4,457 results
6y · Unknown·methadone toxicity
A 6-year-old boy died from methadone toxicity after ingesting his parents' takeaway methadone mixed in juice at home. Both parents were on the NSW Opioid Treatment Program (OTP). The prescribing physician increased metha…
Female·Hypoxic ischaemic encephalopathy due to hanging
Ms S died by suicide while experiencing severe postnatal depression eight weeks after giving birth. She presented to the ED with anxiety, insomnia, and suicidal ideation and was admitted to the Logan Hospital Mental Heal…
29y · Male·cardiac arrhythmia triggered by myocardial ischaemia arising from physical exert…
Brandon Rich, a 29-year-old Aboriginal man, died from cardiac arrhythmia triggered by myocardial ischaemia following a police struggle at his home. He had undiagnosed severe coronary artery disease (75-90% narrowing), mo…
76y · Male·pulmonary thromboembolism in the setting of deep vein thrombosis
A 76-year-old man with a history of unprovoked DVT/PE on lifelong warfarin was admitted with COVID-19 and developed a bleeding duodenal ulcer requiring endoscopic treatment. Warfarin was ceased to prevent further bleedin…
58y · Female·Unascertained
Colleen Mary South, aged 58, was found deceased on 8 August 2022 under a tree in a remote rural paddock in Bunguluke, Victoria, approximately 1.5 kilometres from her abandoned vehicle. She had a significant psychiatric h…
44y · Male·multiple injuries from fall from cliff
A 44-year-old man with familial Mediterranean fever (FMF) and bipolar affective disorder with drug-induced psychosis died following a fall from a cliff at Vaucluse during a police rescue operation. He had been managing s…
41y · Female·ligature compression of the neck (hanging)
Petya, a 41-year-old Bulgarian-born woman, died by ligature compression of the neck while an involuntary psychiatric patient at Bentley Health Service Ward 6 on 16 December 2020. She had been admitted following acute psy…
83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…
Dorothy Jean Atkins, aged 83, died on 9 July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling un…
17y · Male·Hanging
17-year-old Joshua Klumper died by hanging following cannabis withdrawal and workplace stress. He had a complex mental health history with ASD diagnosis (lacking robust diagnostic support), multiple suicide attempts, and…
45y · Female·Neck compression secondary to hanging
Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (…
64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging
A 64-year-old woman with a history of childhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, she accesse…
59y · Male·Hanging
A 59-year-old man serving a life sentence died by hanging in his segregation cell at Lithgow Correctional Centre on 2-3 April 2020. He had a history of depression, anxiety, and a prior serious self-harm attempt in 2010 r…
systemic inquiry into 2019-2020 NSW bushfire season deaths - no single death exa…
Volume 2 of a comprehensive coronial inquiry into systemic issues arising from the 2019-2020 NSW bushfire season. The State Coroner examined 41 fires through Stage 1 hearings and conducted Stage 2 representative case stu…
Unknown·Thermal injury and burns from bushfire exposure; smoke inhalation
The 2019/2020 NSW bushfire season was catastrophic, with 25 deaths investigated by the State Coroner through inquests and 41 fires through inquiries. Over 5.52 million hectares burned, destroying 2,476 homes and damaging…
92y · Female·Consequences of an assault
A 92-year-old woman with dementia died from consequences of an assault by another resident with unmanaged psychosis in an aged care facility. The assault occurred after the facility failed to adequately monitor, assess, …
51y · Female·Unable to determine cause of death
Marion Barter (51) disappeared in 1997 after changing her identity to Florabella Natalia Marion Remakel. She sold her house, resigned from her teaching position, and travelled to England on 22 June 1997, returning on 2 A…
13y · Unknown·Drowning
A 13-year-old child in state care died by drowning at Cedar Creek Falls on 8 April 2021. The coroner found that the youth worker Mr La's decision-making was reasonable, including not using physical restraint when the boy…
31y · Male·Unable to be determined (uncertain whether drowning or other cause following app…
A 31-year-old man with schizoaffective disorder and substance use was admitted involuntarily to the Kiloh Centre after presenting in acute psychosis with suicidal ideation on 1 April 2017. His psychotic symptoms rapidly …
39y · Female·Sudden cardiac arrhythmia following the administration of Kambo frog toxin
Natasha Lechner, a 39-year-old woman with chronic pain from degenerative disc disease, died from sudden cardiac arrhythmia triggered by Kambo frog toxin administration during a ceremony. She had completed Kambo practitio…
65y · Male·complications, including pneumonia, of traumatic brain injury
A 65-year-old male prisoner died from complications of severe traumatic brain injury sustained when punched by another prisoner at Hakea Prison. He fell backwards, striking his head, and was assessed at the prison medica…
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