398 results
40y · Male·Multiple drug toxicity, being either an overdose due to methylamphetamine alone,…
Mark Anthony O'Connor, a 40-year-old detainee with longstanding polysubstance use disorder, died in custody from multiple drug toxicity (methylamphetamine and possibly buprenorphine) on 13 May 2017. He self-administered …
48y · Male·Coronary artery occlusion due to coronary artery atheroma
Paul Robert Wise, aged 48, died of natural causes from coronary artery occlusion due to severe atherosclerosis (85% narrowing of right main coronary artery) while in custody at Capricornia Correctional Centre. He was fou…
52y · Female·Plastic bag asphyxia and asphyxia in the setting of an irrespirable environment
Diane Bell, a 53-year-old woman with delusional disorder and chronic suicidal ideation, died by argon gas inhalation in June 2017. She had been under care of North West Area Mental Health Service with a Community Treatme…
40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…
Christopher John Debnam, 40, died from cardiomyopathy with early pneumonia and obstructive sleep apnoea. He was readmitted to Graylands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensat…
42y · Female·Incised injury to the neck
A 42-year-old woman with depression and suicidal ideation died by self-inflicted neck laceration while admitted to a psychiatric inpatient unit. She had been assessed as low risk and placed on 30-minute observations. Cli…
22y · Male·acute blood loss from incised injuries to left forearm
Simon Smith, a 22-year-old with end-stage renal failure requiring dialysis and complex comorbidities, died by suicide during hospitalization. Despite multiple psychiatric assessments finding he had capacity to make treat…
24y · Male·bronchopneumonia complicating oxycodone toxicity
Matthew Neil Hardy Tonkin was a 24-year-old Australian Army veteran with post-traumatic stress disorder and chronic pain who died from bronchopneumonia complicating oxycodone toxicity. He engaged in prescription shopping…
36y · Male·Ligature compression of the neck (suicide by hanging)
A 36-year-old Aboriginal man with cluster B personality disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty to arson charges and was remande…
54y · Male·incised wound to the neck
Terrence Michael Malone, a 54-year-old man with a 20-year history of bipolar affective disorder, PTSD, and alcohol dependence, died by suicide in Brisbane Correctional Centre on 8 November 2014, three days after re-incar…
34y · Male·ligature compression of the neck
Fazel Chegeni Nejad, a 34-year-old Iranian asylum seeker, died from ligature compression of the neck in the jungle near Christmas Island immigration detention centre on 8 November 2015. He had spent 1,477 days in detenti…
43y · Male·asphyxiation by ligature
A 43-year-old man in remand at Parklea Correctional Centre died by suicide via asphyxiation by ligature in July 2016. He was suffering from major depression and anxiety triggered by criminal charges. Expert psychiatric e…
85y · Female·ischaemic heart disease with renal failure
Fernanda Catalano, 85 years old, died of ischaemic heart disease with renal failure at Lyell McEwin Hospital. She had suffered an unwitnessed fall at her aged care facility on 20 April 2016, was transferred to hospital w…
25y · Male·The available evidence does not allow for any finding to be made as to the cause…
Karl Melo-Richards, a 25-year-old man with a long history of depression and suicidal ideation since age 14-15, went missing on 2 September 2016. Despite extensive police investigations and searches, his body was never fo…
43y · Male·neck compression due to hanging
Michael David Bird, aged 43, died by hanging at his home while on home detention bail. He had a history of anxiety, depression, and chronic pain, managed by a psychiatrist (Dr T.) with weekly appointments described as hi…
30y · Male·methadone toxicity
A 30-year-old man with schizoaffective disorder, narcolepsy, and obesity died from methadone toxicity while an involuntary psychiatric patient. He was prescribed multiple sedating medications including methadone, benzodi…
36y · Male·Acute myocardial infarction due to ischaemic heart disease with severe coronary …
Thomas Murphy, aged 36, died of acute myocardial infarction due to severe coronary atherosclerosis while in custody at Fulham Correctional Centre in June 2018. He had significant cardiovascular risk factors including a h…
62y · Male·Blunt force trauma to the head
Gordon Harvey, a 62-year-old man, was fatally assaulted with a hammer and the premises subsequently set on fire by his intimate partner, Suleyman Kepenci, on 17-19 January 2016. This case reveals critical systemic failur…
83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…
Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…
36y · Female·Nicotine toxicity
Rachel Mihail, a 36-year-old with a complex psychiatric history including PTSD, depression, anxiety, and agoraphobia, ingested liquid nicotine at home on 22 November 2017 after calling mental health triage expressing sui…
82y · Male·Traumatic head injury due to head striking the floor
An 82-year-old man with Alzheimer's dementia residing in a secure aged care facility died from traumatic head injury sustained when he was pushed by another resident during an interaction in a hallway. The deceased had a…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.