Coronial

173 results for cannabis abuse disorder

VIChome2023-11-20

Finding into death of Caitlin Mary O'Brien

31y · Female·Compression of the neck

Caitlin O'Brien, a 31-year-old nurse, was murdered by her intimate partner Shea Sturt via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk…

psychiatryemergency medicinediagnosticcommunicationcannabis
QLDhome2006-05-26

Petrelis, Andrew Nicholas

25y · Male·opiate toxicity (heroin overdose)

Andrew Nicholas Petrelis, a witness protection program participant, was found dead in his Caloundra apartment on 11 September 1995 from opiate toxicity (heroin overdose). He had relocated from Western Australia to Queens…

forensic medicinetoxicologysystemproceduralheroin
VIChome2020-04-07

Finding into death of Jesse Stephen Bird

32y · Male·neck compression in the circumstances of hanging

Jesse Bird, a 32-year-old Torres Strait Islander veteran, died by suicide in June 2017 after struggling to navigate the Department of Veterans' Affairs (DVA) compensation system. He served in Afghanistan in 2009, develop…

psychiatryparamedicinesystemcommunicationduloxetine
NSWcommunity2025-09-24

Inquest into the death of Matthew Richard Lothian

37y · Male·self-inflicted gunshot wound to the head and neck

…from Correctional Services Officer Harvey and shot himself. Lothian had a history of depression, substance abuse, and was facing serious charges with limited prospects of escape from his legal predicament. The coroner i…

psychiatrycorrectional healthsystemcommunicationmethadone
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

Sheridan Troy Hilton, a 42-year-old woman with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She experienced significant psychosoci…

general practicepsychiatrycommunicationsystemmirtazapine
TAShospital2019-09-26

Coroner's Finding: Peck, Edward Paisley

23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…

A 23-year-old man with bipolar disorder, polysubstance dependence, and chronic self-harm died by jumping from the Tasman Bridge hours after psych…

psychiatryemergency medicinecommunicationdiagnosticlithium carbonate
NSWhome2025-06-24

Inquest into the death of Jade

3y · Female·Bilateral Bronchopneumonia (Streptococcus Pyogenes/Staphylococcus Aureus) with k…

Jade, a 3-year-old First Nations child, died from bilateral bronchopneumonia with neglect as a significant contributing factor. Her death was wholly preventable. The coroner identified critical failures: DCJ's Muswellbro…

paediatricspsychiatrydiagnosticcommunicationquetiapine
NSWaged care2020-07-29

Inquest into the death of John Pocklington

31y · Male·Acute Myocardial Infarction

John Pocklington, aged 31, died of acute myocardial infarction while in remand custody. He had a long history of methamphetamine use and untreated cardiac damage. On 28 April 2015, he reported chest pain to a nurse, who …

cardiologypsychiatrydiagnosticcommunicationmethamphetamine
VIC2023-12-01

Finding into death of J ZA

17y · Female·Gamma hydroxybutyrate (GHB) toxicity

JZA, a 17-year-old in residential out-of-home care, died from GHB toxicity after returning to her residential unit intoxicated in the early morning. She was monitored by residential support workers throughout the day but…

communicationsystemgamma-hydroxybutyrate
WAmental health2015-12-31

Inquest into the Death of Ruby Natasha NICHOLLS-DIVER

Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…

Five patients of Alma Street Centre's psychiatric unit died within 12 months (2011-2012). Three died by suicide within 24 hours of discharge; one disappeared and died; one absconded while detained and died. Clinical less…

psychiatryemergency medicinecommunicationdiagnosticantidepressants
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD m…

psychiatrygeneral practicediagnosticsystematomoxetine
SAhospital2005-06-03

Coroner's Finding: SORENSEN Ruth Bengta Maria

69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…

A 69-year-old woman presented to the Emergency Department with abdominal pain and vomiting. The doctor did not take adequate history, perform thorough physical examination, or order basic investigations including blood t…

emergency medicinesurgerydiagnosticcommunicationprochlorperazine
QLDcommunity2006-12-15

Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane

asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …

Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…

psychiatrygeneral practicediagnosticcommunicationflupenthixol
189

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