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NSW2022-11-08

Inquest into the death of Andrew Gilbertson

42y · Male·methadone toxicity

Andrew Gilbertson, a 42-year-old man with bipolar disorder and substance use disorder, died from methadone toxicity while in custody at Long Bay Correctional Centre. He was not enrolled in opioid substitution therapy but…

forensic medicinepsychiatrysystemdelaymethadone
NSWhospital2022-10-28

Inquest into death of Dane LOCKWOOD

33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…

A 33-year-old man with methamphetamine addiction and possible schizophrenia attended the ED seeking help while acutely intoxicated, psychotic and sleep-deprived. After initially agreeing to medication, he attempted to le…

emergency medicinepsychiatrysystemdelaymethamphetamine
TAScommunity2022-09-29

Coroner's Finding: Eirth, Rebecca Jayne

32y · Female·Combined drug (alprazolam and methadone) toxicity

Rebecca Jayne Eirth, 32, died from combined alprazolam and methadone toxicity following injection of illicit drugs at her supported housing residence. She had a longstanding history of substance use disorder, commencing …

addiction medicinepharmacologyalprazolam
VIChospital2022-08-26

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

Jessica Higgins, a 33-year-old woman with chronic pain and opioid dependence, died from hypoxic ischaemic encephalopathy following mixed drug toxicity. She underwent a ketamine infusion with opioid rotation from oxycodon…

pain medicineaddiction medicinecommunicationsystemmethadone
NSW2022-08-26

Inquest into the death of LAK

19y · Male·Hanging

LAK, a 19-year-old Aboriginal man, died by suicide at a community rehabilitation facility after a complex mental health journey involving forensic orders and psychosis. Key clinical lessons include: recognising vulnerabi…

psychiatryaddiction medicinecommunicationsystem
NSWhome2022-08-19

Inquest into the death of Phoenix Hemmings

1y · Male·methadone toxicity

Phoenix Hemmings, a 14-month-old child, died from methadone toxicity on 31 March 2015. He was found unresponsive at home after falling asleep on a sofa next to his mother, while his mother's partner (on a methadone opioi…

general practicepharmacysystemcommunicationmethadone
TAShome2022-08-12

Coroner's Finding: Meades Michelle Louise

51y · Female·blunt force head injuries, stab wounds of the right neck and gagging

Michelle Louise Meades, aged 51, died from blunt force head injuries, stab wounds to the neck, and gagging following a violent assault at a residential unit in Tasmania. Ms Meades had a history of methamphetamine and mar…

forensic medicineaddiction medicinemethamphetamine
VIChome2022-08-08

Finding into death of Kim Michelle Cooper

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…

general practiceaddiction medicinemedicationsystempregabalin
VIChome2022-07-19

Finding into death of Mr EZT

38y · Male·Toxicity to gamma hydroxybutyrate

A 38-year-old man with a long history of drug use and criminal offending died from gamma hydroxybutyrate (GHB) toxicity after consuming approximately 60mL of GHB whilst at home. He had been released from prison on 11 May…

toxicologyforensic medicinesystemdelaygamma hydroxybutyrate
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

21y · Male·complications of ligature compression of the neck (hanging)

Sarwan Al Jhelie, a 21-year-old Iraqi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose att…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
VIChome2022-07-08

Finding into death of X RR

29y · Male·Mixed drug toxicity (heroin and methamphetamine)

A 29-year-old man with a history of heroin and methamphetamine addiction died from mixed drug toxicity. He had suffered a work-related back injury leading to opioid dependence, complicated by anxiety and panic attacks. A…

addiction medicinegeneral practicesystemheroin
VICcommunity2022-06-24

Finding into death of H YO

44y · Male·Heroin toxicity

A 44-year-old man with a 24-year history of opioid addiction died from heroin toxicity two days after release from prison on a Community Corrections Order. He had been on opioid replacement therapy (Suboxone) but discont…

addiction medicinecorrectional healthsystemdelayheroin
QLD2022-06-03

Kermode, Jesse Aaron

24y · Male·Gunshot wounds to the chest and abdomen

Jesse Aaron Kermode, 24, died after being shot by police at Ipswich Railway Station on 16 September 2018. He had a longstanding history of treatment-resistant schizophrenia and substance abuse, with repeated documented p…

psychiatryaddiction medicinemethamphetamine
NSWhome2022-05-27

Inquest into the death of WX

54y · Male·gunshot wound to the head

WX, a 54-year-old with longstanding depression, substance abuse (opioids, benzodiazepines), and a 2008 suicide attempt, died by gunshot wound on 27 April 2015. Despite this psychiatric and substance abuse history, he hel…

psychiatrypsychologysystemcommunicationcodeine
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 requiring multiple valve replacements and pacemakers,…

cardiologyemergency medicinemethamphetamine
VIChospital2022-04-11

Finding into death of C J

22y · Male·Hanging

A 22-year-old man with depression, alcohol addiction, and recent significant losses (parents, sister, friend) presented to Frankston ED on 14 January 2018 with active suicidal ideation and a specific plan to hang himself…

emergency medicinepsychiatrycommunicationsystemdiazepam
VICcommunity2022-03-16

Finding into death of Richard James Vanderhelm

42y · Male·unascertained

Richard Vanderhelm, a 42-year-old man with a long history of substance dependence, disappeared on 21–24 May 2009 while undergoing community-based detoxification from methadone, cannabis and benzodiazepines at Somers Cara…

general practiceaddiction medicinediagnosticmedicationmethadone
NSWhospital2022-02-25

Inquest into the death of Carley METCALFE

41y · Female·unable to determine

Carley Metcalfe, aged 41, was found deceased in the Brunswick River in November 2017, three weeks after disappearing. She had presented to Lismore Base Hospital on 1-2 November 2017 with acute psychosis related to schizo…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
ACTcommunity2022-02-24

Inquest into death of DEAN CHRISTOPHER BRICE

28y · Male·Multiple drug toxicity (gamma hydroxybutyrate and methamphetamine) with cardiore…

Dean Christopher Brice, a 28-year-old man with longstanding mental health and substance abuse problems, died from multiple drug toxicity (GHB and methamphetamine) with aspiration pneumonia and hypoxic ischaemic encephalo…

psychiatryaddiction medicinesystemgamma hydroxybutyrate
VIChome2022-01-31

Finding into death of Leeanne Matheson

52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)

A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabalin, valproic acid, and benzodiazepines. She was admitted to Box Hill Hospital on 12…

addiction medicinegeneral practicemedicationcommunicationmethadone
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