124 results
51y · Female·Ischaemic heart disease
Pauline Margaret Dodd, 51, died of ischaemic heart disease at Sir Charles Gairdner Hospital on 4 March 2014. She was an involuntary psychiatric patient with long-standing bipolar affective disorder, complicated by childh…
52y · Female·intracerebral haemorrhage in a lady with underlying cerebrovascular disease and …
A 52-year-old woman underwent right carotid endarterectomy for high-grade stenosis. Post-operatively she developed escalating blood pressure readings (160–220 mmHg), headaches, nausea, agitation, and abnormal behaviour o…
44y · Female·Unascertained
A 44-year-old woman with chronic pain, epilepsy, and opioid dependence died at home with an unascertained cause in the setting of prescription medication use. She was a known 'doctor shopper' who obtained opioids from mu…
33y · Female·multiple injuries sustained when struck by a train
Naomi Mahon, a 33-year-old woman with bipolar affective disorder and substance use issues, died after being struck by a train shortly after absconding from Monash Medical Centre emergency department. She had been brought…
72y · Female·Hanging
Chang Ying Xu, a 72-year-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care facility. While her depression history and multip…
51y · Male·Massive head injuries due to quad bike accident
Geoffrey Moore, a 51-year-old maintenance supervisor, died from massive head injuries after crashing a quad bike into a fence at a feedlot. The quad bike had a corroded and seized throttle cable that caused excessive rev…
Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…
This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, multi…
45y · Female·Pethidine toxicity
Maree Arthur died from pethidine toxicity at home on 2 February 2008, aged 45. She had complex chronic pain from previous surgeries and motor vehicle injury. Her GP, Dr P., prescribed large quantities of pethidine and ox…
24y · Male·cardio-respiratory arrest due to multi-drug toxicity
Hugh Lisle, a 24-year-old man with severe chronic arthritis, depression, polysubstance addiction and gambling disorder, died in a private psychiatric facility after admission for substance withdrawal management. Death re…
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple dru…
26y · Male·Gunshot wound to head
Wayne Joannou, 26, died from a gunshot wound to the head on 18 February 2005 when the Special Operations Group attempted his arrest. He was a known violent offender with a 10-year criminal history and substance abuse iss…
56y · Female·Malnutrition arising from refusal of oral intake in a setting of palliation with…
Robyn Wanstall, a 56-year-old woman with phenylketonuria, intellectual disability, Parkinson's disease, and suspected multiple myeloma with hypercalcaemia, died from malnutrition due to refusal of oral intake in a pallia…
28y · Male·consistent with drowning
Benjamin Pappas, a 28-year-old with a history of substance abuse, depression, borderline personality disorder, and suicidal ideation, died by drowning on approximately 4 March 2007, following the discovery that his partn…
27y · Female·neck compression
27-year-old Lynette Phillips died from neck compression (strangulation) at the hands of her intimate partner Benjamin Pappas in February 2007. Lynette had a documented history of family violence, drug dependency, and was…
29y · Male·hanging
Timothy Casey, 29, charged with murder, died by hanging in Port Phillip Prison on 28 March 2008, 12 days after arrival. His death resulted from systemic failures in psychiatric assessment and care. At Melbourne Assessmen…
24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…
A 24-year-old man with schizoaffective disorder and substance abuse killed his 2-year-old son and himself in March 2009. The deceased had been released on licence following a mental impairment finding and was subject to …
42y · Male·Ischaemic heart disease - coronary atherosclerosis and thrombosis
Paul Stephens, a 42-year-old man with intellectual disability, died from ischaemic heart disease with coronary atherosclerosis and thrombosis. He presented with symptoms consistent with acute coronary syndrome (arm pain,…
34y · Male·Long drop hanging resulting in complete decapitation
Jason Jenkins, aged 34, died by suicide (long drop hanging resulting in complete decapitation) on 17 June 2006, approximately 6 weeks after discharge from psychiatric admission on a Community Treatment Order. He had a 15…
86y · Female·Unable to be determined
An 86-year-old woman resident in aged care died with toxicology revealing a potentially fatal concentration of sertraline (1.7mg/kg, with metabolite at 2.3mg/kg; fatal range 0.61–1.6mg/kg). A clinical pharmacologist opin…
53y · Male·Acute subdural haemorrhage
David Waghorn, aged 53, died from acute subdural haemorrhage following a fall or head strike on 16 April 2007. He had opiate dependence and was under the influence of drugs at the time of the incident. He fell or stumble…
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