Coronial
SAother

Coroner's Finding: Holding, Matthew Benjamin

Deceased

Matthew Benjamin Holding

Demographics

44y, male

Date of death

2023-01-02

Finding date

2026-03-13

Cause of death

unascertained

AI-generated summary

Matthew Benjamin Holding, aged 44, died suddenly in prison on 2 January 2023. He had schizophrenia managed with antipsychotics and severe obesity (BMI 41.6). In December 2022, he showed signs of significant deterioration including extreme daytime sleepiness, low oxygen saturation (90-91%), and facial swelling from a dental issue. Medical staff recommended hospital assessment and CPAP therapy for suspected sleep apnoea; he refused both despite being informed of death risk. He fell in his cell on 1 January and was found unresponsive at 6:40 am. CPR commenced within 3 minutes but was unsuccessful. Post-mortem examination found no definitive cause; electrocution was investigated and excluded. The coroner found the cause unascertained but likely related to functional breathing abnormality or cardiac conduction disorder. Medical care was deemed adequate despite refusal of recommended interventions.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

psychiatrycorrectional healthgeneral practicecardiologyforensic medicine

Drugs involved

olanzapinerisperidonesimvastatinantibiotics

Clinical conditions

schizophreniatreatment-resistant schizophreniamorbid obesityobstructive sleep apnoea (suspected)obesity hypoventilation syndrome (suspected)hypoxaemiahypercholesterolaemiafatty liver with congestion

Contributing factors

  • morbid obesity (BMI 41.6)
  • suspected obstructive sleep apnoea
  • low oxygen saturation (90-91%)
  • daytime somnolence
  • possible obesity hypoventilation syndrome
  • possible cardiac conduction disorder
  • refusal of medical interventions (CPAP, hospital assessment)
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.