997 results
49y · Male·hanging (suicide)
Antonio Rodriguez, aged 49, died by hanging on 16 September 2006, two hours after discharge from Ward B8 (psychiatric short-stay unit) at Royal Adelaide Hospital. He had been admitted with severe depression and active su…
68y · Male·coronary atherosclerosis worsened by heat stroke
Leon Streader, a 68-year-old man with schizophrenia, epilepsy, obesity, and coronary artery disease, died from coronary atherosclerosis worsened by heat stroke whilst residing in a level-3 accredited hostel on an extreme…
39y · Male·Strychnine toxicity
Randall Coleman, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite p…
36y · Male·Hanging
Tony Stanford, a 36-year-old remand prisoner with depression and a history of suicide attempt, died by hanging in his cell at Arthur Gorrie Correctional Centre on 19 September 2006. He was on a risk management plan requi…
Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…
Two deaths resulted from police restraint in prone positions. David Gurralpa, a 39-year-old Aboriginal man with pre-existing coronary artery disease, died of sudden cardiac arrest following police restraint during a dome…
15y · Female·Hanging (self-inflicted)
A 15-year-old Aboriginal girl in a remote Central Australian community died by suicide following a year marked by petrol sniffing, sexual abuse concerns, and reported suicide attempts. She suffered multiple sexually tran…
32y · Male·overdose of a combination of chlorpromazine, mirtazapine, and diazepam
Mark Downie, aged 32, died from an overdose of chlorpromazine, mirtazapine, and diazepam at home on 16 January 2007, eleven days after discharge from psychiatric hospital. He had a history of depression, polysubstance ab…
41y · Male·Dilated cardiomyopathy
Raleigh Hoy, a 41-year-old man with schizophrenia and autistic spectrum disorder, died of dilated cardiomyopathy at a residential care facility (Tarampa After Care Centre) in Queensland in January 2007. While his mother …
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…
Male·Multiple injuries due to train over-run (suicide by train)
Two separate suicides by train in July 2006 of young men admitted to Logan Hospital mental health services. Liam Wright (19) was transferred from the secure Acute Observation Area (AOA) to an open ward on 14 July 2006 de…
Female·Drowning (suicide)
Melissa Maree Blake died by suicide by drowning on 16 January 2007 while receiving community-based treatment for psychotic depression, which developed following a miscarriage. She was referred to Sunshine Coast Mental He…
22y · Male·multi-organ failure secondary to heatstroke
Jon Edward Norman Clarke, a 22-year-old man with chronic schizophrenia-paranoid type managed with Clozapine 500mg daily plus Solian and Efexor XR, collapsed from heatstroke while working as a trolley boy on 27 January 20…
49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …
Patricia Van Putten, a 49-year-old retired teacher, died by suicide via glyphosate ingestion on 18 February 2006, four days after discharge from psychiatric hospitalization for a serious self-harm attempt (throat lacerat…
60y · Male·asphyxia sequential to hanging due to depression
Robert Harris, a 60-year-old man with depression, made two suicide attempts within 24 hours. After the first attempt on 27 June 2006, he was discharged from Cairns Base Hospital Emergency Department with a plan to attend…
18y · Male·neck compression due to hanging
Rowan Wheaton, aged 18, died by hanging at supported accommodation in April 2006. He had Aspergers Syndrome diagnosed at age 4, with escalating behavioural and mental health crises from adolescence. Despite multiple emer…
71y · Male·Positional asphyxia
A 71-year-old man with severe dementia died from positional asphyxia when his neck became wedged in a gate at an aged care facility. He had demonstrated multiple escape attempts within days of admission, with staff docum…
35y · Male·neck compression due to hanging
A 35-year-old man with chronic depression, alcohol dependence and amphetamine abuse was detained at the Queen Elizabeth Hospital Emergency Department on 15 May 2006 after presenting intoxicated with suicidal ideation. He…
45y · Male·choking on food
Richard Mann, a 45-year-old man with intellectual disability and psychiatric illness residing in an institutional setting (Strathmont Centre infirmary), died from choking on food. Critical failures in observation and mon…
gunshot wounds; multiple deaths during police interventions with mentally ill in…
Between October 2003 and February 2006, Queensland police shot and killed four young men suffering from severe mental illness during crisis situations. In all four cases, the shootings were legally justified as the offic…
Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…
This coronial inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. …
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.