1,172 results
5y · Female·Multiple stab wounds to the back
Anna Perinovic, age 5, died from multiple stab wounds inflicted by her mother Katica during a first episode psychosis. Katica had been referred to NorthWestern Mental Health in November 2020 after developing paranoid tho…
7y · Female·Multiple stab wounds to the back
Claire Perinovic, aged 7, died from multiple stab wounds inflicted by her mother Katica during a filicide-suicide incident. Katica had been diagnosed with First Episode Psychosis in November 2020 and treated by NorthWest…
3y · Male·Multiple stab wounds to the back
Matthew Perinovic, aged 3 years, died from multiple stab wounds inflicted by his mother Katica during a first-episode psychosis. Katica had been receiving mental health treatment from NorthWestern Mental Health Service f…
84y · Male·advanced atherosclerotic coronary vascular disease
John Harold Tunks, an 84-year-old man, died of advanced atherosclerotic coronary vascular disease with contributing emphysema from lifelong smoking. He lived alone despite documented cognitive impairment and functional d…
13y · Male·Asthma
Master S was a 13-year-old Aboriginal boy with severe persistent asthma who died at home on 13 November 2019. He was found unresponsive with his nebuliser mask on his face. The coroner accepted that death resulted from a…
36y · Female·Stab wound to the neck
Ying Ying Zhou, aged 36, was fatally stabbed in the neck by her husband Wei Hu on 14 September 2019 in a domestic violence homicide-suicide. The death was preceded by escalating family violence including threats, sexual …
74y · Female·Diabetic ketoacidosis
A 74-year-old woman with Type 1 diabetes died from diabetic ketoacidosis (DKA) in an aged care facility. Between 7-10 December 2016, her blood glucose levels remained persistently elevated (>33 mmol/L) despite escalating…
20y · Male·cardiac arrest due to complications of infective endocarditis against a backgrou…
Maluovailoa Tafau, a 20-year-old man in custody, died from cardiac arrest due to infective endocarditis complicated by rheumatic heart disease. He had submitted two patient self-referral forms (September 2016 and Februar…
29y · Male·Hanging
ZH, a 29-year-old man serving a 9-year sentence for drug supply, died by hanging in his minimum-security cell at Parklea Correctional Centre on 11 August 2021. The coroner found his death was self-inflicted. Key clinical…
39y · Female·ligature strangulation
Fatima Batool, a 39-year-old woman from Pakistan, was fatally strangled by her husband on 7 July 2018. She had experienced ongoing family violence including physical assault, controlling behaviour, surveillance, and isol…
34y · Female·Drowning
Ozlem Karakoc, aged 34, died by drowning on 14 July 2017 at her home in Dandenong, Victoria. She was murdered by her former intimate partner, Murat Davsanoglu, who held her underwater in a bathtub. Ms Karakoc had mild in…
44y · Male·Unascertained
Mark Skidmore, a 44-year-old man, died in Port Phillip Prison on 14 February 2017. Post-mortem examination revealed multiple prescribed drugs (methadone, mirtazapine, pregabalin) and unprescribed drugs (clonazepam, trama…
59y · Female·Myocardial infarction secondary to ischaemic heart disease
Colleen Mary Chapman, a 59-year-old woman with intellectual disability living in a community residential unit, died of myocardial infarction secondary to ischaemic heart disease, with WHO Class IV obesity as a contributi…
54y · Female·hypothermia, likely related to drug toxicity
Sandra Anne Brown, a 54-year-old woman with multiple chronic conditions including COPD, diabetes, bipolar disorder and epilepsy, died from hypothermia likely related to drug toxicity. She presented to the ED with breathi…
36y · Male·Cannot be determined
CD, aged 36, disappeared on 17 June 2019 after exhibiting significant mental health deterioration, recent suicidal ideation, paranoia, alcohol abuse, and relationship breakdown. The coroner found sufficient evidence that…
71y · Male·Complications of metastatic squamous cell carcinoma (terminal palliation)
Leslie Shortte, a 71-year-old life prisoner, died from metastatic squamous cell carcinoma with complications. Critical failures in his prison medical care included: failure to complete annual health assessments after 201…
55y · Male·Acute alcohol toxicity
Alan Wilson, a 55-year-old man with intellectual disability, schizophrenia, and severe alcohol addiction, died from acute alcohol toxicity in an aged care facility. Post-mortem blood alcohol concentration was 0.33%, suff…
28y · Male·neck compression consequent upon hanging
A 28-year-old man with severe personality disorder, substance use history, and recent suicidal ideation died by hanging. He was admitted to mental health services on 25 February 2019 after suicide threats and high-lethal…
33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity
Jessica Higgins, a 33-year-old woman with chronic pain and opioid dependence, died from hypoxic ischaemic encephalopathy following mixed drug toxicity. She underwent a ketamine infusion with opioid rotation from oxycodon…
1y · Male·methadone toxicity
Phoenix Hemmings, a 14-month-old child, died from methadone toxicity on 31 March 2015. He was found unresponsive at home after falling asleep on a sofa next to his mother, while his mother's partner (on a methadone opioi…
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