Coronial

113 results for substance misuse

VICcommunity2021-03-10

Finding into death of Casey Evan Cahill

19y · Male·Multiple injuries sustained on a train impact (pedestrian)

… history of mental ill health including depression, psychotic symptoms, and suicidal ideation, alongside substance misuse involving methamphetamine, cannabis, cocaine, and alcohol. He was enrolled in the Headspace Youth…

psychiatryaddiction medicinesystemalcohol
NSWhome2023-08-22

Inquest into the death of George Campbell

17y · Male·hydrocarbon toxicity (petrol inhalation)

George Campbell, an Aboriginal youth with complex trauma, ADHD, and emerging volatile substance misuse, died aged 17 from hydrocarbon toxicity after inhaling petrol. While living with supportive kinsh…

paediatricspsychiatrycommunicationsystempetrol
QLD2021-09-02

Batalha, Benjamin John

35y · Male·Not determined

…tween QCS, PMHS, and PHS; therapeutic urine testing; opioid substitution programs; prisoner education on substance misuse risks at reception; and enhanced behavioural therapies.

psychiatrycorrectional healthsystemdiazepam
WAhospital2013-09-05

Inquest into the Death of Fisher, Hayley Bree

27y · Female·opiate toxicity (fentanyl)

…l she obtained from a patient-controlled analgesia device. She had a history of depression, anxiety, and substance misuse following her mother's death, and was on multiple psychiatric medications. The coroner found no e…

obstetricsanaesthesiasystemfentanyl
VIChome2010-03-17

Finding into death of Paul Gledhill

37y · Male·smoke inhalation

…of deliberate intent. The coroner found the death accidental. Clinical lessons include: recognition that substance misuse significantly impairs fire safety awareness and emergency response capacity; the vulnerability of…

psychiatryforensic medicineflupenthixol
VIC2022-07-28

Finding into death of Master S

17y · Male·Unascertained in the setting of volatile substance abuse

…n, died on 3 July 2017 at the Bert Williams Hostel from a cause unascertained in the setting of volatile substance abuse (chroming Rexona deodorant). He had a history of exposure to family violence, ADHD, mental health …

paediatricspsychiatrycommunicationsystemrexona deodorant
TAS2024-10-03

Coroner's Finding: Martin, Thomas David Findings

33y · Male·ketoacidosis, likely alcoholic ketoacidosis

…on facility in Hobart. He had a long history of schizophrenia, involuntary mental health admissions, and substance misuse. In the weeks before death, he exhibited concerning behaviours including drug manufacturing, diso…

psychiatrygeneral practicealcohol
NTcommunity2008-05-12

Inquest into the death of Kenny Malthouse

12y · Male·accidental suffocation secondary to the inhalation of vapour from Opal fuel

…y oedema and hypoxic organ failure through volatile vapour inhalation; vulnerable youth with established substance misuse require intensive intervention and monitoring; and public health messaging about inhalant dangers…

pathologytoxicologysystemopal fuel
TAShome2016-12-05

Coroner's Finding: Lunson, Nathan

24y · Male·mixed ethanol and prescription drug toxicity

… drug toxicity following an impulsive overdose. He had longstanding borderline personality disorder, polysubstance dependence, chronic suicidal ideation, and was under psychiatric care. After a relationship conflict on …

psychiatrypsychologyalcohol
VIChome2014-04-02

Finding into death of AB

34y · Female·Combined drug toxicity (propofol, sevoflurane and others)

…n unlocked trolleys accessible to all theatre staff; (2) failure of her GP and employer to recognise her substance misuse and mental health deterioration; (3) her declining psychiatric follow-up despite referral in 2010…

anaesthesiageneral practicesystemcommunicationpropofol
VIChome2018-12-07

Finding into death of Wayne Brown

38y · Male·Stab wound to the chest

…ders, threats, and assaults against family members. He presented with significant risk factors including substance misuse (alcohol, methamphetamine, cannabis, methadone), mental health issues, unemployment, controlling …

alcohol
VIChome2023-07-27

Finding into death of Mr A

31y · Male·Hanging

Mr A, a 31-year-old man with a history of family violence, substance misuse, and mental health issues, died by hanging in April 2018. Key clinical lessons include: (1) the i…

psychiatrygeneral practicesystemcommunicationmethamphetamine
VIChome2020-12-01

Finding into death of Mitchell Boyd Branson

20y · Male·Hanging

…ime of death. The case is part of a broader statistical suicide cluster in Mildura with common themes of substance misuse and mental health issues. Clinicians should recognize that refusal of professional mental health …

psychiatrygeneral practicecommunicationdelayalcohol
TAShome2023-12-14

Coroner's Finding: Drummond, Samuel Patrick

44y · Male·acute alcohol intoxication

…itical need for comprehensive psychosocial support for patients with concurrent mental health diagnoses, substance misuse, and social instability.

toxicologypathologyalcohol
TAShome2026-03-23

Coroner's Finding: de-identified ZA

51y · Female·Unintentional prescription drug poisoning due to central nervous system depressi…

A 51-year-old woman with chronic pain, depression, and longstanding medication misuse died from unintentional prescription drug poisoning. She had been prescribed high-risk combinations of opi…

general practicepain medicineoxycodone
QLDhome2014-08-07

A four month old baby - Non-inquest findings

0y · Male·Sudden infant death syndrome (unclassified sudden infant death subclassification…

…k assessment process that returned the child to parents with significant risk factors (chronic drug use, substance misuse denial, vulnerable infant, extensive family protection history) despite a 'very high risk' Family…

paediatricspathologysystemdelaymethamphetamine
VIChome2018-07-29

Finding into death of Diane Maria Hillgrove

34y · Female·Mixed drug toxicity

Diane Maria Hillgrove, a 34-year-old woman with chronic pain, PTSD, anxiety and substance abuse history, died from mixed drug toxicity on 7 July 2018. Post-mortem toxicology revealed elevated pr…

general practicepsychiatrysystempregabalin
ACThome2017-09-11

AN INQUEST INTO THE DEATH OF LESLEY MAREE SMITH

47y · Female·Sudden Unexpected Death in Alcohol Misuse (SUDAM)

Lesley Maree Smith, 47, died at home on 9 May 2013 from Sudden Unexpected Death in Alcohol Misuse (SUDAM). She had chronic alcohol misuse (2 bottles nightly) and was prescribed diazepam by her GP, Dr H., …

general practicepathologydiagnosticcommunicationdiazepam
VIC2019-02-13

Finding into death of Gordon Harvey

62y · Male·Blunt force trauma to the head

…nadequate for non-heterosexual relationships; (3) the substantial vulnerability of victims with comorbid substance misuse and mental health conditions; and (4) failures by Corrections Victoria to manage Mr Kepenci despi…

forensic medicinetoxicologycommunicationsystemmirtazapine
VIChospital2011-05-24

Finding into death of Ruth Janet Younger

45y · Female·Complications of acute alcohol intoxication

…toms, enhanced monitoring during high-risk periods post-discharge, and consideration of vulnerability to substance misuse in patients with treatment-resistant schizophrenia. Earlier intervention upon discovering her abs…

psychiatryintensive carediagnosticmethylated spirits

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