997 results
38y · Male·hypoxic brain injury and organ failure following compression of the neck (hangin…
A 38-year-old Sri Lankan asylum seeker died by suicide after being released from immigration detention on a bridging visa. He had documented anxiety and trauma history during detention, managed by psychiatrist Dr A. who …
Female·traumatic and hypoxic brain injury caused by numerous falls and self-beating of …
Miriam Merten died from traumatic and hypoxic brain injury sustained during 25+ falls while in seclusion in a mental health unit. Critical clinical failures occurred: she was not provided one-to-one observation during th…
63y · Male·Drowning
Antonio D'Augello, a 63-year-old man with schizophrenia and acquired brain injury, died by drowning in an irrigation channel four days after discharge from emergency care. He had deteriorated after stopping antipsychotic…
36y · Female·Hanging
A 36-year-old woman with borderline personality disorder and alcohol use disorder died by hanging approximately one month after discharge from St Vincent's Hospital. She had been admitted involuntarily following threats …
59y · Male·ischaemic heart disease due to coronary atherosclerosis; acute myocardial infarc…
A 59-year-old man with ischaemic heart disease, paranoid schizophrenia, unstable type 2 diabetes, peripheral vascular disease and chronic renal failure died of acute myocardial infarction while residing in aged care. He …
91y · Female·Unascertained
Margaret Smith, a 91-year-old admitted with head strike from fall, developed moderate depression during her stay and received electroconvulsive therapy (ECT) as a compulsory patient. On 5 March 2015, she developed epigas…
59y · Male·asphyxia due to choking on food
Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and paranoid schizophrenia with complex psyc…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…
This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficult…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…
Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…
32y · Male·Gunshot wound to the head (Benjamin Green: homicide by William Markee; William M…
This inquest examined the deaths of Benjamin Green (aged 32) and William Markee (aged 58) on 15 May 2015 in Nimmitabel, NSW. Markee shot Green in his sleep, then shot himself. Clinical lesson: Markee had clear, untreated…
43y · Male·acute neck compression due to hanging
Geoffrey Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehic…
30y · Male·Cause of death remains uncertain; likely drug-related but not established
Jason Britten, a 30-year-old man with a long history of heroin use and mental health issues including previous suicide attempts, was found dead at his home in February 2015 after approximately three months of decompositi…
46y · Male·Multiple blunt traumatic injuries sustained in motor vehicle crash; manner deter…
Jeremy Ball, aged 46, Deputy Mayor of Launceston, died on 15 September 2014 when he deliberately steered his vehicle into the path of a loaded truck on the Bass Highway, sustaining fatal blunt traumatic injuries. The cor…
23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…
Geoffrey Reid, 23, died from combined drug toxicity while hospitalised for schizophrenia management. He was re-inducted onto methadone at 30mg with 10mg daily increments to 50mg over four days, escalated more rapidly tha…
38y · Male·hanging in custody
Two deaths investigated together: Sandeep Kaur Thind (30F) killed by her husband Ranjit Singh (38M) by strangulation in a McDonald's toilet on 10 August 2013. Singh was remanded in custody and died by hanging in a mental…
22y · Male·Multiple injuries secondary to fall from a height
Daniel Woodburn, a 22-year-old with first-episode psychosis presenting with command hallucinations, paranoia and depressed mood, was admitted as a voluntary patient to an unlocked inpatient unit at Orygen Youth Health on…
53y · Female·mixed prescription drug toxicity
Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine…
Male·neck compression due to hanging
Two men died by suicide within five months of emergency department assessments at Lyell McEwin Hospital. Both had been brought in by police under Mental Health Act section 57 but were not detained and discharged after mi…
33y · Male·Mixed drug toxicity
Shaun Beagley, aged 33, died from mixed drug toxicity (heroin, methylamphetamine, benzodiazepines) while on overnight leave from E-PARCS psychiatric residential facility. He had been admitted following suicide attempts a…
43y · Female·Stab wounds to the chest
Kelly Thompson was fatally stabbed by her estranged partner Wayne Wood on 9 February 2014 after he forcibly entered her home. Over 39 days from initial police contact on 1 January 2014, multiple system failures contribut…
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