212 results
32y · Female·Opiate toxicity; toxic combination of morphine and codeine causing respiratory d…
Mrs Edwards, a 32-year-old woman with severe depression and psychiatric history, was found dead in bed. Autopsy revealed opiate toxicity with high levels of morphine and codeine. Toxicology expert opinion indicated morph…
47y · Female·insulin overdose
Katherine Walton, a 47-year-old registered nurse, died from insulin overdose in April 2007. She had a complex medical history including hepatitis C, depression, chronic back pain, epilepsy, and substance use issues. Afte…
34y · Male·Hypoxic-ischaemic brain injury caused by hanging
Craig Stevens, aged 34, died from hypoxic-ischaemic brain injury following a suicide by hanging on 17 June 2008. Despite police intervention, critical delays in cutting the ligature around his neck prevented timely resus…
45y · Male·Multiple injuries and fall from a height
Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxic…
25y · Female·Multiple injuries sustained from accidental fall from cliff edge
Sarah Anne Rawson, a 25-year-old woman recovering from a serious road traffic accident that had left her with restricted mobility, died when she fell approximately 70 metres from a cliff edge at Hargraves Lookout in the …
42y · Female·Hypoxic ischemic encephalopathy with antecedent cause being self-caused near mis…
Tania Pauline Lioulios, a 42-year-old psychologist, died from hypoxic ischemic encephalopathy following a self-inflicted hanging in a Corrective Services transport vehicle on 4 July 2008. She had presented to mental heal…
66y · Male·Coronary atherosclerosis
Frank Maurice Whittington, aged 66, died from coronary atherosclerosis on 24 February 2004, shortly after day surgery to replace a catheter on his intrathecal morphine pump. Dr R. and RN Couper administered a 0.26ml over…
50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)
Treenor Heather Randall, a 50-year-old registered nurse, died from mixed tablet overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed d…
25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia
Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor …
47y · Male·Myocarditis
Geoffrey Thorpe, a 47-year-old fitter, collapsed and died suddenly at work while testing solenoids with electrical equipment. Initial suspicion of electrocution was thoroughly investigated through expert electrical testi…
24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…
Andrew Lather, aged 24, died at Charters Towers Rehabilitation Unit on 6 March 2004 from aspiration of gastric contents due to drug toxicity after ingesting approximately 150 tablets from a medication drawer beside his b…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…
Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…
Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…
27y · Male·left temporal intracerebral haemorrhage due to arteriovenous malformation
Michael John Hulsinga, a 27-year-old male inmate with schizophrenia, died in custody from a spontaneous intracerebral haemorrhage due to arteriovenous malformation. He collapsed suddenly while eating dinner in his cell a…
20y · Male·hanging
A 20-year-old male with major depressive disorder and melancholic features was admitted to psychiatric hospital on 4 June 2003 under an indefinite involuntary treatment order by consultant psychiatrist Dr P.. The next da…
21y · Female·Multiple blunt trauma with acute alcohol toxicity as a significant contributing …
Anne Chantell Millar, a 21-year-old Aboriginal woman, was beaten to death by her partner Gregwyn Green on 28 March 2003 despite a domestic violence restraining order in place since January 2003. Multiple breaches of the …
89y · Male·congestive cardiac failure due to ischaemic heart disease and aortic valve steno…
Ronald Thomas Robjohns, 89, died of congestive cardiac failure due to ischaemic heart disease and aortic valve stenosis while detained under the Mental Health Act at Glenside Hospital. He was admitted following severe de…
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…
26y · Male·Ligature Compression of the Neck (Hanging)
Dylan Robert Green, a 26-year-old remand prisoner at Hakea Prison, died by hanging on 11 July 2002. He had a history of serious mental illness, including psychotic episodes with delusional beliefs, and a previous suicide…
Eva Arany: gunshot wound to the neck; Jeno Arany: traumatic brain damage complic…
An elderly man with severe depression, suicidal ideation, and ongoing psychiatric risk was hospitalised twice in 2000 and discharged on antidepressant medication. Despite staff identifying he owned seven firearms and pos…
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