255 results
22y · Male·multi-organ failure secondary to heatstroke
Jon Edward Norman Clarke, a 22-year-old man with chronic schizophrenia-paranoid type managed with Clozapine 500mg daily plus Solian and Efexor XR, collapsed from heatstroke while working as a trolley boy on 27 January 20…
Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…
This coronial inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. …
40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)
Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anae…
28y · Male·Acute Dopamine Imbalance Syndrome
A 28-year-old man with first-episode psychosis presented with command auditory hallucinations after a motor vehicle accident. An EEG ordered to exclude organic causes showed very abnormal findings suggestive of partial s…
49y · Male·Obstructive sleep apnoea, contributed to by the sedating effects of therapeutic …
David Muckan, a 49-year-old man with schizophrenia, was admitted to a psychiatric unit in April 1998 with suspected obstructive sleep apnoea (OSA). He was sedated with benzodiazepines (Midazolam, Diazepam) and other psyc…
3y · Male·fatal stab wounds to the heart inflicted by his aunt Natalia Perry during an app…
A 3-year-old child was fatally stabbed by his aunt, Natalia Perry, a forensic patient with schizophrenia on limited community treatment (LCT), shortly after being discharged from emergency department. Perry had jumped fr…
20y · Female·Ligature compression of the neck
Jessica Mary Dewhurst, aged 20, died by ligature compression of the neck on 27 May 2003 in the secure ward of Swan Adult Mental Health Services. She had a history of depression, psychosis, substance abuse, and prior suic…
Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…
Four Aboriginal individuals died on Anangu Pitjantjatjara Lands between May 2003 and March 2004. Ward (19) and Ryan (25) died by hanging with evidence of petrol intoxication. Ken (35) died from exposure after wandering a…
Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…
Four separate inquests into the deaths of Kunmanara Ward (19), Kunmanara Ken (35), Kunmanara Ryan (25), and Kunmanara Cooper (27) on the Anangu Pitjantjatjara Lands between May 2003 and March 2004. Three deaths were by h…
Unknown·Multiple causes including neck compression due to hanging (Ward, Ryan, Cooper) a…
This inquest into four deaths on the Anangu Pitjantjatjara Lands involved multiple causes including hanging (three cases) and exposure with complications. Kunmanara Ward died by hanging while intoxicated with petrol; Kun…
20y · Unknown·Traumatic brain damage complicating gunshot wound to the head
Two young adults aged 20 died from gunshot wounds to the head on 29-30 May 2001 in what appears to be a murder-suicide involving Peter Klingner and his girlfriend Cheree Dinsdale. Klingner had paranoid schizophrenia with…
46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis
A 46-year-old woman with schizo-affective disorder died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis five days after involuntary psychiatric admission. She was severely withdrawn, refusing f…
53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…
A 53-year-old woman with schizophrenia died from transverse colon infarction secondary to mesenteric/retroperitoneal haemorrhage and incisional abdominal hernia during anticoagulation therapy. She was admitted to hospita…
25y · Female·injuries sustained by jumping from the Tasman Bridge
A 25-year-old woman with longstanding borderline personality disorder, chronic suicidal ideation, and substance abuse died by jumping from the Tasman Bridge on 4 January 1996. She presented to the Emergency Department on…
28y · Female·multiple injuries
Sarah Jane Rutherford, a 28-year-old with bipolar affective disorder and schizophrenia, died by suicide on 27 December 2009 after falling from a bridge onto the Mitchell Freeway while on leave from Graylands Hospital. Sh…
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