139 results
35y · Male·Sudden death during restraint in an agitated obese man with coronary artery athe…
Justin Fraser, a 35-year-old male with first-episode psychosis, died in restraint at Frankston Hospital psychiatric ward on 26 October 2007. He was found attempting suicide by hanging, became agitated and threatening, le…
35y · Male·Sudden death during restraint in an agitated obese man with coronary artery athe…
Justin Fraser, a 35-year-old man with first-episode psychosis admitted to Frankston Hospital psychiatric unit, was found attempting suicide by hanging and subsequently became agitated. Security and AMT staff physically r…
26y · Female·intentionally inflicted gunshot wounds to the head
This complex triple-inquest into the deaths of two women in 1991 reveals systemic investigative failures and challenges the original murder-suicide finding. Julie-Anne Leahy and Vicki Arnold died from gunshot wounds on 2…
39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…
Antonio Carmelo Galeano died in police custody on 12 June 2009 after a protracted struggle and multiple taser activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergen…
21y · Male·undetermined causes, in the course of being restrained by members of the NSW Pol…
Roberto Laudisio Curti, a 21-year-old Brazilian, died on 18 March 2012 during police restraint in Sydney after consuming LSD which induced a psychotic state. After a convenience store incident was misclassified as an arm…
37y · Male·Respiratory arrest in association with medication drug effect and alcohol intoxi…
David James Lee, a 37-year-old Aboriginal man with schizophrenia, died on 15 July 2007 at Port Hedland Regional Hospital from respiratory arrest associated with medication effect and alcohol intoxication. He arrived at t…
53y · Male·severe burns
Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threatening to self-immolate due to distress about power cuts at h…
27y · Male·cardiac arrhythmia during restraint; mechanism involved hypoxia and asphyxiation…
Warwick Andrew Ashdown, a 27-year-old male with severe treatment-resistant paranoid schizophrenia, died at Graylands Hospital on 12 October 2007 from cardiac arrhythmia during physical restraint. After assaulting another…
76y · Male·MULTIPLE INJURIES IN A TRAIN INCIDENT
A 76-year-old man with advanced dementia was admitted to a residential aged care facility on 26 June 2008. Within hours, he absconded through the front door and was struck by a train, sustaining fatal injuries. The RN ad…
28y · Female·bronchopneumonia complicating oxycodone toxicity
Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doctor with no prior experience with oxycodone prescribed inappropri…
59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…
Lena Divola, a 59-year-old woman with intellectual disability, schizophrenia, and depression living in supported accommodation, sustained a head injury on 24 December 2007 when she fell backwards from a walker being push…
89y · Female·Ischaemic heart disease in a woman with a history of recent assault
Mrs Anderina Sanderson, 89, died from ischaemic heart disease four days after being assaulted by a male resident with dementia in an aged care facility. The forensic pathologist concluded the assault accelerated her decl…
27y · Male·Hanging
Jeremy Barker, a 27-year-old man with bipolar disorder, recent suicide attempts, and explicit stated intention to hang himself, was admitted to Arthur Gorrie Correctional Centre's medical unit for observation as an 'at-r…
31y · Male·Overdose of quetiapine (Seroquel) in combination with alcohol
Travis Graham, a 31-year-old man with a history of mental illness, self-harm, and substance abuse, died from an overdose of quetiapine (Seroquel) combined with alcohol. He had previously overdosed on the same medication …
39y · Male·coronary atherosclerosis
A 39-year-old Aboriginal man died from coronary atherosclerosis after police responded to reports of strange and agitated behaviour. His mother and family had requested police assistance; he appeared to be experiencing a…
27y · Male·external blood loss due to laceration of right axillary artery from single gunsh…
Gregory Biggs, age 27, died from a gunshot wound to the upper right back inflicting a laceration of the right axillary artery. He was shot by Sergeant Samuel Cahir after being observed wielding samurai swords in Carlton …
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…
26y · Male·severe closed head injury associated with severe fractures of the cranial vault …
Two remand prisoners died by jumping from mezzanine floors at Adelaide Remand Centre. Andrew Gill (26) died 2 June 2005 after jumping 1 June; Simon Schaer (70) died 15 December 2005. Critical failure: police possessed in…
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…
28y · Male·hanging
A 28-year-old man with treatment-resistant paranoid schizophrenia and substance abuse died by hanging while detained under the Mental Health Act in a closed psychiatric ward. He had chronic auditory hallucinations comman…
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