49 results
41y · Female·Mixed drug toxicity (alprazolam, clonazepam, diazepam, methadone, metoclopramide…
Catherine Lynch, a 41-year-old nurse, died from mixed drug toxicity in July 2022 in circumstances consistent with suicide. She was experiencing severe family violence, including coercive control, threats, stalking and em…
60y · Male·Neck compression secondary to hanging
A 60-year-old man with Type 2 diabetes and low mood died by hanging within 24 hours of being interviewed by police regarding child sexual abuse allegations. While police identified that suspects are at heightened suicide…
29y · Male·Mixed drug toxicity (gabapentin, codeine, diazepam, oxycodone, doxylamine, prome…
A 29-year-old man died from mixed drug toxicity involving multiple CNS depressants. His GP, Dr X, had maintained an inappropriate three-year sexual relationship with the patient while prescribing escalating doses of opio…
65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…
A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However…
29y · Male·ligature compression of the neck (hanging)
Houston Peel, a 29-year-old man, presented to Fiona Stanley Hospital ED at 4:35 am on 30 March 2023 with acute psychotic symptoms including auditory and visual hallucinations, bizarre behaviour, and paranoid ideation fol…
61y · Female·Ischaemic heart disease due to coronary artery atherosclerosis
Ms Maxine Lorraine Sanderson, a 61-year-old SDA resident with intellectual disability, died suddenly from ischaemic heart disease due to severe coronary artery atherosclerosis with critical stenosis of the left anterior …
31y · Male·compression of the neck secondary to hanging
Rory Van Geleuken, a 31-year-old with longstanding major depressive disorder, generalised anxiety disorder, autism spectrum disorder, and ADHD, died by hanging. He had received mental health treatment since age 17, inclu…
41y · Male·Multiple traumatic injuries
This inquest examined the death of a 40-year-old man who died by suicide following a fall from a cliff. He had three involuntary admissions to mental health facilities in a fortnight before his death. Critical clinical l…
27y · Male·Multiple gunshot wounds
Damon Savage, 27, died from multiple gunshot wounds during a police response to a domestic violence incident. He had called police while assaulting his partner, armed himself with two large knives, advanced towards offic…
58y · Female·Complications of poorly controlled type 2 diabetes
Ms Kathleen Earl, aged 58, died from complications of poorly controlled type 2 diabetes in June 2022. She had an intellectual disability and received support from IHCS (Individual Support Worker) since 2005. Critical def…
22y · Male·Multiple injuries from fall from 21st floor balcony
Michael Bird, 22, died by suicide on 17 March 2022, jumping from the 21st floor of his new workplace on his first day as building manager. He had been experiencing auditory hallucinations and paranoid delusions about pol…
32y · Male·Self inflicted incised injuries to wrists
A 32-year-old man with depression, anxiety, panic disorder, and cannabis use disorder presented to his GP on the day of his death reporting low mood, insomnia, social isolation, and daily cannabis use. He denied suicidal…
45y · Female·Neck compression secondary to hanging
Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (…
37y · Male·mixed drug toxicity with fentanyl as the principal agent
37-year-old Jason Cullen died from mixed drug toxicity with fentanyl as the principal agent. He had chronic idiopathic intracranial hypertension requiring multiple neurosurgeries and was prescribed opioids and benzodiaze…
75y · Female·Renal failure and ketoacidosis in a woman with chronic alcoholism and type 2 dia…
A 75-year-old woman with type 2 diabetes and chronic alcoholism died from renal failure and ketoacidosis at home. She was isolated, dependent on her elderly husband for care, and living in squalor. Over 20 disclosures of…
87y · Male·Ischaemic heart disease in the setting of immersion
Charles Frederick Norton, 87, was found deceased in an unsecured canal at a retirement village on 28 February 2020. He had ischaemic heart disease with severe atherosclerosis and aortic stenosis. In the week before death…
54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…
Wayne Myhill, aged 54, died from a cervical spine fracture (C5 level) sustained in a fall at his group home in Ararat, Victoria. He had cerebral palsy, intellectual disability, Lennox-Gastaut syndrome with frequent seizu…
32y · Male·Mixed drug toxicity (25C-NBOMe, 4-fluoroamphetamine, doxylamine)
A 32-year-old man died from mixed drug toxicity after consuming tablets he believed were MDMA, which actually contained 25C-NBOMe and 4-fluoroamphetamine—novel psychoactive substances (NPS) of unknown potency obtained fr…
41y · Female·Nitrate/nitrite toxicity
Jessinda Kiroyan, a 41-year-old woman with a longstanding history of bipolar affective disorder, died from nitrate/nitrite toxicity in May 2019 after intentionally ingesting sodium nitrite obtained from a food ingredient…
20y · Female·Plastic bag asphyxia with inhalation of helium
A 20-year-old woman with a history of depression, anxiety, and self-harm died by helium inhalation asphyxia. She had been treated by her GP with antidepressants and mental health referral to a psychologist but never disc…
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