7.7.2.9 Significant past medical history
This was noted in one or more noted in 33 (22%) of the 151
cases).
• Established diagnosis and treatment for: severe depression,
anxiety, or panic attacks; paranoid schizophrenia; severe
primary personality disorders; history of violent attempted
suicide; self-harm; agoraphobia; epilepsy; alcoholism; surgery
and/or treatment for gender reassignment; strong family
history of early premature death due to heart failure; serious
injury from car, work accident or violent assault; and diagnosis
and treatment of degenerative illnesses such as MS and
rheumatoid arthritis.
(Medical notes from GP): Deceased (male aged 33) generally
seen once a week or fortnightly because of his high risk of
overdose. He was taken into care age 17 and suffered a
serious assault aged 22. At age 24 he suffered from
alcoholism and a drug overdose and was diagnosed with a
sociopathic disorder. Since this time I have seen the
deceased many times drunk and under the influence of
butane gas and with a very fluctuating mental state in that he
could be happy and chatty one week and take an impulsive
overdose the next week. At 24 he suffered a druginduced
paranoid state and was in hospital for seven months. At age
26 he was again sectioned under the Mental Health Act with
a diagnosis of impulsive borderline personality disorder,
alcohol and sedative dependency, volatile solvent abuse and
alcohol and amnesic syndrome. At age 29 he was admitted
for detox of alcohol and on a couple of occasions took a
couple of impulsive overdoses – this was the continuing
pattern. In that year he was finally thrown out by his landlord
for aggressive behaviour and was sleeping rough in
cemeteries. At this time selfharming behaviour was also
noted. At age 31 he was diagnosed with agitated depression
and also had a psychotic episode. At age 32 he had another
psychotic episode and then was involved in a stabbing
incident. He stabbed the landlord’s son with a knife and then
cut his own wrists. For this he was sent to prison for a year.
One month before his death I saw him in the surgery, when
he was out of prison and again living with his former landlord.
He was drinking but not abusing butane gas. He survived on
a cocktail of medication and was reluctant to give this up
(dihydrocodeine and temazepam). PM toxicology:
dihydrocodeine = 9.8mg/L; alcohol = 330mg/L and butane
and benzodiazepines detected. [Coronial file no. 43]
7.7.2.9 Significant past medical history
This was noted in one or more noted in 33 (22%) of the 151
cases).
• Established diagnosis and treatment for: severe depression,
anxiety, or panic attacks; paranoid schizophrenia; severe
primary personality disorders; history of violent attempted
suicide; self-harm; agoraphobia; epilepsy; alcoholism; surgery
and/or treatment for gender reassignment; strong family
history of early premature death due to heart failure; serious
injury from car, work accident or violent assault; and diagnosis
and treatment of degenerative illnesses such as MS and
rheumatoid arthritis.
(Medical notes from GP): Deceased (male aged 33) generally
seen once a week or fortnightly because of his high risk of
overdose. He was taken into care age 17 and suffered a
serious assault aged 22. At age 24 he suffered from
alcoholism and a drug overdose and was diagnosed with a
sociopathic disorder. Since this time I have seen the
deceased many times drunk and under the influence of
butane gas and with a very fluctuating mental state in that he
could be happy and chatty one week and take an impulsive
overdose the next week. At 24 he suffered a druginduced
paranoid state and was in hospital for seven months. At age
26 he was again sectioned under the Mental Health Act with
a diagnosis of impulsive borderline personality disorder,
alcohol and sedative dependency, volatile solvent abuse and
alcohol and amnesic syndrome. At age 29 he was admitted
for detox of alcohol and on a couple of occasions took a
couple of impulsive overdoses – this was the continuing
pattern. In that year he was finally thrown out by his landlord
for aggressive behaviour and was sleeping rough in
cemeteries. At this time selfharming behaviour was also
noted. At age 31 he was diagnosed with agitated depression
and also had a psychotic episode. At age 32 he had another
psychotic episode and then was involved in a stabbing
incident. He stabbed the landlord’s son with a knife and then
cut his own wrists. For this he was sent to prison for a year.
One month before his death I saw him in the surgery, when
he was out of prison and again living with his former landlord.
He was drinking but not abusing butane gas. He survived on
a cocktail of medication and was reluctant to give this up
(dihydrocodeine and temazepam). PM toxicology:
dihydrocodeine = 9.8mg/L; alcohol = 330mg/L and butane
and benzodiazepines detected. [Coronial file no. 43]
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