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VIChome2016-06-06

Finding into death of Jim Zanis

33y · Male·Mixed drug toxicity (heroin, buprenorphine and benzodiazepines)

A 33-year-old man with polysubstance abuse disorder and mental illness died from mixed drug toxicity (heroin, buprenorphine, and benzodiazepines). He engaged in 'prescription shopping' across multiple medical practices, …

general practiceemergency medicinediagnosticcommunicationheroin
VICmental health2016-06-01

Finding into death of Daniel John Woodburn

22y · Male·Multiple injuries secondary to fall from a height

Daniel Woodburn, a 22-year-old with first-episode psychosis presenting with command hallucinations, paranoia and depressed mood, was admitted as a voluntary patient to an unlocked inpatient unit at Orygen Youth Health on…

psychiatryemergency medicinecommunicationsystemdiazepam
VICcommunity2016-06-01

Finding into death of Benjamin Albert Appelman

30y · Male·Mixed drug toxicity (methadone, amitriptyline, alprazolam, diazepam, oxazepam, n…

Benjamin Appelman, 30, died from mixed drug toxicity in a creek in December 2010. He had engaged in prescription shopping across multiple GPs and pharmacies to obtain benzodiazepines, obtaining 1050 alprazolam, 1540 diaz…

general practicetoxicologydiagnosticmedicationmethadone
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine…

psychiatrypain medicinediagnosticmedicationvenlafaxine
VIChome2016-05-25

Finding into death of Sarah Louise Cafferkey

22y · Female·multiple stab injuries

Steven James Hunter, a serious violent offender with a prior 1988 murder conviction, was released on parole on 30 April 2011. During his parole, critical information about his unchanged violent attitudes, lack of empathy…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
VIC2016-05-25

Finding into death of Umut Selek

23y · Male·Unascertained

Umut Selek, aged 23, died in police custody following apprehension under the Mental Health Act 1986. He presented with acute agitation, aggression, and unusual strength after what appears to be a mental health or drug-re…

forensic medicineemergency medicinecommunicationsystemmidazolam
SAhospital2016-05-19

Coroner's Finding: WILLIAMS Jeremy Todd and CAMPBELL Robert

Male·neck compression due to hanging

Two men died by suicide within five months of emergency department assessments at Lyell McEwin Hospital. Both had been brought in by police under Mental Health Act section 57 but were not detained and discharged after mi…

emergency medicinepsychiatrydiagnosticcommunicationcitalopram
VICmental health2016-05-13

Finding into death of Shaun Luke Beagley

33y · Male·Mixed drug toxicity

Shaun Beagley, aged 33, died from mixed drug toxicity (heroin, methylamphetamine, benzodiazepines) while on overnight leave from E-PARCS psychiatric residential facility. He had been admitted following suicide attempts a…

psychiatryassessmentcommunicationheroin
SAhome2016-05-05

Coroner's Finding: MITTON Rodney Lyle

63y · Male·coronary artery thrombosis

A 63-year-old man with complex medical and psychiatric history died of coronary artery thrombosis while on authorized leave from psychiatric admission. He had severe triple-vessel coronary artery disease with acute throm…

psychiatrycardiologyolanzapine
VICcommunity2016-05-05

Finding into death of David Scrofano

41y · Male·Pheniramine toxicity

David Scrofano, 41, died from pheniramine toxicity following an overdose of antihistamine tablets. He had a long history of schizophrenia, acquired brain injury, and poly-substance abuse. When found by police behaving er…

forensic medicinetoxicologydiagnosticcommunicationpheniramine
QLDcommunity2016-05-03

Foster, Troy Martin

32y · Male·gunshot wounds to the trunk

Troy Martin Foster, a 32-year-old man with intellectual impairment, mild cognitive disability, and a history of substance abuse and violence, died following a police shooting. On 24 November 2014, he was detained under a…

psychiatryemergency medicinecommunicationsystemalcohol
QLDhome2016-05-03

Zimmer, Laval Donovan

33y · Male·gunshot wound to the chest

A 33-year-old man with schizophrenia and epilepsy died from a gunshot wound after police were dispatched to his residence in response to repeated nuisance calls to emergency services. He had been tasered and arrested ear…

psychiatryemergency medicinesystemcommunication
VIChome2016-04-22

Finding into death of Kelly Elizabeth Hall

43y · Female·mixed drug toxicity including methadone

43-year-old woman with long-standing opioid and benzodiazepine dependence died from mixed drug toxicity including methadone, amitriptyline, pregabalin, duloxetine, diazepam and paracetamol. Two GPs prescribed drugs witho…

general practiceaddiction medicinecommunicationsystemmethadone
VIChome2016-04-21

Finding into death of Kelly Ann Thompson

43y · Female·Stab wounds to the chest

Kelly Thompson was fatally stabbed by her estranged partner Wayne Wood on 9 February 2014 after he forcibly entered her home. Over 39 days from initial police contact on 1 January 2014, multiple system failures contribut…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VICmental health2016-04-20

Finding into death of Chris Pravin Prasad

51y · Male·undetermined natural causes

Chris Prasad, a 51-year-old involuntary psychiatric inpatient with schizoaffective disorder, diabetes type 2, hypertension, and obesity (BMI 30.8), was granted day leave on 17 January 2013 during extreme heat (38°C) at C…

psychiatrygeneral medicinemedicationdiagnosticpaliperidone
VIC2016-04-14

Finding into death of Oscar Nicholas McIntyre

17y · Male·injuries sustained in a motorcycle incident (driver)

Oscar McIntyre, 17 years old, died from injuries sustained when he left the track during a motorcycle race at Phillip Island, rode across the infield at full speed without braking, and was struck by another rider. He had…

psychiatrygeneral practicemethamphetamine
WAhospital2016-04-13

Inquest into the Death of Stephen Kenneth RYAN

62y · Male·bronchopneumonia on background of chronic obstructive pulmonary disease

Stephen Kenneth Ryan, a 62-year-old man with treatment-resistant schizophrenia and severe COPD from lifelong smoking, died of bronchopneumonia on 12 August 2013 at Bentley Hospital. He had been an involuntary psychiatric…

psychiatryrespiratory medicinepalliperidone
VIC2016-04-04

Finding into death of Werner Viertmann

83y · Male·Multiple injuries sustained in collision with train (pedestrian)

An 83-year-old man with probable Alzheimer's disease died after being struck by a train while attempting to climb from railway tracks. Despite living in aged care with documented cognitive decline and falls, he was permi…

geriatric medicinepsychiatrycommunicationsystem
VIChome2016-04-04

Finding into death of Frank Edward Frood

47y · Male·Bronchopneumonia on a background of methadone and benzodiazepine use

Frank Frood, a 47-year-old man with a 20-year history of heroin use and opioid replacement therapy (ORT) on methadone, died from bronchopneumonia with a background of methadone and benzodiazepine use. He suffered chronic…

general practiceaddiction medicinemedicationsystemmethadone
VIChome2016-04-04

Finding into death of Jacinta Pompei

32y · Female·Blunt force trauma to the head

Ms Jacinta Pompei, aged 32, was killed by blunt force trauma to the head inflicted by her intimate partner, Mr Justin Ellard, who struck her repeatedly with a claw hammer while she slept. The coroner investigated whether…

psychiatryforensic medicineclozapine

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