Coronial

19 results for poly-substance use

SAcommunity2002-05-23

Coroner's Finding: DANN Kathleen Felicity

38y · Female·mixed drug toxicity (lethal level of dothiepin, potentially lethal level of morp…

…temazepam) and dothiepin (a tricyclic antidepressant) over four years, despite knowing she continued heroin use. The coroner found the prescribing approach 'unduly passive' and 'risky'. The combination of high-dose benz…

general practiceaddiction medicinemedicationdiagnosticheroin
VIChome2014-08-06

Finding into death of Steven Simon Karastavrou

48y · Male·Cardiomegaly and fatty liver in a man with alcohol intoxication

Steven Karastavrou, a 48-year-old man with paranoid schizophrenia, poly-substance abuse (alcohol, cannabis, amphetamines), hypertension, high cholesterol, and diabetes, died suddenly a…

psychiatrygeneral practicezuclopenthixol
SAhome2006-05-05

Coroner's Finding: KILEY Carol Anne

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

…rescribed 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: i…

general practicepsychiatrymedicationdiagnosticoxazepam
VIC2019-02-25

Finding into death of Thomas Murphy

36y · Male·Acute myocardial infarction due to ischaemic heart disease with severe coronary …

…tional Centre in June 2018. He had significant cardiovascular risk factors including a history of poly-drug use (methamphetamine and cannabis), depression, anxiety, and PTSD. The coroner found no suspicious circumstance…

forensic medicineemergency medicinecitalopram
VICcommunity2016-05-05

Finding into death of David Scrofano

41y · Male·Pheniramine toxicity

… overdose of antihistamine tablets. He had a long history of schizophrenia, acquired brain injury, and poly-substance abuse. When found by police behaving erratically, his presentation—agitation, disorientation, unsteady…

forensic medicinetoxicologydiagnosticcommunicationpheniramine
WAcommunity2014-12-30

Inquest into the Death of Gyan Murray JEFFERY

31y · Male·Head and chest injury

…y at Argyle, Western Australia, on 30 September 2011. He had a longstanding history of mental illness, poly-substance abuse including intravenous amphetamines and heroin, chronic suicidal ideation, and multiple psychiatr…

psychiatryemergency medicinemethamphetamine
VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

Kirk Steven Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after release from prison. Two critical cli…

general practiceaddiction medicinemedicationcommunicationheroin
QLDcommunity2016-05-03

Foster, Troy Martin

32y · Male·gunshot wounds to the trunk

…er, 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 Mental Health …

psychiatryemergency medicinecommunicationsystemalcohol
TAShome2018-05-07

Coroner's Finding: Daniels, Scott Allen

44y · Male·Positional asphyxia

Scott Allen Daniels, a 44-year-old with chronic schizophrenia/schizoaffective disorder and substance abuse history, died from positional asphyxia on 17-19 March 2016. He consumed significant alcohol (BAC 0.220), ca…

psychiatryforensic medicinemedicationsystemalcohol
WAcommunity

Inquest into the Death of Dean Anthony POLLARD

41y · Male·unknown

… 2010 at Swan District Hospital where psychiatric assessment found no acute risks despite chronic substance use and aggression. He had poor medication compliance, escalating drug dependence, and episodes of violence. Cl…

psychiatryemergency medicinesystemcommunicationmethamphetamine
QLD2024-05-13

HARVEY, Thompson

33y · Male·Neck compression (hanging)

…gaps; and suicide risk assessment cannot rely solely on self-report in recently suicidal patients with poly-substance abuse and relationship breakdown.

psychiatrypsychologycommunicationdiagnosticmorphine
TAShome2015-10-02

Coroner's Finding: Ms G de-identified

Female·hanging (suicide)

…2009 and 2013, but remained non-compliant with follow-up care and repeatedly relapsed into alcohol and drug use after discharge. Financial difficulties, unemployment, and loss of private health insurance limited her acc…

psychiatryaddiction medicinesystemalcohol
WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

A 36-year-old Aboriginal man with cluster B personality disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty t…

psychiatryforensic medicinecommunicationsystemmethamphetamine
TAS2026-06-03

Coroner's Finding: Brown, Nicholas, Wiki, Toni, Winwood, Matthew and Kemp, Belinda

Unknown·Nicholas Brown: combined drug (methadone and benzodiazepine) intoxication; Toni …

…and reviews, absent urine drug screening, and poor record-keeping. Dr J.'s negligent prescribing directly caused deaths of Brown and Winwood from combined drug toxicity. Kemp died of pneumonia with prescription drug tox…

addiction medicinegeneral practicediagnosticmedicationmethadone
VICcommunity2012-12-10

Finding into death of Lynette May Phillips

27y · Female·neck compression

27-year-old Lynette Phillips died from neck compression (strangulation) at the hands of her intimate partner Benjamin Pappas in February 2007. Lynette had a documented history of family violence, drug dependency, and was…

general practicepsychiatrycommunicationsystemheroin
VICcommunity2015-09-24

Finding into death of GC

42y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

A 42-year-old male with a long history of schizophrenia and dissocial personality disorder was released from prison in August 2011 without parole conditions. Despite police and forensic mental health concerns about his r…

psychiatryemergency medicinesystemdelaycannabis
VICcommunity2012-09-20

Finding into death of Jason Kenneth Chapman

31y · Male·gunshot wounds to chest

…ene, failure to contact the Critical Incident Response Team despite Chapman's known mental illness and drug use, and the ineffectiveness of multiple capsicum spray and foam deployments. While the shooting itself was jus…

psychiatrygeneral practicecommunicationsystemantipsychotic medication
VIC2015-01-30

Finding into death of Matthew Aaron Condie

21y · Male·upper airway obstruction and plastic bag asphyxia

Matthew Aaron Condie, a 21-year-old prisoner serving a 12-year sentence at Port Phillip Prison, died by asphyxiation using a plastic bag on 27-28 September 2007. The coroner found his death was potentially preventable du…

psychiatrypsychologycommunicationsystem
NSWaged care2015-03-09

Inquest into the deaths and fire at the Quakers Hills Nursing Home, Hambledon Road, Quakers Hill

Unknown·smoke inhalation and burns from deliberately-lit fire (primary cause varies by i…

Fourteen elderly residents died in a deliberately-lit fire at Quakers Hill Nursing Home on 18 November 2011, set by drug-dependent nurse Roger Dean to destroy evidence of medication theft. Dean had worked while visibly i…

geriatric medicineoccupational and environmental healthsystemcommunicationoxycodone

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