant comorbidities including obesity, obstructive sleep apnoea, COPD, depression, and substance abuse history, died from mixed drug and alcohol intoxication. Toxicology revealed toxic/fatal levels of …

general practicepsychiatrydelaysystemtapentadol
TAScommunity2022-12-15

Coroner's Finding: Wildman, Benjamen

37y · Male·self-inflicted stab wound to the chest

…history of mental health difficulties, personality dysfunction stemming from severe childhood neglect and abuse, chronic anxiety, substance use, and repeated self-harm. Medical care provided was appropriate; his psychia…

psychiatrypsychology
VIChospital2013-12-09

Finding into death of JM

17y · Female·Combined Drug Toxicity (heroin, alprazolam and diazepam)

A 17-year-old female with complex mental health and substance use disorders died from combined drug toxicity (heroin, alprazolam, and diazepam) following release from…

psychiatryaddiction medicinecommunicationsystemheroin
VIChome2023-01-23

Finding into death of Cody Morrella Watson

19y · Female·Hanging

Cody Watson, 19, died by hanging following childhood sexual abuse, family violence, and inadequate trauma-informed care. She disclosed abuse at 15, subsequently developing b…

general practicepsychiatrysystemdelayvenlafaxine
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

Paul Douglas Gifford, aged 36, died by hanging while on home detention bail. He had a long history of substance abuse (methamphetamine, opioids), mental health issues including borderline personality disorder, childh…

psychiatryaddiction medicinemethamphetamine
VIChome2025-01-28

Finding into death of Edward Grant Harris

18y · Male·Heroin toxicity

Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported accommodation. He…

paediatricspsychiatrysystemheroin
QLDcommunity2017-11-09

Vance, Jason John

42y · Male·Undetermined

Jason Vance, a 42-year-old man with a history of substance misuse, disappeared in October 2013 after walking into Barakula State Forest near Chinchilla, Queensland…

delaycommunicationmethamphetamine
VIChome2015-04-13

Finding into death of Athiel Deng

59y · Female·head injury

… assaulted by her son Majang Ngor during an acute psychotic episode induced by cannabis and methamphetamine use. Ngor had a documented first psychotic episode in February 2012, subsequently engaging with Orygen Youth He…

psychiatryemergency medicinesystemdelaycannabis
VIChome2024-10-07

Finding into death of Suzanne Norah Evans

50y · Female·Combined drug toxicity in a woman with tension pneumothorax

… of tension pneumothorax. She had a history of alcohol dependence, depression, and borderline personality disorder. Following an argument with her partner on 7 January 2020, she was relocated to a neighbour's house by po…

emergency medicinetoxicologybaclofen
VIChome2025-03-14

Finding into death of Jonathan Mark Townsend

59y · Male·Unascertained

Jonathan Townsend, a 59-year-old Navy veteran with PTSD, alcohol use disorder, and multiple psychiatric comorbidities, died at home on 5 November 2021. The cause of death was u…

trauma surgerypsychiatrycommunicationsystemdiazepam
NSWcommunity2021-09-23

Inquest into the death of M F

46y · Male·blunt force injuries from motor vehicle collision with a tree

…te access to drug and alcohol rehabilitation for those with acute addiction; the interconnection between substance use, depression, and suicidality requiring integrated treatment; and the importance of crisis interventi…

general practicepsychiatrysystemdelayamphetamine
VICmental health2025-12-11

Finding into death of Tania Louise De Jong

48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…

A 48-year-old woman with depression, anxiety, and bipolar disorder died from mixed drug toxicity while on voluntary inpatient psychiatric admission. She had undisclosed sig…

psychiatrygeneral practicesystemcommunicationmorphine
VIC2025-09-24

Finding into death of Bryan Pham

24y · Male·multiple injuries and chest compression asphyxia (train strike)

…icide via train strike on 2 June 2020, two days after release from remand custody. He had schizophrenia, substance use disorder, and was recently incarcerated for assault and FVIO breach. While in prison, Bryan displaye…

psychiatrycorrectional healthcommunicationsystemmethamphetamine
VIChome2023-02-27

Finding into death of Jayden Kain Wright

24y · Male·Combined drug toxicity (clonazepam, diazepam, methadone, tramadol, pregabalin)

…wledge. His GP prescribed tramadol, pregabalin, clonazepam, and quetiapine, unaware of concurrent methadone use or his partner's contributions to his medication supply. Clinical lessons include: GPs must actively assess…

general practiceforensic medicinediagnosticsystemclonazepam
VICcommunity2018

Finding into death of Konstantinos Eleftheriou-Tragakis

36y · Male·Hanging

A 36-year-old man with schizoaffective disorder, substance use disorder, and previous psychotic episodes was discharged from psychiatric inpatient care a…

psychiatrycommunicationsystemrisperidone
QLDhome2008-09-12

Bertram, Amanda Renee

28y · Female·Mixed drug toxicity

…ermining death was by misadventure. Key clinical lessons include recognising the lethal synergy of polydrug use combining heroin with stimulants, understanding that individuals with chronic addiction may have high drug …

toxicologypathologyheroin
NSW2023-02-01

Inquest into the death of Jay Lee Crich

41y · Male·Cardiomegaly and Coronary Artery Disease with significant contributing condition…

Jay Crich, a 41-year-old man in custody at Clarence Correctional Centre, died of cardiomegaly and coronary artery disease with emphysema and obesity as significant contributing conditions. He was discovered unresponsive …

cardiologyrespiratory medicinebuprenorphine
NSW2021-03-09

Inquest into the death of Robert MAXFIELD

45y · Male·multiple drug toxicity

…m other inmates or unauthorised sources. His mirtazapine levels exceeded prescribed amounts, suggesting overuse. The coroner found no deficiency by correctional or health services. Clinical lessons include: recognising …

forensic medicinepsychiatrymethadone
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
TAShome2022-05-24

Coroner's Finding: QG - Deidentified

38y · Female·Combined effects of ischaemic and valvular heart disease with methamphetamine us…

A 38-year-old woman with chronic methamphetamine and cannabis abuse died from cardiac arrest at home. She had pre-existing severe ischaemic and valvular heart disease requirin…

cardiologyemergency medicinemethamphetamine
145631

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