4,457 results
43y · Male·Undetermined — available evidence does not allow determination due to limitation…
Peter Allen died in a house fire on 26 November 2000 at Lismore, NSW. Due to significant deficiencies in the postmortem examination and fire investigation, the coroner could not determine the cause or manner of death. Th…
45y · Male·Combined drug toxicity (methadone, amitriptyline, gabapentin, paracetamol)
A 45-year-old male prisoner died in custody from combined drug toxicity after ingesting methadone, amitriptyline, gabapentin and paracetamol. He had a documented history of hoarding and misusing prescribed medications to…
23y · Male·hypoxic brain injury and bronchopneumonia complicating ligature compression of t…
Jordan Robert Anderson, 23, died by suicide in Hakea Prison through ligature compression of the neck. Critical delays occurred when he was discovered unresponsive: 3 minutes 40 seconds elapsed before his cell door was un…
Male·The available evidence does not allow for any finding to be made as to the cause…
Bernard Gore, a man with Alzheimer's dementia, entered a fire stairwell at Westfield Bondi Junction shopping center in Sydney on 6 January 2017 and became trapped. He likely died within 24-48 hours from cardiac complicat…
78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
Barbara Francis, a 78-year-old resident with dementia at Pearl Supported Care in the dementia unit (Dinah), was punched by another resident (Mr A) on 4 September 2018 and fell backward onto her right hip, sustaining an o…
89y · Male·multi-organ failure with pneumonia due to ingestion of a corrosive liquid (quate…
An 89-year-old man with severe dementia died from multi-organ failure following ingestion of concentrated Bacban (quaternary ammonium compound) left in his bathroom at an aged care facility. The cleaning staff member ina…
46y · Female·Hypoxic brain injury in the setting of plastic bag asphyxia
Michelle Williams, a 46-year-old woman with longstanding schizophrenia and depression, died from hypoxic brain injury due to plastic bag asphyxia while an involuntary inpatient in a psychiatric unit. On 27 August 2016, d…
79y · Male·Displaced cervical vertebral fracture with secondary carotid artery dissection r…
A 79-year-old man suffered a catastrophic fall from a 3.5-metre ladder while performing home maintenance work on his property. He had recovered from a stroke three months prior, which may have affected his cognitive func…
48y · Male·Coronary atherosclerosis with acute cardiac event
Richard William Hobbs, aged 48, died from cardiac arrest in custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabet…
20y · Female·Neck compression
Maddison Murphy-West, a 20-year-old woman, died from neck compression on 23 October 2013 in circumstances highly suggestive of homicide by her de facto partner, Troy Boothey, despite an initial presentation as suicide. T…
Female·self-inflicted hanging (Fionica and Layla); hanging but circumstances open (Ketu…
Three Aboriginal teenage girls aged 15-17 years died by hanging in remote NT communities, all with documented histories of sexual abuse, domestic violence, STIs, injuries, and severe trauma. All were known to government …
volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…
This inquest examines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote Aboriginal communities in the NT between 2018-2019. All three were known to gove…
43y · Male·blunt neck trauma from compression of the neck
Stephen John Barton, aged 43, died from blunt neck trauma inflicted by roommate Lindon Sekrst in a psychiatric ward. Both were detained patients under Mental Health Act orders. Sekrst, a 23-year-old with paranoid ideatio…
30y · Male·unascertained
Daniel James Clement, a 30-year-old man with schizophrenia on a Psychiatric Treatment Order, disappeared from his mother's home in late May 2017 and was found deceased on the Murrumbidgee River in November 2017. His caus…
Female·asphyxia due to smoke inhalation
Two sisters, Ruby (13) and Shanzel (11), died from asphyxia due to smoke inhalation when a shed where they were sleeping caught fire on 11 June 2017 in rural Tasmania. The fire likely originated from an electrical fault …
65y · Male·combined effects of smoke inhalation, burns and ischaemic heart disease
John Flamish, 65, died on 5 June 2017 from smoke inhalation, burns and ischaemic heart disease following a deliberately lit fire in the carpark of public housing at 22-24 Early Street, Parramatta. The fire was set in a p…
45y · Male·Shotgun wound to the head
XY, a 45-year-old Aboriginal man, died from a self-inflicted gunshot wound during a police response to a domestic violence incident. He had been struggling with depression, grief, alcohol and methamphetamine use for year…
38y · Male·asphyxiation by ligature
A 38-year-old man remanded in custody died by hanging in his prison cell. He faced serious criminal charges and had raised mental health concerns with prison clinicians, being prescribed antidepressants and antipsychotic…
34y · Female·morphine toxicity (morphine probably ingested as heroin), accidental death
A 34-year-old woman subject to a Psychiatric Treatment Order died from morphine toxicity (accidental heroin overdose). While no deficiency in clinical care was identified, the coroner highlighted a critical gap in inform…
76y · Female·Ludwig's angina
A 76-year-old woman with Ludwig's angina presented to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognis…
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