398 results
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…
36y · Female·head injury
A 36-year-old woman was killed by a young man with early-onset schizophrenia after a chance encounter. The death resulted from a complex series of missed opportunities in mental healthcare management. Key failures includ…
50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…
Two men died by hanging while detained under inpatient treatment orders at Ward 2G of Royal Adelaide Hospital. Mark Furlan (50) died in 2018 after developing psychotic depression with suicidal ideation. The coroner found…
32y · Female·mixed drug toxicity including phenobarbitone
A 32-year-old woman with borderline personality disorder and depression died by intentional self-administration of pentobarbitone (Lethabarb) accessed from her workplace. She had experienced extensive family violence in …
59y · Male·Unascertained
Jonathan Townsend, a 59-year-old Navy veteran with PTSD, alcohol use disorder, and multiple psychiatric comorbidities, died at home on 5 November 2021. The cause of death was unascertained despite autopsy and toxicology.…
48y · Male·unascertained
Daniel Harvey, a 48-year-old man with morbid obesity, cirrhosis, diabetes, and polysubstance use including methadone and methamphetamine, was found unresponsive in immigration detention on 10 August 2020. He had complain…
73y · Female·Complications of lipoid pneumonia following the ingestion of shampoo, conditione…
Judith Pollard, a 73-year-old woman with an extensive mental health history, was voluntarily admitted to Shepparton Private Hospital on 1 June 2023 following acute depression and paranoia. Despite her family informing st…
26y · Male·Coronary artery atherosclerosis in the setting of schizoaffective disorder
Matthew Howarth, 26 years old with schizoaffective disorder, died of coronary artery atherosclerosis while an inpatient at a mental health secure care facility. He was involuntarily admitted on 16 November 2022 with psyc…
28y · Female·Cerebral x-linked adrenoleukodystrophy
Ivy McGowan, a 28-year-old NDIS participant with cerebral x-linked adrenoleukodystrophy, died at home on 5 October 2023 from natural causes. She had experienced progressive deterioration from late 2022, with increasing n…
23y · Female·unascertained
Olivia Gilfillan, aged 23, died between 1–5 February 2018 after nine years of psychiatric treatment for anorexia nervosa, obsessive-compulsive disorder, schizoaffective disorder, and borderline personality disorder. She …
41y · Male·Cardiomegaly in a man with WHO Class III obesity
Michael Suckling, a 41-year-old Aboriginal man, died in prison from cardiomegaly secondary to morbid obesity (BMI 54.5). He gained approximately 117kg during his 3-year incarceration, with rapid initial weight gain from …
57y · Male·Hanging
A 57-year-old male inmate died by hanging at Long Bay Correctional Centre in January 2018. Although he had been psychiatrically assessed as experiencing major depression with psychotic features and was recommended by a p…
22y · Male·Immersion in water (drowning) in a man with combined drug effect
Jaxon Charles Kinnane, 22, drowned in the Swan River on 12 October 2020. He had chronic schizophrenia with persistent delusional beliefs (microchip in ear) and was a polysubstance user, particularly methylamphetamine. He…
31y · Male·Undetermined
Ashley Washington, a 31-year-old Kamilaroi man, died after police restraint and sedation during arrest in Toowoomba. He was apprehended following a report of property theft and stabbed a police dog and officer with sciss…
32y · Male·ligature compression of the neck (hanging) in a man with methadone and methylamp…
Kingsley Garlett, aged 32, died by hanging in a maximum security prison cell on 31 July 2022. The evidence indicates his death was an impulsive response to relationship conflict with his partner revealed through prison p…
59y · Male·compression of the neck secondary to hanging
A 59-year-old man with treatment-resistant depression, anxiety, and suicidal ideation died by hanging while on weekend leave from psychiatric care. He had been hospitalised four times in 2021 and was receiving electrocon…
51y · Female·traumatic closed head injuries sustained after falling from a ramp into a sunken…
Fiona Searle, 51, died from traumatic closed head injuries sustained when her electric wheelchair fell from a ramp into a sunken sitting area at Glenorchy Primary School on 1 May 2021. Ms Searle was an experienced wheelc…
62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus
Craig John Reynolds, 62, died from hypertensive and ischaemic heart disease with diabetes mellitus. He was residing in NDIS-funded short-term accommodation at Carroll House when he suffered a fall on 22 June 2023. He sub…
63y · Female·Unascertained (natural causes) - favoured mechanism sudden cardiac arrhythmia
Deborah Christine Barker, a 63-year-old woman with intellectual disability living in specialist disability accommodation, was found unresponsive in the toilet and declared deceased at 7:32pm on 13 May 2022. Autopsy revea…
43y · Male·Amitriptyline toxicity
Scott Alan Murdoch, a 43-year-old maximum-security prisoner with chronic suicidal ideation, borderline personality disorder, and a documented history of medication hoarding and overdose attempts, died from amitriptyline …
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