Coronial

128 results for benzodiazepine use disorder

VIChome2018-07-17

Finding into death of Mr L

45y · Male·Combined effects of plastic bag asphyxia and helium gas inhalation

A 45-year-old man with a history of bipolar affective disorder and previous suicide attempts died by combined plastic bag asphyxia and helium gas inhalation. He hired a…

psychiatrygeneral practicesystemdiazepam
VIC2019-10-16

Finding into death of FDS

34y · Male·Mixed drug toxicity

… abstinence while incarcerated, making them vulnerable to fatal overdose; FDS attended a GP requesting benzodiazepines without disclosing substance use relapse concerns; no urgent opiate pharmacotherapy was arranged desp…

general practiceforensic medicinecommunicationdelayheroin
VIChospital2021-03-30

Finding into death of Mr BB

56y · Male·Hanging

A 56-year-old man with a long history of bipolar affective disorder and alcohol misuse died by hanging between 18–20 December 2018. He presented to hospital on 16 December a…

psychiatryemergency medicinecommunicationsystemdiazepam
WAhome2016-02-10

Inquest into the Death of Daniel James HALL

26y · Male·Multiple drug toxicity and bronchopneumonia

Daniel James Hall, aged 26, died on 31 July 2010 from multiple drug toxicity and bronchopneumonia after consuming approximately 10-12 OxyContin tablets over 24 hours, vastly exceeding the prescribed dose of one tablet ev…

anaesthesiaENT surgerycommunicationsystemoxycodone
VICcommunity2025-08-25

Finding into death of Tracey Ellen Knowles

42y · Female·Unascertained; possibly mixed drug toxicity (heroin and methylamphetamine) or sm…

Tracey Ellen Knowles, aged 42, was found deceased in a vehicle on 19 July 2021 from an unascertained cause. She had a history of heroin use and experienced family violence. Police misidentified her as the 'predomin…

forensic medicinetoxicologysystemcommunicationheroin
WAhospital2025-04-17

Inquest into the Deaths of HC and Child HR

terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…

…n pneumonia whilst in state care following removal from her mother's care. Her mother, HC, had chronic benzodiazepine and opioid dependence, presenting substance-affected whilst caring for her profoundly disabled daughte…

paediatricspalliative care
VIChome2020-11-16

Finding into death of Hilton Davis

50y · Male·mixed drug (oxycodone and methadone) and ethanol toxicity

A 50-year-old Torres Strait Islander man died from mixed drug (oxycodone and methadone) and ethanol toxicity in the context of family violence and suicidality. He had a 7-year history of suicide attempts and mental healt…

general practiceforensic medicinecommunicationsystemoxycodone
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

…. Critical clinical lessons include: early identification of escalating mental health crises with substance use; importance of comprehensive follow-up after acute psychiatric presentations; risk assessment in the contex…

psychiatryemergency medicinecommunicationsystemmethamphetamine
NSWhome2023-09-25

Inquest into the death of Wayne Mullin

64y · Male·Complications of eosinophilic asthma with bronchiectasis and allergic bronchopul…

…were contraindicated given his severe underlying lung disease. Clinical lessons include: oxycodone and benzodiazepines are dangerous in patients with severe asthma and sleep apnoea; medication compliance was a concern (m…

general practicerespiratory medicinemedicationcommunicationoxycodone
SAcommunity2011-06-22

Coroner's Finding: TATCHELL Melissa Jay

28y · Female·bronchopneumonia complicating oxycodone toxicity

Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doctor with no prior experience with oxycodone prescribed inappropri…

general practiceemergency medicinemedicationdiagnosticoxycodone
NSWcommunity2019-03-26

Inquest into the death of Eeva DORENDAHL and Greg HUTCHINGS

35y · Male·The medical cause of death is unknown

… as required by court order. Both died sometime between 11–18 January in a remote location; exact medical cause remains unknown due to advanced decomposition, but circumstantial evidence suggests drug overdose. Findings…

general practicepsychologydiazepam
VICcommunity2012-12-10

Finding into death of Benjamin Jason Pappas

28y · Male·consistent with drowning

Benjamin Pappas, a 28-year-old with a history of substance abuse, depression, borderline personality disorder, and suicidal ideation, died by drowning on approximately 4 Ma…

general practicepsychiatrysystemcommunicationheroin
VIChome2024-05-24

Finding into death of L I

16y · Male·mixed drug toxicity (codeine, morphine, tramadol, alprazolam and desmethylvenlaf…

LI, a 16-year-old with borderline personality disorder, factitious disorder, and opioid use disorder, died from mixed drug toxicity (codeine, morphine, tramadol…

general practicepsychiatrymedicationdiagnosticcodeine
QLD2026-04-24

Findings of the Inquest into the death of Benjamin Freear

40y · Male·Gunshot wound to neck

…sessment in December 2019 showed stability. On 7 December 2019, while intoxicated and after recent cannabis use, he assaulted his partner, threatened neighbours, and discharged firearms. SERT responded the following mor…

psychiatrygeneral practicesystemdextroamphetamine
NSWhome2017-03-15

Inquest into the death of Meaghan Gardner

44y · Female·Acute bronchopneumonia complicating multi-drug toxicity (alprazolam, opiates, be…

…dner, a 44-year-old woman with a history of respiratory problems, pneumonia, schizophrenia, and substance abuse, died from acute bronchopneumonia complicated by multi-drug toxicity (alprazolam, opiates, benzodiazepines,…

respiratory medicinepsychiatrydelaycommunicationalprazolam
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…e coordination errors. She had been admitted to Mount Barker Hospital for anxiety, depression, substance misuse concerns, and self-harm behaviours. After one week, a psychiatrist recommended admission to a specialist me…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
VICmental health2012-03-13

Finding into death of Matthew Spalding

28y · Male·neck compression subsequent upon hanging

Matthew Spalding, a 28-year-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 April 2009. He had been admitted to the Adult Acute …

psychiatryemergency medicinecommunicationsystemaripiprazole
VIChome2025-12-19

Finding into death of Narisha Faye Cash

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

…aye 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 crisis. She called 000 expr…

emergency medicinepsychiatrysystemcommunicationalcohol
VIChospital2012-02-29

Finding into death of Joanne Feeney

40y · Female·Multiple injuries sustained in a fall from a height followed by being struck by …

A 40-year-old woman with a history of substance abuse and a prior suicide attempt in August 2010 presented to Northern Hospital at 2am with chest pain. Diagnosed…

emergency medicinepsychiatrysystemmethamphetamine
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discontinuing methadone, the treating team re-c…

psychiatryaddiction medicinediagnosticmedicationmethadone

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