219 results
Unknown·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…
Unknown·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…
38y · Female·neck compression due to hanging
Margaret Lindsay, 38, died by hanging in Adelaide Women's Prison on 23 May 2001 whilst remanded in custody. She had a complex history of psychiatric illness, drug and alcohol abuse, and multiple suicide attempts. Despite…
43y · Female·neck compression due to hanging
A 43-year-old woman with longstanding depression and previous suicidal ideation presented to Emergency Department twice within 14 days and was referred to psychiatric services. She had persistently refused antidepressant…
24y · Male·Aspiration of vomit associated with combined drug effect
Martin Raymond Coffey, 24, died from aspiration of vomit associated with combined drug effect while on home detention after serving a prison sentence for traffic offences. He had a history of depression (following the de…
34y · Male·Mixed methadone and thioridazine toxicity
A 34-year-old man died in prison from mixed methadone and thioridazine toxicity. He was on methadone maintenance (110mg daily) for opioid addiction and was prescribed thioridazine 100mg nightly for depression. Post-morte…
64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage
A 64-year-old woman died from doxepin overdose complicated by haemorrhagic bronchopneumonia. She had attempted suicide in April 1999 and was referred to a psychiatrist (Professor Schioldann) who prescribed sertraline. He…
38y · Male·Internal haemorrhage complicating large calibre gunshot wounds to the neck
Grant MacLeod, aged 38, died from a gunshot wound to the neck inflicted by Constable Mark Buckingham during a police response to reports of an armed person at a service station. MacLeod had suffered severe head injury in…
33y · Male·carbon monoxide poisoning consistent with inhalation of car exhaust fumes
A 33-year-old man with major depressive disorder and multiple suicide attempts died by carbon monoxide poisoning after premature discharge from psychiatric inpatient care. He was admitted to Lyell McEwin Health Service o…
23y · Male·Incineration from motor vehicle accident (collision with tree)
A 23-year-old man who had experienced multiple suicide attempts and depression deliberately drove his stolen vehicle into a tree after police attempted to intercept him. He died from incineration. The coroner concluded t…
53y · Male·asphyxia due to upper airway occlusion by a foreign body (blanket)
A 53-year-old man with complex psychiatric disorder (schizophrenia, depression, intellectual disability) died by asphyxiation after stuffing a blanket into his mouth while in a High Dependency Unit of a psychiatric hospi…
42y · Female·salt water drowning
Sandra Sanders, aged 42, a detaineε psychiatric patient, died by saltwater drowning after absconding from Woodleigh House psychiatric unit on 3 September 1997. She had presented with major depression with psychotic featu…
24y · Male·plastic bag asphyxiation
Sean Kevin Hayes, a 24-year-old male remand prisoner, died from plastic bag asphyxiation in his cell at Canning Vale Remand Centre in Western Australia on 20-21 August 1997. He had a history of psychiatric illness, previ…
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