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VIChome2026-01-13

Finding into death of Filippo Pignataro

52y · Male·Pulmonary thromboembolism

A 52-year-old man with autism, intellectual disability, and multiple comorbidities died from pulmonary thromboembolism at home. He developed respiratory symptoms on 24 March, was managed in primary care with telehealth a…

general practiceemergency medicineamoxicillin
VIChospital2025-10-13

Finding into death of David Greville Edward Horne

47y · Male·Unascertained; most likely cardiac arrhythmia possibly triggered by obstructive …

David Horne, a 47-year-old man with bipolar disorder, schizoaffective disorder, and severe obstructive sleep apnoea, died suddenly at Maroondah Hospital while under compulsory psychiatric treatment. He experienced two ep…

psychiatryrespiratory medicinediazepam
VIC2025-09-24

Finding into death of Jay Joseph Harrison

47y · Male·Combined drug toxicity (heroin, amphetamines, hydroxyrisperidone, olanzapine)

Jay Joseph Harrison, a 47-year-old homeless man with schizophrenia and substance use disorder, died from combined drug toxicity involving heroin, amphetamines, hydroxyrisperidone, and olanzapine. He was found unconscious…

psychiatryemergency medicineheroin
VIChome2025-06-24

Finding into death of Jessica Geddes

27y · Female·Complications of multiple blunt force injuries

Jessica Geddes, 27, was killed by her partner Robert Rickerby through multiple blunt force injuries on 6 November 2020. The autopsy revealed extensive acute, subacute and chronic injuries inconsistent with accidental tra…

general practicepsychiatrydiagnosticsystemmethamphetamine
VIChome2023-12-11

Finding into death of Shane Michael Tuck

38y · Male·hanging

Shane Tuck, an elite AFL player (2004-2013) and professional boxer (2015-2017), was found deceased by hanging on 20 July 2020. Post-mortem neuropathology confirmed severe stage III chronic traumatic encephalopathy (CTE).…

neurologypsychiatrycocaine
VICmental health2023-05-22

Finding into death of Jennifer Gebert

49y · Female·Unascertained; most likely cardiac abnormality

Jennifer Gebert, a 49-year-old with long-standing mental illness and substance use disorder, died unexpectedly in an acute psychiatric unit on 6 December 2019. She presented to the ED intoxicated (BAC 0.159%) following b…

psychiatryemergency medicinealcohol
VIChospital2022-12-22

Finding into death of Paige Dent

25y · Female·Injuries sustained in a single vehicle motor vehicle incident in which Ms Dent w…

Paige Dent, 25, died in a single-vehicle motor accident after absconding from hospital on 6 October 2018. She had a 19-year history of psychiatric admissions for schizophrenia, borderline personality disorder, and substa…

psychiatryemergency medicinesystemcommunicationmethamphetamine
VIChome2022-09-13

Finding into death of John Llewellyn Williams

73y · Male·congestive cardiac failure in a man with cardiomegaly

A 73-year-old man with bipolar disorder and uncontrolled hypertension died of congestive cardiac failure with cardiomegaly. He was subject to a Community Treatment Order but had disengaged from care, refusing blood tests…

psychiatrycardiologyhydroxyrisperidone
VICaged care2022-09-02

Finding into death of Alan Joseph Wilson

55y · Male·Acute alcohol toxicity

Alan Wilson, a 55-year-old man with intellectual disability, schizophrenia, and severe alcohol addiction, died from acute alcohol toxicity in an aged care facility. Post-mortem blood alcohol concentration was 0.33%, suff…

geriatric medicinepsychiatrysystemalcohol
VIC2022-04-04

Finding into death of Naser Vukovic

42y · Male·Incised injury to the neck resulting in exsanguination and air embolism

Naser Vukovic, a 42-year-old prisoner with severe psychotic symptoms and dual P1/S3 risk ratings, died by self-inflicted neck laceration in Melbourne Assessment Prison on 8 June 2016. Despite two prior self-harm incident…

psychiatrycorrectional healthsystemdelayquetiapine
VIChospital2021-11-17

Finding into death of H J

76y · Female·Undetermined (natural causes)

HJ, a 76-year-old woman with chronic psychotic disorder and paranoid delusions, presented with abdominal pain, vomiting, and small bowel obstruction. Imaging revealed bilateral adnexal masses. Due to her lack of insight …

general surgerypsychiatryaugmentin df
VICmental health2021-11-17

Finding into death of Nicholas Lopes

26y · Male·Mixed drug toxicity (heroin, morphine, codeine combined with lorazepam, olanzapi…

Nicholas Lopes, a 26-year-old with treatment-resistant schizophrenia, intellectual disability, and substance use disorders, died from mixed drug toxicity (heroin combined with benzodiazepines and antipsychotics) two days…

psychiatryforensic medicineheroin
VIChospital2019-06-26

Finding into death of Trajce Laboski

27y · Male·Injuries sustained in descent from height

A 27-year-old man with schizophrenia was brought to Northern Hospital ED by police under Mental Health Act section 351 after threatening suicide and injecting testosterone. The Emergency Department doctor (Dr K.) assesse…

emergency medicinepsychiatrydiagnosticproceduraltestosterone
VIChome2014-03-06

Finding into death of Melanie Jane Maher

36y · Female·Effects of fire (schizophrenic psychotic episode); for children: effects of fire…

This case involved the deaths of Kylie Fowler (36) and her three children—Samantha (18), Melanie (13), and Matthew (11)—in a house fire on 9 January 2011. Kylie, with an 18-year history of schizophrenia requiring five in…

psychiatrygeneral practicecommunicationsystemrisperidone

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