3,476 results
51y · Male·Gunshot wound to the head
A 51-year-old man with a history of domestic violence died by suicide during a police vehicle stop. After breaching an AVO against his former partner, he violently assaulted her with a knife and then obtained a firearm f…
23y · Male·hanging
A 23-year-old male with treatment-resistant schizophrenia died by hanging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicid…
54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…
54-year-old man with schizophrenia died after acute mental health crisis during police response. Contributing factors included: arrhythmogenic cardiomyopathy (undetected cardiac condition); combined doxepin and venlafaxi…
63y · Male·Head injury
Mr John Reed, aged 63, died from head injury sustained during an assault by his domestic partner Ms Gayle Dunlop on 18 July 2015 at their Seaford home. He was admitted to Alfred Hospital and died two days later. The rela…
46y · Male·congestive cardiac failure due to cardiomyopathy and coronary artery atheroscler…
A 46-year-old man with significant cardiac and medical comorbidities died of congestive cardiac failure due to cardiomyopathy and coronary artery atherosclerosis while in police custody. He was correctly categorized as H…
31y · Male·Gunshot wounds to the neck and chest
Liam Scorsese, 31, died from gunshot wounds inflicted by police during a confrontation at his estranged partner's parents' home in Queensland. He had a history of violence, substance abuse (methamphetamine, cocaine), and…
27y · Male·Multiple injuries sustained after being struck by a train
Christopher Dewhurst, 27, died by suicide after being struck by a train while on ground leave from a psychiatric unit. He was a compulsory patient subject to a Temporary Treatment Order, admitted with suicidal ideation a…
44y · Female·haemoperitoneum due to ruptured splenic subcapsular haematoma in the setting of …
Kylie Cay, a 44-year-old woman, was brutally assaulted by her partner Justin Turner on 18 June 2016, sustaining rib fractures and other injuries. She was discharged from hospital on 20 June after imaging did not reveal a…
80y · Male·acute myocardial ischaemia due to coronary atherosclerosis
Mr Wade, aged 80, died from acute myocardial infarction following knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performed showing acute anterior myocardial …
43y · Male·Hanging
A 43-year-old man remanded in custody for serious sexual offences against children died by hanging in an older prison cell. While he expressed fears about safety and had passive suicidal ideation months before his death,…
29y · Female·Mixed Drug Toxicity
A 29-year-old woman died from mixed drug toxicity after being found unresponsive at a residential parenting program. She had complex medical conditions including coproporphyria, epilepsy, and opioid use disorder. Critica…
17y · Male·Cardiac arrhythmia during restraint, with previous traumatic brain injury as a s…
Pono Aperahama, a 17-year-old with severe traumatic brain injury and moderate intellectual disability, died from cardiac arrhythmia during restraint at a swimming pool. His escalating behaviour in 2017—triggered by schoo…
27y · Female·Multiple sharp force injuries
Ms ZT, a 27-year-old Lebanese woman, was murdered by her husband Mr BR on 17 June 2016 through multiple sharp force injuries. The coroner's investigation revealed a prolonged pattern of severe domestic violence, physical…
61y · Female·Multiple drug (tapentadol, morphine, diazepam, citalopram) intoxication
Margaret Cahill, a 61-year-old nurse assistant, died from multiple drug intoxication after a GP administered 60mg intramuscular morphine without knowing she had consumed tapentadol 1-2 hours earlier. The coroner identifi…
0y · Unknown·Category II Sudden Infant Death Syndrome (co-sleeping)
Baby J, a healthy 23-week-old infant, died from Category II Sudden Infant Death Syndrome (SIDS) associated with co-sleeping. He was found unresponsive while sleeping chest-to-chest with his father on makeshift bedding wi…
51y · Male·blunt trauma of the chest sustained in a motor vehicle crash; hypovolemic shock …
A 51-year-old man with schizophrenia, bipolar disorder, chronic pain, and substance use disorder died from blunt chest trauma following a motor vehicle crash. He had a history of two previous crashes associated with high…
30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …
Jack Kokaua, a 30-year-old with schizophrenia and coronary artery disease, died from malignant ventricular arrhythmia during a police encounter after absconding from hospital. Contributing factors included positional asp…
46y · Female·Accidental mixed prescription drug toxicity (tramadol, amitriptyline, codeine, d…
Michelle Jayne Stocks, aged 46, died from accidental mixed prescription drug toxicity in December 2018. She had complex medical conditions including emphysema, fibromyalgia, and chronic pain, managed by her GP Dr Q. retu…
26y · Male·multiple injuries from fall from height
A 26-year-old man with schizophrenia was discharged from mental health inpatient care on a community treatment order without meeting his allocated case manager, confirmed accommodation, or drug and alcohol intervention. …
42y · Male·Gunshot wound to the head
A 42-year-old NSW Police Sergeant died from a self-inflicted gunshot wound while on highway patrol duty. One week prior, he had been notified of a criminal misconduct investigation by Professional Standards Command, but …
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