Coronial

138 results for drug abuse (cannabis)

VICcommunity2026-05-07

Finding into death of Elizabeth Susan Edwina Ferris

44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…

…se disorder, died from hypoxic ischaemic encephalopathy following cardiac arrest in the setting of presumed drug toxicity. She was found unconscious in the street after an apparent overdose involving multiple substances …

psychiatryintensive carediagnosticcommunicationheroin
SAhome2015-04-09

Coroner's Finding: VALENTINE Chloe Lee

4y · Female·closed head injury with contributing extensive subcutaneous and intramuscular ha…

… systemic non-compliance with the Children's Protection Act (particularly section 20(2) regarding mandatory drug assessments), failure to utilise available protective tools (family care meetings, investigation and assess…

paediatricsforensic medicinediagnosticsystemmethamphetamine
VIChomeNew2026-06-23

Finding into death of Kaylah Veronica Sarah Woollard

25y · Female·Mixed drug consumption (pregabalin, oxycodone, desmethylvenlafaxine, aripiprazol…

Kaylah Veronica Sarah Woollard, age 25, died from mixed drug toxicity in the context of significant natural disease. She had WHO Class III obesity (BMI 94.5), cardiac h…

general practicepsychiatrycommunicationpregabalin
NT2000-09-15

Inquest into the death of Glen Anthony Huitson and Rodney William Ansell

37y · Male·Sergeant Huitson: gunshot wound to chest and abdomen; Ansell: multiple gunshot w…

… August 1999 where Rodney Ansell, a man suffering from deteriorating mental health and chronic amphetamine abuse, opened fire on the Stuart Highway killing Sergeant Glen Huitson and wounding three civilians. Ansell had …

psychiatryforensic medicinesystemamphetamine
ACTcommunity2026-04-08

Inquest into the death of MK

18y · Male·drowning in a motor vehicle accident

MK, 18 years old, died by drowning after his car entered Isabella Pond following a motor vehicle accident. Witnesses observed him inhaling from a balloon-shaped object while driving through a roundabout. A large nitrous …

forensic medicinetoxicologysystemdelaynitrous oxide
VICmental health2021-05-28

Finding into death of Christopher John Peter Dewhurst

27y · Male·Multiple injuries sustained after being struck by a train

Christopher Dewhurst, 27, died by suicide after being struck by a train while on ground leave from a psychiatric unit. He was a compulsory patient subject to a Temporary Treatment Order, admitted with suicidal ideation a…

psychiatryemergency medicinecommunicationsystemdesvenlafaxine
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

Shannon Lees, a 23-year-old with schizoaffective disorder and polysubstance abuse, absconded from a mental health rehabilitation unit and died from multidrug overdose involving tramadol an…

psychiatryaddiction medicinesystemmethadone
ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

…s. Teachers reported repeated facial bruising with implausible explanations; a mother repeatedly warned of abuse; child protection workers closed cases prematurely without verifying information or obtaining requested re…

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
SA2000-06-16

Coroner's Finding: CARTER Marshall Freeland

19y · Male·heroin toxicity

Marshall Carter, 19, died in custody from heroin toxicity at Yatala Labour Prison. He had a long history of drug abuse starting from age 14 and was an intravenous heroin user. Critical failures included: inadequate trans…

forensic medicineemergency medicinediagnosticcommunicationheroin
WAhospital2024-05-23

Inquest into the Death of Baby BE (Name Subject to Suppression Order)

0y · Female·brain death complicating head and neck injury

A five-month-old girl died from catastrophic brain injuries caused by violent shaking on 20 May 2019. Medical evidence established she was shaken by an adult on at least two occasions: once around 6 May 2019 (evidenced b…

paediatricsneonatologydiagnosticcommunicationmethamphetamine
QLD2008-03-17

Waite, Thomas Dion; Huynh, Mieng; Jacobs, James Henry; Gear, James Michael

gunshot wounds; multiple deaths during police interventions with mentally ill in…

…ng, lack of continuity of care (especially for released prisoners), and insufficient integration of alcohol/drug services with mental health treatment. The coroner made 17 recommendations focused on standardised mental h…

psychiatryemergency medicinediagnosticcommunicationantipsychotic medications
QLDcommunity2021-09-10

Lock, Karina May and Lock, Stephen Glenn - Non-inquest findings

49y · Female and male·Gunshot wound to head inflicted by spouse

… Lock to specialist domestic violence support services despite her explicit disclosure of intimate partner abuse; a general practitioner treating both victim and perpetrator concurrently without formal risk assessment o…

general practicepsychiatrydiagnosticcommunicationcannabis
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
SAhome2014-01-31

Coroner's Finding: HADLEY Duke Zenon

2y · Male·Asphyxiation due to neck and/or chest compression

A 2-year-old boy died from asphyxiation due to chest and neck compression inflicted by his mother during an acute manic psychotic episode. The mother had been admitted to psychiatric care in December 2008 with psychosis …

psychiatryemergency medicinecommunicationsystemrisperidone
QLDhome2006-05-26

Petrelis, Andrew Nicholas

25y · Male·opiate toxicity (heroin overdose)

Andrew Nicholas Petrelis, a witness protection program participant, was found dead in his Caloundra apartment on 11 September 1995 from opiate toxicity (heroin overdose). He had relocated from Western Australia to Queens…

forensic medicinetoxicologysystemproceduralheroin
WAcommunity2025-06-09

Inquest into the Death of Joyce Gladis CLARKE

29y · Female·gunshot wound to the abdomen

…propriately discharged from Sir Charles Gairdner Hospital following involuntary mental health admission for drug-induced psychosis; acute symptoms had resolved. The discharge was clinically sound with community follow-up…

psychiatryemergency medicinesystemmethamphetamine
WAcommunity2019-02-07

Inquest into the 13 Deaths of Children and Young Persons in the Kimberley Region

Ligature compression of the neck (hanging) in 12 cases; one open finding

…. Common contributing factors included intergenerational trauma, exposure to domestic violence and alcohol abuse, untreated mental health conditions, poor physical health (failure to thrive, recurrent infections), and i…

psychiatrypaediatricsdiagnosticcommunicationalcohol
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

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

…tention, 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 attempts. Key clinical lessons include: the failure to maintain con…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
VIChospital2012-04-19

Finding into death of James Kellock Bloomfield

53y · Male·severe burns

Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threatening to self-immolate d…

emergency medicinepsychiatrycommunicationsystem
VICcommunity2015-09-24

Finding into death of GC

42y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

A 42-year-old male with a long history of schizophrenia and dissocial personality disorder was released from prison in August 2011 without parole conditions. Despite police and forensic mental health concerns about his r…

psychiatryemergency medicinesystemdelaycannabis

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