1,172 results
43y · Female·asphyxia due to hanging
Helen Bird, aged 43, was found hanging in her garage in July 2010. While initially ruled suicide, a reopened coronial investigation found the coroner believes she was killed by her husband Mark Bird. Evidence showed Hele…
36y · Female·multiple blunt force injuries sustained after intentional self-infliction by fal…
Fiona Goodberg, a 36-year-old nurse with prior OCD history, died by falling from Landslide Lookout on 29 October 2020. She had experienced severe postpartum obsessive-compulsive disorder (OCD) following her daughter's bi…
58y · Female·Complications of poorly controlled type 2 diabetes
Ms Kathleen Earl, aged 58, died from complications of poorly controlled type 2 diabetes in June 2022. She had an intellectual disability and received support from IHCS (Individual Support Worker) since 2005. Critical def…
49y · Male·combined drug toxicity
Karl Turner, a 49-year-old man with schizoaffective disorder and chronic polysubstance use, died from combined drug toxicity (heroin, morphine, pregabalin, methylamphetamine, and cannabis). He was managed on a Community …
98y · Female·Sepsis due to sacral pressure ulcer complicated by osteomyelitis against a backg…
A 98-year-old woman with dementia and multiple comorbidities died from sepsis secondary to a sacral pressure ulcer that progressed to osteomyelitis while in residential aged care. The coroner identified systemic clinical…
16y · Male·Gunshot wound to the head
A 16-year-old boy with autism spectrum disorder and history of self-harm died from a self-inflicted gunshot wound. He had attended Headspace for mental health support and seen a GP who identified previous suicidal ideati…
76y · Female·multiple organ failure due to abdominal wall cellulitis (surgically treated)
Mrs Crowther, a 76-year-old obese woman with multiple comorbidities in residential aged care, died from multiple organ failure secondary to abdominal wall cellulitis. A critical care failure occurred when an old dressing…
43y · Female·Combined drug toxicity (tapentadol, sertraline, gabapentin, periciazine, carbama…
A 43-year-old woman with complex psychiatric history including schizoaffective disorder, borderline personality disorder, and chronic suicidality died from combined drug toxicity involving eight medications (tapentadol, …
41y · Female·Neck compression and hanging
Danielle Thomson, a 41-year-old woman with complex medical and mental health conditions including cervical dystonia, bipolar disorder, borderline personality disorder, chronic pain, and alcohol use disorder, died by suic…
18y · Female·Mixed drug toxicity
TK, an 18-year-old woman with borderline personality disorder, chronic suicidality, and a history of childhood trauma, died from mixed drug toxicity following intentional overdose. She had multiple psychiatric admissions…
62y · Male·not stated - body never found
KL, a 62-year-old journalist with a long history of depression, anxiety, and alcohol use disorder, was admitted to St Vincent's Hospital's psychiatric units (PECC and Caritas) in June 2020 following suicidal ideation. Af…
Unknown·VAD oral substance toxicity; underlying conditions: ischaemic heart disease, emp…
An elderly person (ABC) died from self-administering a voluntary assisted dying (VAD) oral substance that had been prescribed for their spouse but not collected for return after the spouse died. ABC was grieving, suffere…
48y · Male·Gunshot wound to the chest during a police operation
Corey Selby, aged 48, died from a gunshot wound to the chest on 19 January 2023 outside Tenterfield Police Station after deliberately provoking police to shoot him. He had a complex mental health presentation comprising …
23y · Female·stab wound of the chest
Kunmanara May, aged 23, was killed by her partner SK in a domestic violence homicide in 2015. Multiple agencies—South Australia Police, Families SA, Aboriginal Family Support Service, and Centacare—knew of escalating vio…
19y · Female·sodium nitrite toxicity
This finding concerns the death of a 19-year-old transgender woman (referred to as 'AS') who died from sodium nitrite toxicity on 9 May 2021. She ingested sodium nitrite during a video call with a friend in NSW. AS had a…
28y · Female·compression of the neck and hanging
28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasing…
33y · Female·neck compression and hanging
Natalie was a 33-year-old transgender woman with a long history of mental health conditions including severe social anxiety, agoraphobia, borderline personality disorder and PTSD, with suicidal ideation since age 17 and …
87y · Male·Combined effects of sotalol toxicity on a background of severe valvular and athe…
An 87-year-old man with Alzheimer's disease died in a residential aged care facility after ingesting Sotalol, a cardiac medication not prescribed to him. The medication trolley was left unlocked and accessible despite fa…
33y · Male·hanging
Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by hanging in custody at the Metropolitan Remand and Receptio…
Female·multiple injuries from motor vehicle collision (for all five deceased)
Charmaine McLeod died by intentionally driving her vehicle into an oncoming truck, killing herself and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Person…
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