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VIChome2025-10-09

Finding into death of Narelle Catherine Simmons

42y · Female·Haemothorax and pneumonia in the setting of acute and chronic chest injuries and…

Narelle Simmons, 42, died from haemothorax and pneumonia secondary to rib fractures, with contributing factors of hepatic cirrhosis, chronic alcoholism, and multiple drugs (methadone, methylamphetamine, diazepam, sertral…

forensic medicinegeneral practicediagnosticcommunicationmethadone
QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

Peter Owen Pilkington, 48, died from a gunshot wound sustained during a police siege on 6 December 2021. After escalating behaviour at his NDIS support office in Stretton, Queensland, Peter produced what police believed …

emergency medicinetrauma surgerysystemmethamphetamine
TAS2025-10-06

Coroner's Finding: Wilson, Jason Peter

51y · Male·Multiple injuries (head, neck, chest, spine, limbs) sustained in a single motor …

Jason Peter Wilson, aged 51, died from multiple injuries sustained in a single-vehicle motor crash on the Huon Highway, Tasmania. Toxicological analysis revealed elevated levels of methylamphetamine, MDMA, and cannabis i…

methamphetamine
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
VIC2025-09-24

Finding into death of Bryan Pham

24y · Male·multiple injuries and chest compression asphyxia (train strike)

Bryan Pham, 24, died by suicide via train strike on 2 June 2020, two days after release from remand custody. He had schizophrenia, substance use disorder, and was recently incarcerated for assault and FVIO breach. While …

psychiatrycorrectional healthcommunicationsystemmethamphetamine
NSWcommunity2025-09-24

Inquest into the death of Matthew Richard Lothian

37y · Male·self-inflicted gunshot wound to the head and neck

Matthew Lothian, aged 37, died from a self-inflicted gunshot wound to the head and neck on 6 January 2021 in Wollongong. He was on medical escort from custody when he seized the firearm from Correctional Services Officer…

psychiatrycorrectional healthsystemcommunicationmethadone
WAprison2025-09-16

Inquest into the Death of Owen Duker Nugget WEAZEL

41y · Male·ligature compression of the neck (hanging)

Owen Weazel, a 41-year-old Wakka Wakka man with chronic mental health issues, substance use disorder and previous suicide attempts, was found hanging in his cell at Albany Regional Prison on 10 August 2023. He had been r…

psychiatrypsychologysystemcommunicationamitriptyline
VICcommunity2025-09-05

Finding into death of R J

36y · Male·Heroin toxicity

A 36-year-old man with a history of homelessness and intravenous heroin use died from heroin toxicity after overdosing in a public toilet block. Emergency services were called promptly by a bystander who remained at the …

communicationsystemheroin
VICcommunity2025-09-05

Finding into death of Lisa Nicole Murphy

52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…

Lisa Murphy, a 52-year-old woman with mental illness and substance use history, died following a physical altercation at a convenience store. She became involved in a verbal and physical confrontation with two women afte…

emergency medicineintensive carecommunicationrisperidone
VICcommunity2025-09-01

Finding into death of Ms FSZ

32y · Female·Compression of the neck

FSZ, a 32-year-old woman, was killed by her intimate partner NLU through compression of the neck (strangulation) on 24 April 2019. This coronial finding identifies multiple systemic failures in family violence response a…

psychiatryemergency medicinediagnosticcommunicationolanzapine
TAShospital2025-08-29

Coroner's Finding: Scott, Nicholas Aaron

26y · Male·shotgun wound of the chest

Nicholas Aaron Scott, a 26-year-old prisoner with a history of self-harm, escaped from Royal Hobart Hospital on 2 January 2023 while under correctional officer supervision. He had been admitted for ingestion of foreign o…

correctional healthemergency medicineproceduralcommunicationmethamphetamine
VIChome2025-08-28

Finding into death of MJU & KJH

39y · Female·MJU: stab wounds to the neck and chest; KJH: stab wounds to the back

MJU (39) and her daughter KJH (6) were killed by MJU's husband CTH in a family violence homicide on 13-14 January 2022. CTH, who was using methylamphetamine and experiencing drug-induced psychosis with visual hallucinati…

psychiatryemergency medicinediagnosticcommunicationmethamphetamine
VICcommunity2025-08-25

Finding into death of Tracey Ellen Knowles

42y · Female·Unascertained; possibly mixed drug toxicity (heroin and methylamphetamine) or sm…

Tracey Ellen Knowles, aged 42, was found deceased in a vehicle on 19 July 2021 from an unascertained cause. She had a history of heroin use and experienced family violence. Police misidentified her as the 'predominant ag…

forensic medicinetoxicologysystemcommunicationheroin
NSWcommunity2025-08-25

Inquest into the death of Ashley Paull

49y · Male·Multiple injuries sustained when struck by a truck

Ashley Paull, a 49-year-old Aboriginal man with schizophrenia, died after being struck by a truck while walking along the Pacific Highway following his release from police custody. He had been stopped for a positive road…

psychiatryemergency medicinecommunicationsystemmethamphetamine
VIChome2025-08-21

Finding into death of Ryan Andrew Robinson

31y · Male·Mixed drug toxicity (heroin, bromazolam, metonitazine, protonitazene, methamphet…

Ryan Robinson, a 31-year-old man with longstanding opioid use disorder and complex mental health conditions, died from mixed drug toxicity involving heroin, novel psychoactive substances (nitazenes: metonitazene and prot…

general practiceaddiction medicineheroin
VIChospital2025-08-18

Finding into death of B T

53y · Male·Complications of hypoxic brain injury secondary to mixed drug toxicity (methylam…

BT, a 53-year-old man with substance use disorder and mental health conditions, died from complications of hypoxic brain injury secondary to mixed drug toxicity (methylamphetamine, benzodiazepines, metonitazene). He inje…

emergency medicineintensive caremethamphetamine
VIC2025-08-15

Finding into death of Cain Brian Cameron

35y · Male·Fall from a height injuries including a ruptured thoracic aorta associated with …

Cain Brian Cameron, aged 35, died on 26 October 2023 following a fall from the fifth level of the Holiday Inn carpark in Werribee while evading police arrest. He fell 17 metres onto the street below, sustaining a rupture…

emergency medicineforensic medicinemethamphetamine
NSWhome2025-08-08

Inquest into the death of Jacob

0y · Male·Non-accidental infliction of significant force to the head/face and gum region, …

Jacob, a premature infant born at 29 weeks, was discharged from neonatal care at 11 weeks old and presented to hospital three days later with a subarachnoid haemorrhage and periorbital bruising. Despite being assessed as…

paediatricsforensic medicinediagnosticsystemmethamphetamine
VIChome2025-08-07

Finding into death of DCF

59y · Male·Multiple stab injuries

A 59-year-old man was fatally stabbed by his former partner in a context of longstanding family violence. The deceased had perpetrated significant violence against the perpetrator, who had mental illness and housing inst…

psychiatryemergency medicinecommunicationsystemmethamphetamine
TAShome2025-08-01

Coroner's Finding: de-identified UV

33y · Male·Mixed drug toxicity

A 33-year-old man with complex psychiatric history (bipolar disorder, schizoaffective disorder, autism, ADHD) and long-standing substance use disorder died from mixed drug toxicity. Postmortem toxicology revealed high-co…

psychiatrygeneral practicesystemcommunicationmorphine

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