Coronial

87 results for substance withdrawal

VICcommunity2022-03-16

Finding into death of Richard James Vanderhelm

42y · Male·unascertained

Richard Vanderhelm, a 42-year-old man with a long history of substance dependence, disappeared on 21–24 May 2009 while undergoing community-based detoxification from methadone…

general practiceaddiction medicinediagnosticmedicationmethadone
SAhome2016-08-04

Coroner's Finding: KALME Dearne Lee

51y · Female·undetermined - either citalopram toxicity or ischaemic heart disease

…3 while on home detention bail. She had been hospitalized in July 2013 following suspected drug overdose/withdrawal, during which she developed secondary kidney and heart complications. She was discharged in good health …

psychiatrycardiologycitalopram
VIC2011-03-15

Finding into death of Angela Diane Atkins

51y · Female·unascertained

… at Bendigo Police Station. She had been brought to Bendigo Hospital on 20 April with symptoms of opioid withdrawal and anxiety, and was discharged back to custody with diazepam 5mg prescribed three times daily. The foll…

emergency medicineforensic medicinediazepam
VIChome2023-10-12

Finding into death of Amanda Jane Harris

36y · Female·Stab wound to the right chest

…cribed high-dose tramadol (700-800mg daily) for chronic pain over 22 months by his GP without documented substance abuse assessment, despite documented history of polysubstance dependence. When Eckersley ceased alcohol …

general practicepain medicinemedicationcommunicationtramadol
WAcommunity2016-03-18

Inquest into the Death of David Davidson LAWSON

41y · Male·unascertained

… 41-year-old Aboriginal man with chronic alcohol use disorder and a history of psychotic symptoms during withdrawal, disappeared from a remote homestead on the Dampier Peninsula in October 2010. He was last seen exhibiti…

psychiatryemergency medicinesystemcommunicationolanzapine
NSW2024-12-11

Inquest into the death of Terry Grady

59y · Male·Hanging

…ision of his antidepressant Pristiq (due to incomplete release of information), and potential medication withdrawal effects increasing suicide risk. An independent psychiatrist noted that while Pristiq discontinuation ca…

psychiatrycorrectional healthsystemdelaydesvenlafaxine
VIC2016-11-07

Finding into death of Troy Daniel Saint

29y · Male·mixed drug toxicity including heroin

Troy Daniel Saint, a 29-year-old man with amphetamine and opioid dependence, died of mixed drug toxicity including heroin while admitted to The Melbourne Clinic for voluntary detoxification. Critical failures occurred: (…

addiction medicinepsychiatrycommunicationsystemheroin
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

…he coroner found critical departures from clinical guidelines: inadequate objective assessment of opioid withdrawal (patient heavily sedated, masking withdrawal signs), inappropriate rapid dose titration, insufficient se…

psychiatryaddiction medicinediagnosticmedicationmethadone
VIChospital2014-03-25

Finding into death of Robert Glaisher

56y · Male·hypothermia

…sumption and was on antidepressants. The ED medical and psychiatric assessments were suboptimal; alcohol withdrawal was not adequately considered despite his trembling and neuropsychiatric presentation. He was discharged…

psychiatryemergency medicinediagnosticcommunicationvenlafaxine
VICcommunity2012-03-01

Finding into death of K

33y · Male·complications from blunt force trauma to head consequent upon being struck by a …

A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007…

psychiatrygeneral practicediagnosticcommunicationmethadone
NSW2014-05-21

Inquest into the death of GB

38y · Male·asphyxiation due to hanging

A 38-year-old remand prisoner with a long history of drug dependency died by asphyxiation from hanging in his cell at a metropolitan remand centre in September 2011. He had been assessed multiple times by the Risk Interv…

psychiatryaddiction medicineproceduralmethamphetamine
SA2018-01-30

Coroner's Finding: JONES Heath Ryan

35y · Male·hypoxic-ischaemic encephalopathy (post cardiac arrest) on a background of acute …

…ed by escalating personal stressors: relationship breakdown, a large drug debt, pending court cases, and substance withdrawal. Prison and medical assessments correctly identified him as low-risk based on disclosed infor…

emergency medicineintensive caresystemmethamphetamine
VIChome2025-04-01

Finding into death of Jack Elliot Atkinson

26y · Male·Drug toxicity (1,4 butanediol, gamma hydroxybutyrate, methylamphetamine, cocaine…

…caine, novel benzodiazepines (bromazolam, flubromazepam), nordiazepam, and ketamine. He had a history of substance use disorder since age 16, successfully completed rehabilitation in May 2022, but relapsed after an over…

general practiceaddiction medicine1,4-butanediol
NSWcommunity2017-01-18

Inquest into thedisappearance and suspected death of Colin Campbell

50y · Male·Unable to be determined

…. Clinically, his case highlights the challenges in managing patients with comorbid psychiatric illness, substance abuse, and medical conditions in community settings, and the limitations of support systems when patient…

psychiatrygeneral practicelargactyl
SAcommunity2009-03-18

Coroner's Finding: WANGANEEN John Frederick

29y · Male·multiple drug toxicity (buprenorphine, oxazepam, diazepam, alprazolam, and methy…

John Frederick Wanganeen, a 29-year-old with documented heavy polysubstance use, died of multiple drug toxicity after injecting crushed buprenorphine tablets mixed with water while…

toxicologyforensic medicinecommunicationsystembuprenorphine
VICcommunity2016-11-22

Finding into death of Claire Marguerite Martin

28y · Female·methadone toxicity

A 28-year-old woman with a history of mental illness and substance use disorder died from methadone toxicity five days after recommencing methadone maintenance therapy (MM…

addiction medicinepsychiatrydiagnosticmedicationmethadone
VIChome2022-07-08

Finding into death of X RR

29y · Male·Mixed drug toxicity (heroin and methamphetamine)

A 29-year-old man with a history of heroin and methamphetamine addiction died from mixed drug toxicity. He had suffered a work-related back injury leading to opioid dependence, complicated by anxiety and panic attacks. A…

addiction medicinegeneral practicesystemheroin
VIChospital2020-05-27

Finding into death of Ms T

46y · Female·Hanging

…n to leave for a cigarette believing a doctor had approved this, when no such approval existed. Nicotine withdrawal, untreated throughout her admission, contributed to repeated requests to leave. After self-discharge, a …

emergency medicinepsychiatrycommunicationsystemalcohol
VIChospital2024-12-02

Finding into death of S K

25y · Male·Gunshot injury to the head

… SK had engaged with mental health services following a suicide attempt in June 2021 and was referred to substance abuse treatment services (STAR), which he initially engaged with but subsequently disengaged after sever…

emergency medicinepsychiatrysystemdelaymethamphetamine
SAhome2020-05-28

Coroner's Finding: WHITE Jeffrey Thomas

35y · Male·heroin toxicity

…homas White, 35, died from heroin toxicity while on home detention bail. He had a 13-year history of polysubstance abuse including heroin, amphetamines, and methamphetamine. Three days before death, he contacted Drug an…

addiction medicinegeneral practicedelayheroin

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