848 results
24y · Male·diffuse hypoxic ischaemic encephalopathy due to hanging
Colin Craig Sansbury, 24-year-old Aboriginal man, died by hanging while in police custody at Elizabeth Police Station. Critical failures in care included: (1) Inadequate psychiatric assessment at Lyell McEwin Hospital—he…
25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia
Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor …
31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…
Sparka Huntington, a 31-year-old forensic mental health patient with a history of schizophrenia, violence, and drug use, died during physical restraint by hospital security officers and nursing staff on 14 December 2003.…
Unknown·Erfinna Lay: Aspiration resulting from Acute Multiple Drug Toxicity; John Quirk:…
Two young people died from acute multiple drug toxicity in 2005. Erfinna Lay (22, female) died from aspiration after ingesting chloral hydrate prescribed to her partner. John Quirk (27, male) died from doloxene overdose …
Male·Self-inflicted hanging
Leon Mark Carroll died by hanging in prison while on remand for sexual offences. Initial assessment identified significant suicide risk, but this was reversed by the High Risk Assessment Team after only 5-6 minutes consi…
26y · Male·bronchopneumonia following severe head injury
Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony on 31 December 2002. He had been admitted to Long…
23y · Female·drowning and citalopram overdose
23-year-old woman with major depressive disorder presented to multiple healthcare providers on 17 March 2004 with suicidal ideation. She was referred to Flinders Medical Centre Emergency Department by her GP, where she w…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…
Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…
Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…
66y · Female·Drowning
Beverley Ann Tierney, a 66-year-old woman, drowned after slipping and falling from a moored cabin cruiser at Cooran Cove Resort. She was intoxicated with alcohol (206 mg/100ml) and under the influence of multiple drugs i…
36y · Male·Cerebrovascular accident (stroke) - massive intracranial haemorrhage
An Aboriginal man with chronic alcoholism and cirrhosis died from a massive stroke (cerebrovascular accident) while in prison custody. He presented with non-specific symptoms including vomiting on 9 March 2005 and was pl…
54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus
Terence James Robinson, 54, died from status epilepticus causing global cerebral hypoxic injury after 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and attempted suicide…
16y · Female·consequences of acute asthma with hypoxic encephalopathy
Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…
39y · Male·Coronary thrombosis caused by coronary atherosclerosis
Lenard Casey, a 39-year-old Aboriginal man with severe coronary artery disease, died of acute coronary thrombosis while in custody. Arrested for assault on his partner, he developed chest pain at the police station and w…
42y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)
Calvin Wayne Bee, a 42-year-old Aboriginal man with chronic alcohol abuse, died from sudden unexpected death in epilepsy (SUDEP) while in police custody in Normanton, Queensland. He was sentenced to six months imprisonme…
29y · Female·Multiple injuries (fracture dislocation cervical spine, fractured larynx, multip…
Nicole Knox-Smith, aged 29, died in a motorcycle collision with a stolen Ford station wagon on the Princes Freeway. The driver, Jeffrey Dobbin, was heavily intoxicated with drugs and driving erratically whilst evading po…
55y · Female·Multiple drug toxicity due to combination of alcohol and benzodiazepines (oxazep…
Carol Anne Kiley, a 55-year-old woman with chronic back pain, depression, and likely alcohol dependence, died from multiple drug toxicity involving alcohol, oxazepam (toxic level), temazepam, and promethazine. Her GP, Dr…
2y · Female·Chronic organic brain damage as a consequence of Murray Valley encephalitis
A 2-year-old Aboriginal girl with severe brain damage from Murray Valley encephalitis died in hospital from chronic organic brain damage. She had been in state care since August 2004 due to her profound medical needs inc…
40y · Male·Asphyxia caused by a seizure resulting from severe alcohol intoxication. Underly…
Paul Meech, a 40-year-old man with bipolar affective disorder, died of asphyxia caused by a seizure from severe alcohol intoxication while in police custody at Hervey Bay watch house. Critical failures occurred: (1) The …
49y · Male·Obstructive sleep apnoea, contributed to by the sedating effects of therapeutic …
David Muckan, a 49-year-old man with schizophrenia, was admitted to a psychiatric unit in April 1998 with suspected obstructive sleep apnoea (OSA). He was sedated with benzodiazepines (Midazolam, Diazepam) and other psyc…
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