213 results for “medication dependence”
35y · Male·serotonin syndrome
Nicholas Moorby, a 35-year-old male, was found deceased at home in Lynbrook, Victoria on 11 April 2013, having last been seen alive on 9 April 2013. The coroner determined he died from serotonin syndrome. Moorby was pres…
42y · Male·Hanging (self-inflicted) while suffering from serious mental illness
…ustody. He had serious mental illness (psychosis, depression) requiring antipsychotic and antidepressant medication. The coroner found systemic failures in psychiatric care contributed directly to his death: antipsychoti…
21y · Male·external neck compression due to hanging; intentional self-harm
…ith an inappropriate label; (2) no consultation occurred with the discharging clinician before returning medication to an overdose patient; (3) risk assessments did not adequately synthesize concerning clinical factors. …
29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…
…ity involving pregabalin, dihydrocodeine, tramadol, temazepam, and lorazepam. He engaged in prescription medication abuse over 12 months, consulting approximately 60 general practitioners and using false identities to ob…
24y · Male·Mixed drug toxicity
…el. He had a history of anxiety and shoulder pain following 2015 surgery, for which he received multiple medications including pregabalin, benzodiazepines, opioids, and stimulants from different prescribers. His girlfrie…
69y · Male·right lower lobe pneumonia as a complication of diabetes mellitus
…abetes mellitus. He was entirely dependent on his siblings for care, with his sister Julie administering medications. He was found dead hours after receiving his morning medications; instead of immediately calling emerge…
36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…
…here was poor discharge communication (summary sent to a GP he hadn't seen in 4 years, not to FMHS); and medication supervision was unclear between hospital and community. The preventable element was delayed relocation t…
47y · Female·insulin overdose
…r follow-up, importance of comprehensive psychiatric risk assessment in emergency settings, attention to medication access in workplace settings, and identification of cumulative psychosocial stressors (occupational loss…
33y · Female·hanging
…tely consider the patient's longitudinal history of depression, anxiety, childhood sexual abuse, alcohol dependence, two prior suicide attempts (medication overdose and motor vehicle crash), and family history of suicide…
33y · Male·hanging
Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by hanging in custody at the Metropolitan Remand and Receptio…
44y · Male·Hanging
…history of depression and recent heavy methamphetamine use, he was not prescribed his usual escitalopram medication, was placed in a cell with numerous hanging points despite being unmedicated and unassessed by psychiatr…
30y · Male·Heroin toxicity
David D'Angelo, a 30-year-old Aboriginal man with schizophrenia and polysubstance dependence, was admitted to The Alfred Psychiatric Unit involuntarily on 24 March 2010 for psychotic relapse. His s…
17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…
Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …
40y · Female·acute right-sided congestive heart failure (cor pulmonale) resulting from intrav…
Kaylene Mundy, aged 40, died from acute right-sided congestive heart failure (cor pulmonale) caused by intravenous injection of crushed alprazolam tablets. She had a long history of opioid and polysubstance abuse, with r…
59y · Female·mixed prescription drug and alcohol toxicity (ethanol, diazepam, fluoxetine, and…
…ontents. She had extensive psychiatric history including depression, PTSD, bipolar disorder, and alcohol dependence, with multiple prior suicide attempts. On 9 June 2019, after consuming hidden alcohol and taking prescri…
45y · Female·Drowning whilst inebriated (ethanol)
…ling and abusive dynamics. Following a deterioration in mental health during a visit to NSW (including a medication overdose on 1 April), she was discharged from Grafton Hospital on 7 April with a 7-day medication supply…
37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…
Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phy…
55y · Male·decompensated liver failure in a man with metastatic hepatocellular carcinoma, w…
…ative care. He had pre-existing cirrhosis diagnosed in 2012, likely from hepatitis C and chronic alcohol dependence. In October 2023, abdominal pain investigations revealed advanced hepatocellular carcinoma with portal v…
61y · Male·mixed prescription drug toxicity (methadone, diazepam, promethazine) with aspira…
…piration pneumonia. He consumed significant alcohol on the day of death while taking prescribed sedating medications without food. The coroner found therapeutic drug levels but noted synergistic respiratory depression fr…
30y · Male·asphyxia due to hanging (suicide)
…ours after discharge, nursing staff failed to appropriately escalate concerns, provided him unrestricted medication on discharge, and failed to locate him when he went missing from hospital. Staff later improperly rewrot…
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