3,478 results
22y · Male·Multiple injuries from fall from height
Mitchell Follent, 22, died by fall from a third-floor balcony five days after discharge from his first psychiatric admission for post-ictal/drug-induced psychosis. He had intellectual disability, epilepsy, and acquired b…
Not applicable—this is a fire investigation, not a death investigation. The find…
This coronial inquiry examined the Sir Ivan fire, which burned 55,372 hectares across rural NSW in February 2017 during catastrophic fire conditions, destroying 35 homes without loss of life. The coroner found the fire o…
55y · Female·Unascertained
Elizabeth Ewart, aged 55, died at The Melbourne Clinic on 27 February 2017. She had bipolar disorder, anxiety and schizoaffective disorder. After administering PRN Olanzapine 2.5mg at 4:35pm for agitation, Nurse Cook was…
58y · Male·asphyxiation by ligature
A 58-year-old Cambodian male with basic English skills died by suicide in prison after 7 days in custody on remand for assault. Critical failures in the reception screening process included: incomplete identification and…
34y · Male·acute methamphetamine toxicity from ingested balloons that burst or dissolved in…
Ossama Al Refaay, a remand inmate at Long Bay Hospital, died from acute methamphetamine toxicity after ingesting balloons containing the drug during or shortly before a prison visit. Forensic evidence indicated he had sw…
53y · Male·aspiration pneumonia on a background of oesophageal cancer and ischaemic heart d…
Anthony Stephen Gibson, aged 53, died in hospital from aspiration pneumonia secondary to oesophageal cancer and ischaemic heart disease. He was serving a prison sentence and was shackled to his bed throughout most of his…
Unknown·drowning (Thomas Hunt); drowning/immersion with head injury (Youngeun Kim)
Two young international visitors died by drowning at Josephine Falls in Queensland's wet tropics, separated by two years. Both were swept away by rapidly rising floodwaters in Bottom Pool after heavy rainfall in the Moun…
24y · Male·Mixed drug toxicity
A 24-year-old man died from mixed drug toxicity after staying overnight at a backpackers hostel. He had a history of anxiety and shoulder pain following 2015 surgery, for which he received multiple medications including …
87y · Female·left frontal temporal subdural haematoma following closed head injury sustained …
An 87-year-old woman on irreversible anticoagulation suffered a subdural haematoma from a fall. She presented to a community hospital lucid with stable vitals. A CT scan confirmed acute subdural haematoma. The neurosurgi…
34y · Male·Mixed drug toxicity
FDS, a 34-year-old male recently released from prison, died from mixed drug toxicity after injecting heroin in a public toilet. He had a long-standing complex drug history and relapsed shortly after release despite parol…
54y · Male·Multiple injuries due to motor vehicle collision with retaining wall caused by d…
Adrian Pitman, a 54-year-old man with treatment-resistant schizophrenia, died by suicide following a motor vehicle collision with a retaining wall. He was subject to a psychiatric treatment order and had 33 different cas…
49y · Male·drowning combined with head trauma
Eric Fillisch, an experienced 49-year-old rebreather diver, died from drowning following head trauma sustained in an underwater cave at Visscher Island, Tasmania. While exploring a fissure cave after his dive partner sur…
65y · Male·Cardiomegaly
Grant White, a 65-year-old man with cardiomegaly and severe mitral regurgitation living in Department of Health and Human Services disability accommodation, died from cardiomegaly on 11 September 2017. Two days before hi…
64y · Male·Unknown
Kim Mackell, a 64-year-old artist living in the Blue Mountains, disappeared on 18 December 2016 and was found deceased in bushland in April 2017. The cause and manner of death remain unknown; he likely fell from a cliff …
32y · Female·Mixed drug toxicity (methadone, oxycodone, desmethylvenlafaxine, quetiapine, ola…
Liana Pickup, a 32-year-old woman with complex mental illness (bipolar disorder, borderline personality disorder, schizoaffective disorder), chronic back pain, and substance dependence, died from mixed drug toxicity afte…
35y · Male·Clozapine toxicity
A 35-year-old Aboriginal man with schizophrenia and alcohol use disorder died from clozapine toxicity while residing at a non-clinical peer recovery facility. He presented with psychiatric distress on 10 December 2016, r…
80y · Male·Vasodilatory shock and multi-organ failure secondary to aspiration and cardiores…
George Kimpton, aged 80, died from vasodilatory shock and multi-organ failure secondary to aspiration pneumonia five hours after cardiopulmonary arrest in hospital following colorectal cancer surgery. He had developed a …
52y · Male·Mixed drug toxicity
A 52-year-old man with multiple sclerosis, chronic pain, depression and history of suicidality died from mixed drug toxicity following an intentional overdose. He was prescribed multiple opioids (fentanyl, tramadol, oxyc…
21y · Male·Hanging
A 21-year-old Aboriginal man died by hanging following a tumultuous relationship involving family violence, substance abuse, and unmanaged mental health issues. He had attempted self-harm in May 2017 and was assessed as …
27y · Female·chest injuries
Olivia Inglis, 27, died from chest injuries sustained in a fall whilst competing in the cross country phase of eventing at the 2016 Scone Horse Trials. She successfully negotiated fence 8A but fell at fence 8B. The coron…
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