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. On 26 December 2015, after spending Christmas with her estranged partner despite an active intervention order, she ingested a large quantity of baclofen. She became delirious, disoriented, and likely suffered seizures, sustaining multiple injuries over several hours while alone at home. The coroner found no evidence of intentional self-harm or third-party involvement. Key clinical lesson: baclofen toxicity can cause profound CNS depression and seizures, particularly in polysubstance users with psychiatric comorbidity. Prescribing large quantities to vulnerable patients requires careful monitoring and consideration of concurrent CNS depressants.