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SAhome2025-11-27

Coroner's Finding: Nguyen, Van Tam

47y · Male·self-inflicted stab wound to the chest with penetration of the left ventricle of…

A 47-year-old man serving his sentence on home detention died from a self-inflicted stab wound to the chest. He had a history of heroin and methamphetamine use and was receiving methadone maintenance and mirtazapine whil…

correctional healthpsychiatryheroin
SAhome2025-11-27

Coroner's Finding: Brown, Logan Reece

25y · Male·hanging

Logan Brown, a 25-year-old man on home detention bail, died by hanging. He had a complex psychiatric history including borderline personality disorder, polysubstance use disorder, and chronic suicidal ideation dating fro…

psychiatrygeneral practicemethamphetamine
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

Paul Douglas Gifford, aged 36, died by hanging while on home detention bail. He had a long history of substance abuse (methamphetamine, opioids), mental health issues including borderline personality disorder, childhood …

psychiatryaddiction medicinemethamphetamine
SAhome2025-05-20

Coroner's Finding: Johnstone, Aaron George

43y · Male·methylamphetamine and heroin toxicity

A 43-year-old man died from methylamphetamine and heroin toxicity while on home detention bail. He had a complex psychiatric history including depression, psychosis, PTSD, and polysubstance use disorder, with previous su…

psychiatryaddiction medicinemethamphetamine
SAhome2024-09-13

Coroner's Finding: Sulley, Matthew Wade

46y · Male·neck compression due to hanging

Matthew Wade Sulley, aged 46, died by hanging while on home detention under Department for Correctional Services supervision. He had a significant psychiatric history including previous suicide attempt by hanging (1997),…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
SAhome2020-10-12

Coroner's Finding: BABAKHANI Sina

21y · Male·heroin toxicity

A 21-year-old man died from heroin toxicity while on home detention bail. He had been engaged in a methadone program and psychological treatment for heroin addiction, PTSD, depression and anxiety since June 2015. Despite…

addiction medicinepsychiatryheroin
SAhome2020-07-16

Coroner's Finding: KEIPERT Mathew James

44y · Male·Ischaemic heart disease due to coronary atherosclerosis

Mathew James Keipert, age 44, died of ischaemic heart disease due to coronary atherosclerosis while on home detention bail. He had significant cardiovascular risk factors including hypertension, heavy smoking (40 cigaret…

cardiologygeneral practicediagnosticdelaybuprenorphine
SAhome2020-07-09

Coroner's Finding: HALES Fiona Joy

33y · Female·hanging

Fiona Joy Hales, aged 33, died by hanging at her home while subject to home detention and bail conditions. She had a 5-year history of methamphetamine addiction, previous suicide attempts (2007/2008 and December 2016), a…

psychiatryaddiction medicinemethamphetamine
SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital present…

respiratory medicineintensive carepregabalin
SAhome2020-05-28

Coroner's Finding: WHITE Jeffrey Thomas

35y · Male·heroin toxicity

Jeffrey Thomas 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…

addiction medicinegeneral practicedelayheroin
SA2019-06-07

Coroner's Finding: AZAPARTI Wyatt William

45y · Male·mixed drug toxicity (methadone and pregabalin) with possible contributing factor…

A 45-year-old man died in prison from mixed drug toxicity involving methadone and pregabalin, with possible contribution from morbid obesity. He had a history of opioid use and chronic pain from a foot injury. Despite re…

correctional healthpain medicinemethadone
SAhome2017-11-17

Coroner's Finding: KEANE Shaun Martin

31y · Male·carbon monoxide toxicity

Shaun Martin Keane, aged 31, died by carbon monoxide toxicity while on home detention bail following arrest for assault. He had a documented history of suicidal ideation, including a previous gassing attempt in 2010, and…

psychiatrypsychologycommunicationsystemmethamphetamine
SAhome2013-09-03

Coroner's Finding: KROMWYK Shane Andrew

38y · Male·mixed drug toxicity and arrhythmogenic right ventricular dysplasia

Shane Andrew Kromwyk, aged 38, died at home on 14 March 2009 while on home detention bail. Post-mortem examination revealed mixed drug toxicity (methadone, diazepam, alprazolam) combined with pre-existing arrhythmogenic …

general practiceaddiction medicinediagnosticmedicationmethadone
SAhome2012-09-25

Coroner's Finding: AMOS Mark Geoffrey

37y · Male·Morphine toxicity from accidental overdose of crushed Kapanol (slow-release morp…

A 37-year-old male subject to home detention bail died from morphine toxicity due to accidental overdose of crushed Kapanol (slow-release morphine capsules). He had a long history of polysubstance abuse, encephalitis fro…

toxicologyaddiction medicinesystemdelaymorphine
SA2011-11-04

Coroner's Finding: Sleeping Rough Inquest

Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…

Concurrent coronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and se…

emergency medicinerespiratory medicinesystemdelayalcohol
SAhospital2011-10-06

Coroner's Finding: BROWN Kunmanara

18y · Male·Hypoxic brain injury following cardiac arrest due to neck compression from hangi…

An 18-year-old Aboriginal man died from hypoxic brain injury following cardiac arrest from hanging. He had a chronic petrol-sniffing habit and was acutely intoxicated on petrol when he hanged himself after a police incid…

emergency medicineintensive carecommunicationsystempetrol
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 on home detention bail. Critical system…

toxicologyforensic medicinecommunicationsystembuprenorphine
SAaged care2008-02-04

Coroner's Finding: KEOUGH Thomas Ryan

18y · Male·methadone toxicity

Thomas Ryan Keough, aged 18, died from methadone toxicity at Palm Lodge, a supported residential facility for people with mental illness, in August 2003. His body was not discovered for 48 hours after death. The coroner …

psychiatryaddiction medicineproceduralcommunicationmethadone
SAhome2007-11-09

Coroner's Finding: RANDALL Treenor Heather

50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)

Treenor Heather Randall, a 50-year-old registered nurse, died from mixed tablet overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed d…

general practicepsychiatrycommunicationdelayquetiapine
SAhome2003-04-11

Coroner's Finding: YIALAS Dimitrios

23y · Male·neck compression due to hanging

A 23-year-old male with drug-induced psychosis died by hanging. He had a long history of substance abuse and behavioural problems, with multiple presentations to hospital and mental health services. In March 2001, he was…

psychiatrygeneral practicecommunicationsystemamitriptyline

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