Coronial

464 results for substance use history

NSW2019-02-13

Inquest into the disappearance and suspected death of Mervyn Rushton

19y · Male·unknown

…ion over 28 years. The coroner confirmed death occurred but could not establish the specific date, place, cause, or manner. The case involved a young man with a history of substance use who disappeared after a day of al…

alcohol
QLDhome2016-08-22

SJM - Non-inquest findings

57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)

…ined with benzodiazepines. His GP of 13 years prescribed Doloxene for 10 years despite documented alcohol abuse history, which was contraindicated. The GP also prescribed multiple central nervous system depressants (Tem…

general practicepathologymedicationdiagnosticpropoxyphene
VICcommunity2017-06-08

Finding into death of Dermot Michael O'Toole

64y · Male·stab wound to the chest

…old jeweller, was fatally stabbed by Gavin Perry during a robbery at his shop. Perry was on parole with a history of violent offending and drug abuse. The inquest examined whether systemic failures in the adult parole s…

systemcommunication
VIC2016-11-22

Finding into death of Mahmoud Taiba

36y · Male·Hanging

A 36-year-old male prisoner with complex psychiatric history, substance use disorder, and recent cancer diagnosis died by hanging in prison. Recent mental health asse…

psychiatrycorrectional healthcommunicationsystemolanzapine
VIC2016-02-26

Finding into death of Jonas Jvirblis

23y · Male·combined drug toxicity (oxymorphone, benzodiazepines, codeine, and morphine) in …

…xicity (oxymorphone, benzodiazepines, codeine, and morphine) in the setting of sarcoidosis. He had a long history of substance abuse and anxiety disorder, treated with benzodiazepines and antidepressants by multiple cli…

psychiatryaddiction medicinesystemcommunicationoxymorphone
NSWcommunity2024-11-26

Inquest into the death of Andrew Chee Quee

51y · Male·gunshot wound to the chest

… sustained during a police confrontation at Bay Street, Rockdale, on 20 April 2020. He had a longstanding history of depression, substance abuse, and suicidal ideation. On the evening of his death, following an argument…

psychiatrypsychologyalcohol
VICmental health2025-12-11

Finding into death of Tania Louise De Jong

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

…g toxicity while on voluntary inpatient psychiatric admission. She had undisclosed significant illicit drug use, which was not identified during initial assessment. During day leave on 23 April 2023, she obtained drugs …

psychiatrygeneral practicesystemcommunicationmorphine
NSWcommunity2023-11-30

Inquest into the Death of Andrew James Chee Quee - Decision

51y · Male·gunshot wound to the chest

… adult siblings' public views do not create apprehended bias. The inquest will investigate the manner and cause of death, police negotiation, response appropriateness, decision to use lethal force, and available alterna…

forensic medicinepsychiatry
VIChospital2013-09-10

Finding into death of Paul Gary Larman

28y · Male·Overdose of Clozapine

A 28-year-old man with schizophrenia and substance abuse history died from clozapine overdose. Key clinical failures included: inadequate assessment of sui…

psychiatryemergency medicinediagnosticmedicationclozapine
WAcommunity2001-12-19

Inquest into the Death of Martin Raymond Coffey

24y · Male·Aspiration of vomit associated with combined drug effect

…mbined drug effect while on home detention after serving a prison sentence for traffic offences. He had a history of depression (following the death of his young son), substance abuse, and self-harm. Released to home de…

psychiatrygeneral practicesystemcommunicationamitriptyline
VICcommunity2020-08-31

Finding into death of Gregory David Tory

48y · Male·unascertained

…vid Tory, aged 48, disappeared from Mallacoota, Victoria in April 2018 and is presumed deceased. He had a history of methamphetamine use with associated paranoia and thought disorder, requiring psychiatric admission in …

psychiatrygeneral practicecommunicationsystemmethamphetamine
NSWcommunity2023-11-07

Inquest into the death of AAB

26y · Male·acute cocaine and alcohol toxicity

AAB, a 26-year-old man with a history of substance abuse and mental health issues, died from acute cocaine and alcohol toxicity while in police…

emergency medicinetoxicologycocaine
QLDhome2022-01-18

Lewis, Daniel Patrick

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

… 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 psycho…

psychiatryemergency medicinecommunicationsystemalcohol
NSW2023-02-01

Inquest into the death of Jay Lee Crich

41y · Male·Cardiomegaly and Coronary Artery Disease with significant contributing condition…

Jay Crich, a 41-year-old man in custody at Clarence Correctional Centre, died of cardiomegaly and coronary artery disease with emphysema and obesity as significant contributing conditions. He was discovered unresponsive …

cardiologyrespiratory medicinebuprenorphine
VIChome2024-05-14

Finding into death of PJQ PJQ

18y · Female·Multidrug toxicity (GHB, amphetamines, benzodiazepines)

…iazepines) after being discharged early from a residential rehabilitation program. She had complex trauma history, PTSD, and polysubstance abuse. Following early discharge from the Gippsland Youth Residential Rehabilita…

paediatricspsychiatrysystemdelayGHB
SAhome2006-05-05

Coroner's Finding: KILEY Carol Anne

55y · Female·Multiple drug toxicity due to combination of alcohol and benzodiazepines (oxazep…

…cribed these medications weekly for seven years without in-person clinical review, despite signs of poly-substance dependence and previous alcohol withdrawal seizure. The coroner found Dr B.'s management inadequate: ind…

general practicepsychiatrymedicationdiagnosticoxazepam
VIChomeNew2026-06-09

Finding into death of A T

42y · Male·Gunshot injury to the head

…T was a 42-year-old secondary school teacher with diagnosed depression, adjustment disorder, and ketamine abuse beginning in 2019. He received inpatient psychiatric treatment in August 2021. On 20 December 2024, followi…

psychiatrysystemketamine
VIChome2022-08-26

Finding into death of David Patrick Hardisty

32y · Male·Mixed drug toxicity

A 32-year-old man with bipolar disorder and substance abuse history died from mixed drug toxicity (oxycodone 0.7 mg/L, tramadol, benzodiazepines, cannabis and…

emergency medicineparamedicinecommunicationdiagnosticoxycodone
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

Paul Douglas Gifford, aged 36, died by hanging while on home detention bail. He had a long history of substance abuse (methamphetamine, opioids), mental health issues including borderline personality diso…

psychiatryaddiction medicinemethamphetamine
QLD2021-05-28

Scorsese, Liam Cooper

31y · Male·Gunshot wounds to the neck and chest

…flicted by police during a confrontation at his estranged partner's parents' home in Queensland. He had a history of violence, substance abuse (methamphetamine, cocaine), and untreated mental health issues including dru…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
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