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QLDhome2022-01-18

Lewis, Daniel Patrick

36y · Male·Gunshot wounds to the chest and abdomen

Daniel Lewis, aged 36, died from gunshot wounds after police responded to a domestic violence call. Lewis had a history of brain injury from age 11, substance abuse, mental health issues including PTSD and drug-induced p…

psychiatryemergency medicinecommunicationsystemalcohol
TAShome2021-12-21

Coroner's Finding: O'Donnell, Margaret Joy

51y · Female·Cannot be determined; likely mixed drug (including alcohol) toxicity or undeterm…

Margaret Joy O'Donnell, aged 51, died between 9-15 June 2018. The cause of death could not be determined due to decomposition, but toxicology revealed mixed drug toxicity including fatal levels of methadone and hydromorp…

general practicepsychiatrymedicationsystemoxycodone
NSWcommunity2021-12-21

Inquest into the deaths of Lars FALKHOLT, Vivian FALKHOLT, Jessica FALKHOLT and Annabelle FALKHOLT, and Craig WHITALL

Male·Combined effects of multiple blunt force injuries and the effects of fire (Craig…

Craig Whitall, a 49-year-old on methadone maintenance therapy, drove erratically on the Princes Highway after leaving hospital on Boxing Day 2017, colliding head-on with the Falkholt family vehicle, killing five people. …

general practiceemergency medicinemedicationcommunicationmethadone
TAShome2021-12-02

Coroner's Finding: Lowe, Paul 2021 TASCD 684

42y · Male·acute methadone intoxication

Paul William Lowe, a 42-year-old man with treatment-resistant epilepsy, schizophrenia, and long-standing opioid dependence, died from acute methadone intoxication on 12-13 August 2018. Evidence strongly indicates he inje…

addiction medicinepsychiatrymedicationmethadone
TAScommunity2021-11-18

Coroner's Finding: Wheldon, Jamie Damien

45y · Male·methylenedioxymethylamphetamine (MDMA or 'ecstasy') toxicity

Jamie Damien Wheldon, a 45-year-old man with long-term methamphetamine addiction enrolled in a rehabilitation program, died from MDMA toxicity on 29 December 2019. He was on approved leave from the Salvation Army Bridge …

addiction medicinepsychiatryMDMA
NSWcommunity2021-09-23

Inquest into the death of M F

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

A 46-year-old Aboriginal man died by suicide following a motor vehicle collision with a tree while being pursued by police responding to a welfare check. He had a complex history of depression, amphetamine addiction (ice…

general practicepsychiatrysystemdelayamphetamine
VIChome2021-09-08

Finding into death of DA

38y · Male·Mixed drug toxicity

DA was a 38-year-old man who died from mixed drug toxicity involving sedating medications and alcohol. He had longstanding severe anxiety and became dependent on codeine and benzodiazepines, initially obtained from multi…

general practicepsychiatrycommunicationsystemcodeine
VIChome2021-08-12

Finding into death of M J

37y · Male·Acute external and internal blood loss from single stab wound to upper left ches…

MWJ, aged 37, was fatally stabbed by his intimate partner EW on 24 December 2016 during an escalating domestic argument. The coroner identified significant systemic failures in Community Corrections management of both of…

general practicepsychiatrysystemcommunicationmethamphetamine
VIChome2021-07-27

Finding into death of Daniel Joseph Herbert

37y · Male·Combined drug toxicity (methadone, fentanyl, diazepam and pregabalin)

Daniel Joseph Herbert, aged 37, died from combined drug toxicity involving methadone, fentanyl, diazepam and pregabalin. He had a 17-year history of opioid dependence stemming from prescription OxyContin for a work-relat…

general practiceaddiction medicinecommunicationsystemmethadone
NSWhome2021-06-18

Inquest into the death of Julian HORNE

47y · Male·acute alcohol intoxication

Julian Horne, 47, died from acute alcohol intoxication at home after 11 hospital admissions in 6 weeks during a severe binge relapse. He had lifelong struggles with alcohol, depression and anxiety, previously tried multi…

emergency medicineaddiction medicinesystemcommunicationalcohol
VIChospital2021-05-31

