72 results
22y · Male·Hanging
A 22-year-old man with depression, alcohol addiction, and recent significant losses (parents, sister, friend) presented to Frankston ED on 14 January 2018 with active suicidal ideation and a specific plan to hang himself…
42y · Male·unascertained
Richard Vanderhelm, a 42-year-old man with a long history of substance dependence, disappeared on 21–24 May 2009 while undergoing community-based detoxification from methadone, cannabis and benzodiazepines at Somers Cara…
41y · Female·unable to determine
Carley Metcalfe, aged 41, was found deceased in the Brunswick River in November 2017, three weeks after disappearing. She had presented to Lismore Base Hospital on 1-2 November 2017 with acute psychosis related to schizo…
Male·Combined effects of multiple blunt force injuries and the effects of fire (Craig…
Craig Whitall, a 49-year-old on methadone maintenance therapy, drove erratically on the Princes Highway after leaving hospital on Boxing Day 2017, colliding head-on with the Falkholt family vehicle, killing five people. …
29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…
A 29-year-old man with class III obesity died from combined drug toxicity involving pregabalin, dihydrocodeine, tramadol, temazepam, and lorazepam. He engaged in prescription medication abuse over 12 months, consulting a…
0y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…
An 8-week-old infant died from SIDS category II, likely due to accidental asphyxiation when the mother fell asleep and slumped forward over him. The infant was born to a mother with a 12-year history of heroin addiction …
volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…
This inquest examines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote Aboriginal communities in the NT between 2018-2019. All three were known to gove…
1y · Male·head injury
Baby S, a 12-month-old boy, died from head injuries inflicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and…
44y · Male·Ischaemic heart disease due to coronary atherosclerosis
Mathew James Keipert, age 44, died of ischaemic heart disease due to coronary atherosclerosis while on home detention bail. He had significant cardiovascular risk factors including hypertension, heavy smoking (40 cigaret…
39y · Male·Multiple drug toxicity (methadone, diazepam, oxazepam, carbamazepine, levetirace…
A 39-year-old man with epilepsy and opioid dependence died from multiple drug toxicity involving methadone, benzodiazepines (diazepam, oxazepam), antiepileptics (carbamazepine, levetiracetam), and mirtazapine. He was pre…
48y · Male·combined drug intoxication from morphine and quetiapine
Brett Cashion, a 48-year-old man with chronic pain and mental health issues, died from combined morphine and quetiapine intoxication after injecting prescription morphine. He was receiving daily Subutex in Tasmania from …
54y · Male·incised wound to the neck
Terrence Michael Malone, a 54-year-old man with a 20-year history of bipolar affective disorder, PTSD, and alcohol dependence, died by suicide in Brisbane Correctional Centre on 8 November 2014, three days after re-incar…
32y · Male·self-inflicted hanging
Sean Collins, a 32-year-old American chef on a work visa who became imprisoned in the Northern Territory, died by suicide in prison custody. He had multiple unaddressed risk factors: first incarceration, lengthy sentence…
multi-drug toxicity (opioids, heroin, benzodiazepines, prescription drugs)
This inquest examined six opioid-related deaths in NSW occurring in May 2016, with causes ranging from heroin and fentanyl toxicity to multi-drug overdoses. The coroner identified multiple preventable factors: inadequate…
19y · Female·Stab wounds to the abdomen
Ms Abuk Derder Akek, a 19-year-old South Sudanese refugee, was fatally stabbed by her former de facto partner Makeny Banek during a violent assault at her home in Melton, Victoria on 13 March 2016. The finding identifies…
45y · Male·gunshot wound to the neck
Matthew Rosewarne, a 45-year-old man with chronic alcohol use disorder and recent relationship breakdown, was found dead in his shed with a gunshot wound to the neck. Although initially investigated as suicide, the coron…
Female·Intrauterine pneumonia and meconium aspiration complicating intrauterine growth …
Baby W was born at 37+5 weeks in an ambulance and died at Bendigo Hospital from intrauterine pneumonia and meconium aspiration secondary to intrauterine growth restriction related to maternal amphetamine use. The mother …
26y · Female·Multiple drug toxicity
Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodiazepines. She had accessed prescription drugs from at …
Unknown·acute fentanyl toxicity; acute oxycodone toxicity; multiple drug toxicity; opioi…
Four adults died from opioid overdoses (fentanyl and oxycodone) in Queensland between 2012–2014. All obtained prescriptions from multiple doctors ('doctor shopping') without effective detection. Systemic failures include…
25y · Male·Aspiration pneumonia secondary to methadone toxicity
Steven Claude Freeman, a 25-year-old Aboriginal man, died of aspiration pneumonia secondary to methadone toxicity on 27 May 2016, while incarcerated at the Alexander Maconochie Centre in the ACT. He was assessed as opioi…
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