139 results
Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…
Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma Street Centre mental health services in Western Australia. Rub…
Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…
Five patients of Alma Street Centre's psychiatric unit died within 12 months (2011-2012). Three died by suicide within 24 hours of discharge; one disappeared and died; one absconded while detained and died. Clinical less…
48y · Female·head injury sustained when struck by a train
Frances May Cooper, 48, a patient with chronic paranoid schizophrenia, died from head injuries after being struck by a train while on unescorted leave from the Kalgoorlie Regional Hospital mental health unit. She was an …
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…
31y · Male·Hanging
Scott Matthew O'Connor, a 31-year-old male, died by suicide in the Maximum Security Unit of Arthur Gorrie Correctional Centre on 22 January 2013. He had been assessed as high-risk for self-harm and placed on 30-minute ob…
28y · Male·neck compression due to hanging
Mark Payne, 28, a remand prisoner at Yatala Labour Prison, hanged himself in his cell on 2 June 2011 using a canvas smock. He had made recent threats of self-harm and was placed under camera observation in G Division. Th…
45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis
45-year-old man with bipolar disorder admitted to psychiatric unit involuntarily died from spontaneous lethal arrhythmia due to focal myocardial fibrosis. Critical issue was inadequate visual observations overnight—the p…
24y · Male·unascertained
Louis Gerard Le Boeuf, aged 24, disappeared from the Sunbury Training Centre on 23 November 1977. He had severe epilepsy, intellectual disability, and required full support for daily living including assistance with walk…
smoke inhalation and burns from deliberately-lit fire (primary cause varies by i…
Fourteen elderly residents died in a deliberately-lit fire at Quakers Hill Nursing Home on 18 November 2011, set by drug-dependent nurse Roger Dean to destroy evidence of medication theft. Dean had worked while visibly i…
24y · Male·Head injuries from blunt force trauma
Kyle Canisi, a 24-year-old remanded prisoner with a violent history, died from severe head injuries sustained in an unprovoked assault by fellow inmate Scott O'Connor on 27 December 2011 at Arthur Gorrie Correctional Cen…
34y · Female·Multiple injuries due to impact with a train
Sarah Simpson, a 34-year-old woman with bipolar affective disorder, died by suicide after exiting a locked psychiatric unit. She was admitted involuntarily on 30 January 2012 after expressing suicidal ideation and was di…
52y · Male·Hanging
A 52-year-old man with long-standing mood disorders, depression and suicidal ideation was apprehended under Mental Health Act section 10 after acute suicidal behaviour including self-harm. He was brought to Casey Hospita…
38y · Male·asphyxiation due to hanging
A 38-year-old remand prisoner with a long history of drug dependency died by asphyxiation from hanging in his cell at a metropolitan remand centre in September 2011. He had been assessed multiple times by the Risk Interv…
31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…
Georgia Cheal, a 31-year-old with complex medical history including chronic pain, major depression, and obesity, died from pneumonia exacerbated by combined drug toxicity from multiple prescription medications, cannabis,…
24y · Male·cardio-respiratory arrest due to multi-drug toxicity
Hugh Lisle, a 24-year-old man with severe chronic arthritis, depression, polysubstance addiction and gambling disorder, died in a private psychiatric facility after admission for substance withdrawal management. Death re…
36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…
Jasmine Roennfeldt, a 36-year-old woman with schizoaffective disorder being treated at a community mental health clinic, died from stab wounds inflicted by her flatmate Rocky Manu, who had paranoid schizophrenia. Rocky h…
65y · Male·Hanging
James Falzon, a 65-year-old man with psychotic depression admitted to Peter James Centre psychiatric ward, died by suicide via hanging. He had been assessed as high-risk and was on 15-minute observations as ordered by hi…
29y · Male·hanging
Paul Skinner, a 29-year-old with depression and recent suicide attempt, was admitted to a psychiatric inpatient unit on involuntary status. Despite being prescribed 15-minute observations by his treating psychiatrist, nu…
37y · Male·Single gunshot wound deliberately self-inflicted while in police custody
Jason Lee Plum, a 37-year-old man with bipolar disorder, died from a self-inflicted gunshot wound while in police custody at Wagga Wagga. Arrested for domestic violence, he was not searched before being placed in a polic…
37y · Male·compression of the neck consistent with hanging
Andrew David Hollonds, a 37-year-old man with personality disorder, substance misuse, and recent psychosis, presented to hospital after a suicide attempt (temazepam overdose) following job loss. He explicitly threatened …
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