Coronial

127 results for heroin overdose

WAhospital2005-09

Inquest into the Death of Vicki Anne Greaves

36y · Female·Pneumonia complicating combined drug effect

…t to an Intensive Supervision Order for drug-related offences. On the night of 17 March 2004, she obtained heroin and, in combination with prescription medications (dexamphetamine and temazepam), developed respiratory de…

addiction medicinepsychiatrycommunicationsystemheroin
VIChome2023

Finding into death of Mr ZJF

27y · Male·Dextromethorphan toxicity

Mr ZJF, a 27-year-old man with a longstanding history of schizophrenia, polysubstance use disorder, and depression, died from dextromethorphan toxicity. He was subject to a Community Treatment Order at the time of death …

psychiatrygeneral practicesystemdextromethorphan
VIChome2015-02-20

Finding into death of Phillip George Black

29y · Male·Combined methadone, diazepam and clonazepam toxicity in a man commencing a metha…

…course in 2009. Dr D. conducted a perfunctory assessment without corroborating the patient's self-reported heroin use, failed to obtain collateral history from the patient's partner or previous medical providers, and pre…

addiction medicinegeneral practicediagnosticmedicationmethadone
VIChome2017-09-21

Finding into death of ALJW

21y · Male·Combined effects of heroin toxicity and plastic bag asphyxia

A 21-year-old man with complex congenital heart disease (Fontan procedure) died from combined heroin toxicity and plastic bag asphyxia. He had a history of depression and suicidality since childhood. In Augu…

cardiologypsychologycommunicationsystemheroin
VIChome2024-03-18

Finding into death of C J

44y · Female·Mixed drug toxicity (buprenorphine, ketamine, diazepam, fluvoxamine and lacosami…

…e, diazepam, fluvoxamine and lacosamide. She had a 18-19 year history of opioid addiction, initially using heroin recreationally in the Caribbean, later transitioning to methadone maintenance under specialist care. In Ja…

addiction medicinepsychiatrybuprenorphine
VICcommunity2026-05-07

Finding into death of Elizabeth Susan Edwina Ferris

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

…rrest in the setting of presumed drug toxicity. She was found unconscious in the street after an apparent overdose involving multiple substances (opioids, benzodiazepines, methamphetamine, and others). She was resuscitat…

psychiatryintensive carediagnosticcommunicationheroin
VIChome2015-10-28

Finding into death of Hannah Rachel Charles

17y · Female·Combined drug toxicity (heroin, codeine, methadone, benzodiazepines)

Hannah Charles, a 17-year-old with substance abuse issues, died from combined drug toxicity (heroin, codeine, methadone, benzodiazepines) at a private residence where she had been staying with two opioid re…

addiction medicineforensic medicinediagnosticsystemheroin
TAShome2020-05-19

Coroner's Finding: Steer, Marianne

56y · Female·combined drug toxicity (methadone, diazepam, amitriptyline and mirtazapine); pul…

Marianne Steer, 56, died from combined drug toxicity involving methadone, diazepam, amitriptyline, and mirtazapine. She had a long history of substance dependence and had voluntarily ceased methadone treatment five month…

general practiceaddiction medicinesystemmethadone
WA2020-02-05

Inquest into the Death of Tania Marie HODGKINSON

48y · Female·Ligature compression of the neck (hanging)

…ligature compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief from her partner's recent drug-related death, and initial self-harm ideation, b…

psychiatrypsychologycommunicationsystemheroin
TAShome2023-04-20

Coroner's Finding: Young, Luke Trevor

42y · Male·mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapin…

…d from mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapine) in a suicide by overdose. He had severe, longstanding bipolar II disorder with chronic suicidality, complicated by alcohol/drug de…

psychiatrygeneral practicesystemdelaysertraline
VICcommunity2016-12-14

Finding into death of Jake James-Kotsanas

23y · Male·Haemorrhage from incised wounds to the neck and wrists

…ine intoxication. He had a complex trauma history including childhood domestic violence exposure, paternal heroin overdose witnessed as a teenager, chronic substance use disorder with drug-induced psychosis, and recent s…

psychiatrytoxicologymethamphetamine
SAcommunity2009-03-18

Coroner's Finding: WANGANEEN John Frederick

29y · Male·multiple drug toxicity (buprenorphine, oxazepam, diazepam, alprazolam, and methy…

… adequate, earlier intervention regarding his substance use vulnerability might have prevented this fatal overdose.

toxicologyforensic medicinecommunicationsystembuprenorphine
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

… at the Alexander Maconochie Centre in the ACT. He was assessed as opioid naive despite representations of heroin use and prescribed 30 mg methadone daily after two doses. The coroner found the medical assessment and pre…

addiction medicinegeneral practicediagnosticsystemmethadone
NSWhospital2017-09-08

Inquest into the death of James BARTON

21y · Male·external neck compression due to hanging; intentional self-harm

…was appropriately assessed and admitted as a mentally disordered person on 3 March following a deliberate overdose of 30 ecstasy and 5 Xanax tablets. Dr N. discharged him on 4 March. On 23 March, following another acute …

psychiatrytoxicologysystemcommunicationalprazolam
QLD2006-04-13

Adams, Michael James

20y · Male·Hanging (wilful murder by Andrew Thomas Kranz)

… Centre despite documented concerns from medical and correctional staff about his safety following a drug overdose. A solicitor had previously reported concerns about his isolation and psychological distress. The coroner…

systemdelayheroin
NSWhome2015-10-23

Inquest into the death of Scott Clements

36y · Male·Unknown - advanced decomposition precluded determination

…nted medical contact thereafter. The coroner could not determine whether death was by suicide, accidental overdose, or natural causes. Clinical lessons include the challenges of assessing suicide risk in patients with ch…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VICmental health2025-12-11

Finding into death of Tania Louise De Jong

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

…ring initial assessment. During day leave on 23 April 2023, she obtained drugs and subsequently died from overdose involving morphine, codeine, venlafaxine, amitriptyline, and zopiclone. Critical clinical lessons include…

psychiatrygeneral practicesystemcommunicationmorphine
QLDhome2016-11-30

LAMH - non-inquest findings

31y · Female·Mixed drug toxicity

A 31-year-old woman with long-standing opioid dependence enrolled in the Queensland Opioid Treatment Program died from mixed drug toxicity, with toxic levels of Fentanyl and other drugs in her system. A general practitio…

general practiceemergency medicinemedicationdiagnosticfentanyl
NSW2012-09-27

Inquest into the deaths of James UNICOMBE, Michael POOLE, Grace YATES

Unknown·Three deaths with different primary causes: James Unicomb - acute toxicity due t…

…hree deaths at Psyche South Clinic involving treatment failures: James Unicomb (22, 2005) from multi-drug overdose after naltrexone implant; Michael Poole (48, 2008) from ruptured aneurysm post-Rapid Opioid Detoxificatio…

addiction medicinegeneral practicediagnosticmedicationnaltrexone
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

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

…r 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 continuity of mental health care after hi…

psychiatryaddiction medicinecommunicationsystemmethamphetamine

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