848 results
28y · Male·neck compression subsequent upon hanging
Matthew Spalding, a 28-year-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 April 2009. He had been admitted to the Adult Acute Unit at Ballarat Health …
33y · Male·complications from blunt force trauma to head consequent upon being struck by a …
A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment (CAT) Team assessed him at 5pm …
40y · Female·Multiple injuries sustained in a fall from a height followed by being struck by …
A 40-year-old woman with a history of substance abuse and a prior suicide attempt in August 2010 presented to Northern Hospital at 2am with chest pain. Diagnosed clinically with pleurisy from lower respiratory tract infe…
28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…
Lyji Vaggs, a 28-year-old Aboriginal man with schizophrenia, died from hypoxic brain injury sustained during restraint at Townsville Hospital's Acute Mental Health Unit on 13 April 2010. He had declined admission at ED o…
24y · Male·Combined drug toxicity (morphine and diazepam)
James, aged 24, died from combined drug toxicity (morphine and diazepam) following intentional overdose. He had engaged in prescription shopping across 19 doctors and 32 pharmacies over three years, obtaining large quant…
48y · Male·drowning
John Tuffy, 48, died by drowning after absconding from a mental health waiting room at Bayview House while awaiting transfer to hospital. He had returned from Ireland with acute psychosis triggered by his mother's sudden…
51y · Female·Multiple injuries sustained when struck by a car while lying on the Mornington P…
Lee Collings, 51, died by suicide after absconding from an Emergency Department. She presented with suicidal ideation and was triaged as Mental Health Category 4. Key failures included: the Crisis Assessment Team clinici…
45y · Female·Robyn Eileen Hayward: gunshot wound to the head; Edwin Raymond Durance: gunshot …
This inquest examined two deaths from gunshot wounds in domestic violence context. Robyn Hayward (45 years) was shot by her estranged partner Edwin Durance (62 years), who was subsequently shot by police. Critical failur…
52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…
Elizabeth Holley, 52 years old, was admitted involuntarily to a psychiatric ward with a history of three weeks of declining mental health and medication non-compliance. She received high-dose antipsychotic medications in…
53y · Female·Multiple stab wounds inflicted by an unknown assailant
Linda Parker, 53 years old, died from multiple stab wounds inflicted by an unknown assailant. She lived with her 16-year-old daughter, Nicky Sweet, in a relationship characterised by severe family violence. Ms Sweet was …
38y · Male·Exsanguination due to penetration of arm veins
Declan Brennan, a 38-year-old sentenced prisoner at Acacia Prison due for release on 30 April 2008, died by suicide on 27 April 2008 from exsanguination due to penetrating wounds to his arm veins. Brennan had a long-stan…
38y · Female·Pulmonary Thromboembolism
Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with decreased anti-thrombin III levels, initially presenting with suspected DVT…
85y · Female·Pulmonary embolus secondary to deep vein thrombosis, precipitated by minor fall
An 85-year-old woman died from pulmonary embolism secondary to deep vein thrombosis following a minor fall. She was admitted to Maryborough Hospital with chest infection and abdominal pain. Despite being identified as hi…
23y · Male·cerebral hypoxia secondary to strangulation from hanging by belt
Samuel Dibley, aged 23, was involuntarily admitted to the Mental Health Unit on 19 May 2009 with cannabis-induced psychosis and suicidal ideation. He was placed in the Low Dependence Unit (LDU) based on risk assessment. …
36y · Male·Multiple injuries
Peter Johnston, aged 36, died from multiple injuries sustained when he fell between a train carriage and platform at Melbourne Central Station. He was intoxicated and taking benzodiazepines (Xanax), forced open a moving …
27y · Male·HEAD INJURY SUSTAINED IN A MOTOR VEHICLE COLLISION (PEDESTRIAN)
Mark Connolly, 27, with paranoid schizophrenia and command hallucinations, was admitted to the Low Dependency Unit of a psychiatric hospital despite expressing intent to jump from a moving car and requesting High Depende…
4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet
Four-year-old Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents …
26y · Female·compression of the neck consequent upon hanging
Amanda Kennedy, a 26-year-old woman with a history of trauma, substance abuse, depression, and multiple suicide attempts, died by hanging in the Northern Psychiatry Unit on 24 June 2010 while under involuntary psychiatri…
42y · Male·Pulmonary thromboembolism and deep calf vein thrombosis
Shane Kerstjens, a 42-year-old man with cerebellar dystrophy and intellectual disability, died from pulmonary thromboembolism and deep vein thrombosis. He sustained a tibia and fibula fracture on 6 September 2007, requir…
53y · Male·Multi-organ failure due to sepsis
Matthew Tiers, a 53-year-old Aboriginal man with extensive comorbidities including alcoholic liver disease, was arrested and detained at Rockhampton Watchhouse then transferred to Capricornia Correctional Centre. He deve…
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