Finding into death of Ms Jane

13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity

Jane, aged 13, died from hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate (GHB) toxicity following accidental overdose. She ingested an estimated 6-9mls of GHB in early June 2017, having used the drug …

emergency medicineintensive caregamma hydroxybutyrate
VIC2021-05-24

Finding into death of Melanie Diane Doherty

29y · Female·Mixed Drug Toxicity

A 29-year-old woman died from mixed drug toxicity after being found unresponsive at a residential parenting program. She had complex medical conditions including coproporphyria, epilepsy, and opioid use disorder. Critica…

addiction medicinepsychiatrymedicationcommunicationmethadone
NSWhospital2021-05-07

Inquest into the death of Channa

26y · Male·multiple injuries from fall from height

A 26-year-old man with schizophrenia was discharged from mental health inpatient care on a community treatment order without meeting his allocated case manager, confirmed accommodation, or drug and alcohol intervention. …

psychiatryemergency medicinecommunicationdelaypaliperidone
TAScommunity2021-04-20

Coroner's Finding: Young, Jeremy Dean

45y · Male·drowning and intoxication with methamphetamine and other substances

45-year-old male with long-standing substance use disorder, depression, and anxiety died from drowning combined with acute methamphetamine intoxication. In the weeks before death, he displayed escalating paranoia and del…

pathologyaddiction medicinemethamphetamine
VIChome2021-03-19

Finding into death of Kim Melissa Hall

36y · Female·combined effects of baclofen toxicity and blunt head injury

Kim Melissa Hall, 36, died from combined baclofen toxicity and blunt head injury sustained during falls while acutely intoxicated. She had severe alcohol dependence treated with off-label baclofen prescribed by her GP. O…

general practiceaddiction medicinemedicationbaclofen
VICcommunity2021-03-10

Finding into death of Casey Evan Cahill

19y · Male·Multiple injuries sustained on a train impact (pedestrian)

Casey Evan Cahill, aged 19, died by suicide on 10 October 2019 when he placed himself in front of a train near Berwick Railway Station. He had a significant history of mental ill health including depression, psychotic sy…

psychiatryaddiction medicinesystemalcohol
VIChospital2021-02-24

Finding into death of Shae Harry Paszkiewicz

40y · Male·Mixed drug toxicity

Shae Paszkiewicz, a 40-year-old man with a long history of drug dependence and incarceration, died from mixed drug toxicity five days after being found unconscious following opioid injection. He had been released from pr…

emergency medicinetoxicologysystemcommunicationheroin
VIChome2021-02-24

Finding into death of AAC

29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…

A 29-year-old man with class III obesity died from combined drug toxicity involving pregabalin, dihydrocodeine, tramadol, temazepam, and lorazepam. He engaged in prescription medication abuse over 12 months, consulting a…

general practicetoxicologydiagnosticsystempregabalin
VIChospital2021-02-23

Finding into death of Christopher Douglas Ritson

22y · Male·Hypoxic ischaemic encephalopathy complicating hanging

Christopher Ritson, a 22-year-old with severe alcohol and polysubstance dependence (ICE, cannabis), depression, anxiety and social phobia, died by suicide via hanging on 17 March 2020, four days after discharge from hosp…

psychiatryemergency medicinecommunicationdelaydiazepam
QLDhome2021-02-17

T, an eight week old infant - Non-inquest findings

0y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…

An 8-week-old infant died from SIDS category II, likely due to accidental asphyxiation when the mother fell asleep and slumped forward over him. The infant was born to a mother with a 12-year history of heroin addiction …

neonatologypaediatricssystemcommunicationheroin
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