OCC Inquest - Lisle 2016

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Lisle
Given Name(s): Diane
Age: 62

Held at: Smiths Falls
From: March 7
To: March 9, 2016
By: Dr. Daniel Dufour, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Diane Lisle
Date and time of death: January 7, 2013 at 11:46 a.m.
Place of death: 39 Chambers St Smiths Falls, Ontario – parking lot
Cause of death: Acute amitriptyline toxicity
By what means: Accidental overdose

(Original signed by: Foreperson and Jurors)


The verdict was received on the 9th of March, 2016
Coroner's name: Dr. Daniel Dufour
(Original signed by coroner)


We, the jury, wish to make the following recommendations:


Inquest into the death of:

Diane Lisle

Jury Recommendations

To the Ministry of Community Safety and Correctional Services

It is recommended that all provincial correctional facilities install x-ray based body scanners for the purpose of detecting and deterring the introduction of contraband into the institution.

To the Ministry of Community Safety and Correctional Services, Ontario Provincial Police and Smiths Falls Police Service.

It is recommended that all officers and staff involved in the care and control of detainees should have standardized training to help recognize the signs and symptoms of drug overdose.