4,457 results
29y · Female·Multiple blunt force injuries due to motor vehicle collision (pedestrian)
A 29-year-old woman died after being struck by a vehicle while walking on an unlit road at night after leaving a nightclub event. She had consumed alcohol (BAC 0.15%) and was wearing dark clothing on a dark, unlit stretc…
59y · Female·Extensive crush injury sustained when struck by a heavy vehicle (road train)
A 59-year-old woman was struck and killed by a road train while attempting to cross the Stuart Highway at night near Stuarts Well. She was highly intoxicated (BAC 0.15%) and had documented poor vision and hearing. The ro…
19y · Male·gunshot wounds to chest and abdomen
Kumanjayi Walker, a 19-year-old Warlpiri/Luritja man, died from gunshot wounds to his chest and abdomen at Yuendumu Police station on 9 November 2019. This coroner's report focuses on systemic failures in policing, youth…
50y · Male·acute alcohol toxicity
A 50-year-old man died from acute alcohol toxicity in a hotel room after consuming approximately 700mL of vodka over a 24-hour period. He had a 10-year history of escalating alcohol use, multiple presentations to hospita…
53y · Male·ischaemic heart disease in the setting of acute on chronic alcohol ingestion
A 53-year-old man with chronic heavy alcohol consumption and undiagnosed ischaemic heart disease died from acute alcohol intoxication superimposed on coronary artery atherosclerosis. Post-mortem blood alcohol was 0.36g/1…
48y · Female·Neck compression secondary to hanging
Ms HRZ, a 48-year-old Turkish-born woman, died by suicide on Christmas Day 2020 after experiencing years of family violence. She first endured abuse from her ex-husband, then sexual coercion, assault, stalking and threat…
54y · Female·neck compression secondary to hanging
Ms NXA, a 54-year-old woman with complex mental health conditions including depression, CPTSD, and anxiety, presented to hospital after a suicide attempt by overdose on 9 August 2021. She was experiencing severe tinnitus…
50y · Male·ligature compression of the neck (hanging)
Matthew Francis Leach, a 50-year-old man with longstanding alcohol dependence, depression, and a history of suicide attempts, died by ligature hanging in his cell at Hakea Prison shortly after being sentenced to 12 month…
55y · Male·Complications of liver cirrhosis and hepatocellular carcinoma in a man with mult…
Robert Exell, a 55-year-old Aboriginal man, died from complications of liver cirrhosis and hepatocellular carcinoma while in custody. He had chronic hepatitis C and alcohol-related liver disease since at least 2012. Key …
20y · Male·gunshot wound to the chest
A 20-year-old man with borderline personality disorder, who had made over 25 suicide attempts in the two years prior, died from a gunshot wound sustained during a police encounter. He had called mental health services an…
35y · Male·multi-drug toxicity
CPL Ian Turner, a 35-year-old Special Forces soldier with combat-related PTSD, died from multi-drug toxicity in July 2017. His death followed multiple deployments to Afghanistan and Iraq, domestic violence incidents, dis…
77y · Male·multiple chest injuries
A 77-year-old man died from multiple chest injuries sustained when a Mini Loader he was operating rolled over and crushed him. He had no prior experience with plant machinery and received minimal induction training. The …
38y · Male·Pulmonary thromboembolism in the setting of deep vein thrombosis
Kevin Harris, a 38-year-old man with obesity, sustained a left tibial plateau fracture from a workplace fall on 27 December 2022. His general practitioner managed the injury conservatively with rest, ice, and anti-inflam…
23y · Male·Drowning
Stephen John Burt, aged 23, was found deceased in January 1985, with drowning as the cause. His remains were unidentified for 36 years until 2021. Critical failures included: catastrophic incorrect sequencing of fingerpr…
23y · Female·unascertained
Olivia Gilfillan, aged 23, died between 1–5 February 2018 after nine years of psychiatric treatment for anorexia nervosa, obsessive-compulsive disorder, schizoaffective disorder, and borderline personality disorder. She …
68y · Female·Sepsis (palliated)
Ms Eddolls, a 68-year-old woman with intellectual disability and complex medical conditions, died from sepsis secondary to pressure ulcers while in specialist disability accommodation. She developed sacral and heel press…
53y · Male·Cervical spine distraction and hanging
A 53-year-old man with chronic treatment-resistant depression and chronic suicidality was admitted to Northern Hospital following a serious suicide attempt. He was assessed as high-risk but discharged after 19 days with …
27y · Male·undetermined
Peter Christofidis, a 27-year-old man with a significant history of mental illness including depression and early schizophrenia, disappeared on 14 March 1983 after driving from his home in Cheltenham to Hattah Kulkyne Na…
41y · Male·Cardiomegaly in a man with WHO Class III obesity
Michael Suckling, a 41-year-old Aboriginal man, died in prison from cardiomegaly secondary to morbid obesity (BMI 54.5). He gained approximately 117kg during his 3-year incarceration, with rapid initial weight gain from …
16y · Male·Complications of acute alcohol intoxication
A 16-year-old male died from complications of acute alcohol intoxication after consuming a dangerous quantity of alcohol (estimated blood alcohol content 0.34-0.4 g/100mL at midnight) at a family Christmas gathering. He …
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