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NSWmental health2026-08-11

Inquest into the death of Raeputa Tangatapoto

55y · Male·Unascertained natural causes

A 55-year-old man with chronic treatment-resistant schizophrenia died at Forensic Hospital while lawfully detained on 26 December 2024. He had presented to Prince of Wales Hospital on 17 December with chest pain, tachyca…

psychiatryforensic medicineclozapine
WA2026-07-22

Inquest into the Death of Kyen Steven TOLLETT

Male·ligature compression of the neck (hanging)

Kyen Tollett, remanded at Casuarina Prison, died by hanging on 10 October 2024. He had a well-documented history of relationship-triggered suicidality and received high-quality psychiatric care and counselling throughout…

psychiatrycorrectional healthcommunicationsystemsertraline
VIChome2026-06-29

Finding into death of Heather Joy Harris

61y · Female·Unascertained (natural causes)

Ms Harris, aged 61, with intellectual disability, autism spectrum disorder, and multiple medical conditions (including aortic regurgitation, hypothyroidism, dyspnoea, hyperlipidaemia, and obesity), was living in supporte…

general practicecardiologysertraline
VIChome2026-06-24

Finding into death of Sheridan Louise Burnell

24y · Female·Mixed drug toxicity

Sheridan Burnell, 24, died from mixed drug toxicity following an intentional overdose of prescription medications (lamotrigine and quetiapine) on 2 January 2021. Her mental health care was reasonable and appropriate. The…

psychiatrygeneral practicecommunicationsertraline
NSWhospital2026-06-19

Inquest into the Death of Simon Myles Mackay

37y · Male·Neck compression and the complications thereof

Simon Mackay, age 37, was admitted as an involuntary psychiatric patient on 12 July 2022 for acute methamphetamine-induced psychosis with paranoia and aggression, complicated by severe polysubstance dependence. Although …

psychiatryaddiction medicinepaliperidone
QLDhome2026-06-17

Inquest into death of Steven Richard Angus

52y · Male·Gunshot wound to the chest

Steven Richard Angus, a 52-year-old veteran with severe alcohol use disorder, major depressive disorder, and generalised anxiety disorder, died from a gunshot wound inflicted by Queensland Police during a welfare check o…

emergency medicinepsychiatrysystemcommunicationalcohol
VIChome2026-06-15

Finding into death of Darren Russell Collyer

48y · Male·Complications of an intra-cranial haemorrhage

Darren Collyer, a 48-year-old man with Sotos syndrome, intellectual disability, epilepsy and anxiety, lived in specialist disability accommodation (SDA) in Melton. On 14 December 2023, a new unfamiliar staff member trigg…

disability medicineemergency medicinesertraline
NSWhome2026-05-01

Inquest into the disappearance and suspected death of David Mark Webber

47y · Male·unknown

David Mark Webber, aged 47, disappeared from Newcastle on 12 January 2013, the day after being arrested and charged with serious historical sexual offences. Despite 13 years of investigation including comprehensive check…

novorapid flexpen
VIChospital2026-04-24

Finding into death of Mr JNY

Male·Pulmonary thromboembolism and bronchopneumonia secondary to deep vein thrombosis

JNY, a man with metastatic small cell carcinoma, COPD, and ischaemic heart disease, died from pulmonary thromboembolism and bronchopneumonia. He received palliative care at home provided by his partner PJN, who had undis…

palliative caregeneral practicesystemdesvenlafaxine
VIChome2026-04-17

Finding into death of Simon Christopher Gaskill

50y · Male·unascertained

Simon Gaskill, aged 50, was found deceased in sand dunes at Ocean Grove Beach in April 2022 after sleeping rough for months. He had been discharged from hospital in December 2021 following treatment for severe alcohol wi…

emergency medicinegeneral medicinecommunicationsystemalcohol
VIC2026-03-19

Finding into death of Judith Gail Longhurst

74y · Female·Chronic obstructive pulmonary disease

Judith Gail Longhurst, a 74-year-old woman with cerebral palsy, dysphagia, and multiple comorbidities, died of chronic obstructive pulmonary disease (COPD) on 23 October 2024 at her Specialist Disability Accommodation re…

respiratory medicinegeneral practicesertraline
VICcommunity2026-02-19

Finding into death of Kathleen Smith

53y · Female·Unascertained (presumed drowned)

Kathleen Smith, a 53-year-old podiatrist, disappeared on 15 July 2024 and is presumed to have drowned at Sorrento Back Beach. She was experiencing severe anxiety about upcoming foot surgery due to severe flatfoot deformi…

general practiceorthopaedic surgerycommunicationdelaysertraline
VIChome2026-02-17

Finding into death of Laurence Mark O'brien

22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…

Laurence O'Brien, a 22-year-old with acquired brain injury from a childhood motor vehicle accident, died from mixed drug toxicity involving eight substances including prescribed opioids, benzodiazepines, and unprescribed…

general practicepsychiatrymedicationsystemtapentadol
VIChome2026-01-06

Finding into death of Michelle Margaret Darragh

32y · Female·Stab wound to the back extending into the posterior neck, causing subtotal trans…

Michelle Darragh, a 32-year-old social worker, was fatally stabbed by her former partner Benjamin Coman on 9 October 2021. She was pregnant with their third child. The relationship involved progressive coercive control, …

psychiatryemergency medicinediagnosticcommunicationsertraline
VIChome2025-12-04

Finding into death of Raymond John Flaherty

57y · Male·Mixed drug toxicity (heroin, methadone, benzodiazepines including novel benzodia…

Raymond John Flaherty, a 57-year-old Wurundjeri man with longstanding opioid and benzodiazepine dependence, died from mixed drug toxicity involving heroin, methadone, prescribed diazepam, unprescribed benzodiazepines inc…

addiction medicinegeneral practicesystemcommunicationheroin
TAScommunity2025-12-03

Coroner's Finding: de-identified JI

54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine

JI, a 54-year-old man with chronic schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following a fall onto a metal grate during an altercation with another resident at support…

psychiatrygeneral practicesystemdiazepam
SAhome2025-11-27

Coroner's Finding: Christian, Jake Nicholas

27y · Male·heroin toxicity

A 27-year-old man died from heroin toxicity while on home detention bail. He had a history of depression, anxiety, and substance use (cannabis, methamphetamine, heroin). During home detention, he was compliant, engaged w…

psychiatrygeneral practiceheroin
QLDhome2025-10-10

Inquest into the death of AB

31y · Male·Hanging

31-year-old male with borderline personality disorder, alcohol use disorder, and history of self-harm died by hanging. He had multiple presentations to emergency services and mental health services from March to July 202…

psychiatrygeneral practicesystemcommunicationalcohol
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
NSWcustody2025-09-10

Inquest into the death of RD

70y · Male·death by hanging, self-inflicted

A 70-year-old man died by hanging in prison while serving a sentence for child sexual offences. He had previously attempted suicide in 2017 when initially charged, and was subsequently treated with antidepressants and ps…

psychiatrygeneral practicecommunicationsystemsertraline
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