1,172 results
62y · Female·unascertained
Suzanne Berg, a 62-year-old woman with schizophrenia, died in her home between January and May 2013 with an unascertained cause. She had a long history of disengaging from treatment despite having medication-controlled d…
26y · Male·Neck compression from hanging
A 26-year-old man died by hanging in his correctional centre cell on 26 October 2011. He had a history of mixed personality disorder, anxiety, opiate dependence and previous suicide attempt (age 13), but was not assessed…
75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…
Krizan Vuksan, a 75-year-old man with chronic schizophrenia, hypertension, and cardiac risk factors, died from acute myocardial infarction secondary to ischaemic heart disease while residing in a mental health aged care …
64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …
A 64-year-old man with schizophrenia was fatally stabbed in the eye by his roommate at a supported residential services facility. The roommate had a 12-year history of making specific threats to kill, including eye-pokin…
21y · Female·Blunt force trauma to the head
Dan Lin, a 21-year-old woman, was killed by her mother-in-law in a violent domestic assault. This death occurred within the context of family violence, with prior documented physical assaults by the perpetrator in July 2…
5y · Male·unascertained
A 5-year-old boy and his sister (3 years old) and mother were killed by their father between 28-29 April 2012 in their Glen Waverley home. The father, who had experienced cognitive impairment and mood changes following a…
35y · Female·homicide by smothering/suffocation, possibly facilitated by chloroform exposure
This tragedy involved the deaths of Preetika Sharma (35), her two children (Divesh, 5; Divya, 3), and her husband Nilesh, who killed his family and then himself. Mr Sharma exposed family members to chloroform before smot…
36y · Male·Hanging (Mr Sharma); Homicide by smothering/suffocation or chloroform exposure (…
Nilesh Sharma, a 36-year-old Fiji Indian man, killed his wife Preetika, son Divesh (5 years old), and daughter Divya (3 years old) between 28-29 April 2012, then died by hanging. Evidence suggests he exposed them to chlo…
Philip Byrne: pulmonary thromboembolism due to right calf deep vein thrombosis; …
Two patients died from pulmonary thromboembolism caused by undiagnosed deep vein thrombosis (DVT). Mr Byrne presented with right calf pain in February 2012; two GPs excluded DVT on clinical examination alone without orde…
0y · Female·Morphine toxicity
Tamiya Calais Lievesley, a six-month-old infant, died from morphine toxicity on 2 March 2004. She ingested a fatal dose of morphine, likely administered by one of her parents who were both morphine-dependent. The coroner…
50y · Male·Mixed drug toxicity (propofol, codeine, diazepam)
Mark Wilson, a 50-year-old registered nurse at The Avenue Private Hospital, died from mixed drug toxicity involving propofol, codeine, and diazepam. He had access to propofol through his workplace and was found dead at h…
18y · Female·Multiple injuries due to impact by train
KJ was an 18-year-old girl who died by suicide by train on 30 November 2012, six months after a suicide attempt. She had a complex trauma history, including childhood sexual abuse aged 6, and subsequently developed depre…
29y · Male·Injuries sustained in a fall from a height
A 29-year-old man with chronic paranoid schizophrenia died from injuries sustained after jumping from the EJ Whitten Bridge. He had a 5-year history of psychiatric illness with recurrent psychotic episodes despite treatm…
51y · Female·Mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complic…
A 51-year-old woman died from mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complicated by biventricular heart hypertrophy. She had chronic back pain treated with opioids and used excessive ove…
53y · Male·metastatic pancreatic cancer
Joseph Mallia, a 53-year-old man incarcerated at Barwon Prison, presented with left flank pain and haematuria in November 2011. A CT scan in January 2012 identified concerning pancreatic duct distension suggesting possib…
27y · Male·hanging
Dalvir Singh, a 27-year-old Indian national, died by hanging in immigration detention on 13 February 2014. He had attempted suicide in police custody 16 days earlier but this critical information failed to reach detentio…
50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…
A 50-year-old woman with chronic pain from a work-related back injury died from mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol). She had long-standing opioid dependence…
45y · Male·Complications of heat stroke in a man with schizophrenia
Christopher Dokos, a 45-year-old man with schizophrenia on Clozapine treatment, died during the extraordinary January 2014 Victorian heatwave. He had multiple heat-vulnerability risk factors: mental illness, antipsychoti…
50y · Female·Complications of heat stroke in a woman with schizophrenia
A 50-year-old woman with long-standing schizophrenia treated with clozapine died from complications of heat stroke during an unprecedented Victorian heatwave. She and her partner were not contacted by mental health servi…
48y · Male·undetermined
A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpectedly at a rural hospital following acute psychotic agitation. He had absconded from a menta…
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