2,765 results
33y · Female·Compression of the neck
Ms Marzieh Rahimi, a 33-year-old Afghan refugee, died from compression of the neck following an incident with her husband. She had disclosed a history of extensive physical, verbal, financial and emotional abuse. In the …
suicide by hanging or other means
Six young people aged 12-17 years died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identified s…
46y · Female·Unascertained - death occurred in the course of an assault by her husband; evide…
Zahra Rahimzadegan, a 46-year-old Iranian-Australian woman, was killed by her husband in a domestic homicide on 16 December 2011. The death occurred in the context of a 16-year history of physical abuse, threats, and con…
24y · Male·Strangulation by hanging
Dean Laycock, a 24-year-old man with intellectual disability and psychosis, died by hanging on Christmas Eve 2009, four hours after being informed that his anticipated 4-day Christmas leave from PARC (a psychiatric step-…
60y · Female·undetermined
Margaret Elizabeth Hills, a 60-year-old woman with chronic pain and depression from a work-related spinal injury, disappeared on 2 February 2010 from her home in Katoomba, NSW. Her skeletal remains were discovered nearly…
32y · Male·multiple injuries sustained in a fall from height
A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic relapse. The case reveals critical failings in mental health crisis r…
Unknown·unknown
Allan George Whyte (17) and Maureen Joyce Braddy (16) disappeared on 23 November 1968 after attending a dance at the YMCA Hall in Bendigo, Victoria. Their bodies have never been found. Despite suspicion falling on Mauree…
59y · Male·Suicide by hanging while suffering from a mood disorder in the nature of deliriu…
A 59-year-old man died by suicide on 5 January 2009, 47 days after undergoing Deep Brain Stimulation (DBS) surgery for Parkinson's disease. Post-operatively, he experienced significant behavioural changes including agita…
36y · Male·Multiorgan failure complicating Streptococcus pyogenes septicaemia
Michael Nicoll, 36, presented to Cabrini Hospital ED with diarrhoea, vomiting, and dehydration. Dr P. diagnosed gastroenteritis and discharged him after IV fluids, despite dehydration, tachycardia, elevated creatinine, a…
24y · Female·Exsanguination from injuries sustained while attempting to climb from a height i…
Phoebe Handsjuk, a 24-year-old woman with a history of depression, anxiety, and alcohol abuse, was found deceased in the refuse room of her apartment building on 2 December 2010. The coroner found she entered a garbage c…
Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome
A full-term baby born at 39 weeks died from hypoxic-ischaemic encephalopathy due to meconium aspiration. Critical failures in fetal monitoring were identified: the admission CTG was abnormal but not recognised as such by…
0y · Male·subdural haemorrhage due to blunt force trauma to the head
LB, a six-week-old infant, died from a subdural haemorrhage caused by blunt force trauma to the head inflicted by his mother. Autopsy revealed bilateral subdural haemorrhage, brain tears, and rib fractures sustained over…
53y · Male·decompensated alcoholic liver disease in the setting of gastro-intestinal haemor…
A 53-year-old man with advanced alcoholic liver disease (Child-Pugh C) died of decompensated liver disease with gastrointestinal haemorrhage. He was arrested for drunk in public place, lodged in police cells, and release…
21y · Male·Sepsis caused by Leptospirosis (Graeme Gulliver); Group A streptococcal meningit…
Three young patients died from severe bacterial infections at rural Queensland hospitals (Mossman and Atherton). All three received delayed diagnoses and treatment. The first patient (21-year-old with leptospirosis) pres…
66y · Male·Peritonitis secondary to bowel perforation from small bowel obstruction caused b…
A 66-year-old man with a history of appendectomy presented with vomiting and diarrhoea. His GP, Dr D., ordered an abdominal X-ray on 23 June 2010, suspecting bowel obstruction but did not mark it urgent. The radiologist,…
62y · Male·hanging
A 62-year-old man with a long history of severe schizophrenia died by hanging after being granted escorted day leave from a psychiatric inpatient unit. The coroner identified critical failures in communication between ho…
89y · Female·Pulmonary embolism due to deep venous thrombosis
Edna Beryl Whalen, aged 89, died from pulmonary embolism secondary to deep vein thrombosis following delayed diagnosis of a femoral neck fracture. She fell on 8 January 2007 at an aged care facility and reported hip pain…
1y · Male·Staphylococcus aureus septicaemia of unknown origin
Leroy William Scott, a 15-month-old boy, presented to Geelong Hospital with fever, lethargy, and poor oral intake. He was triaged as semi-urgent and not seen by a doctor until 5 AM, 8 hours later. Blood cultures drawn at…
80y · Female·peritonitis due to sigmoid resection margin leak following extended right hemico…
June Olive Pegg, 80, died from peritonitis following anastomotic leak after extended right hemicolectomy for colonic cancer. Critical delays in diagnosis occurred: a PET scan in May 2010 showed a colonic mass, but respir…
14y · Female·Compression of the neck in circumstances of hanging
Chanelle Rae was a 14-year-old girl who died by hanging at home following an argument with a school friend online. She had no prior mental health history or significant stressors. The coroner identified a youth suicide c…
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