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NSW2025-12-08

Inquest into the death of Benjamin Cullen

41y · Male·acute, severe hydrocephalus contributed to by longstanding chronic hydrocephalus…

Benjamin Cullen, aged 41, died on 25 February 2021 from acute severe hydrocephalus secondary to a brain tumour abutting the cerebral aqueduct. He suffered three seizures on 23 February 2021, two days after release from P…

neurologyemergency medicinemedicationsystemlevetiracetam
NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

43y · Female·Subarachnoid haemorrhage due to a ruptured berry aneurysm

Trina McGrady, a 43-year-old Goomeroi woman, died from subarachnoid haemorrhage due to a ruptured berry aneurysm on 15 September 2020. She had been admitted to John Hunter Hospital following incidental discovery of two l…

neurosurgeryradiologycommunicationdiagnosticaspirin
VIChospital2025-12-08

Finding into death of Jamie Lee Argent

38y · Male·Diabetic ketoacidosis secondary to pyelonephritis in a man with insulin dependen…

A 38-year-old man with insulin-dependent diabetes, partial blindness, gastroparesis, seizures, chronic kidney disease and peripheral vascular disease died from diabetic ketoacidosis precipitated by pyelonephritis. He had…

emergency medicineendocrinologylamotrigine
VIC2025-12-05

Finding into death of Jennifer Lee Hombsch

68y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian)

A 68-year-old woman with mobility limitations from congenital hip dysplasia was struck by a motor vehicle while crossing a pedestrian crossing. The driver failed to exercise proper caution when turning left at the inters…

emergency medicineparamedicineketamine
NThome2025-12-05

Inquest into the death of Kumanjayi Fly

2y · Male·Hypoxic-ischaemic encephalopathy due to out of hospital cardiac arrest following…

A 2-year-old toddler died after falling into a septic tank in his family's public housing home in a remote Northern Territory community. The septic tank access cover was corroded and insecure due to systemic failures in …

systemdelay
VICcommunity2025-12-04

Finding into death of Mr PNF

60y · Male·Neck compression secondary to hanging

A 60-year-old man with Type 2 diabetes and low mood died by hanging within 24 hours of being interviewed by police regarding child sexual abuse allegations. While police identified that suspects are at heightened suicide…

general practicepsychiatrycommunicationsystemfluoxetine
VIChome2025-12-04

Finding into death of Raymond John Flaherty

57y · Male·Mixed drug toxicity (heroin, methadone, benzodiazepines including novel benzodia…

Raymond John Flaherty, a 57-year-old Wurundjeri man with longstanding opioid and benzodiazepine dependence, died from mixed drug toxicity involving heroin, methadone, prescribed diazepam, unprescribed benzodiazepines inc…

addiction medicinegeneral practicesystemcommunicationheroin
QLDhospital2025-12-04

Inquest into the death of Dylan James Bell

28y · Male·Hanging

Dylan Bell, 28, died by hanging following discharge from Redland Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a concern…

psychiatryemergency medicinediagnosticcommunicationLSD
ACT2025-12-04

Inquest Into The Death Of Joseph Junior Suwedi

44y · Male·multiple injuries sustained in a motor vehicle accident

Joseph Junior Suwedi, aged 44, died in a single-vehicle motor accident on 21 February 2023 after losing control of his car on Antill Street, Watson, ACT. He had consumed approximately eight pints of beer over several hou…

TAScommunity2025-12-03

Coroner's Finding: de-identified JI

54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine

JI, a 54-year-old man with chronic schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following a fall onto a metal grate during an altercation with another resident at support…

psychiatrygeneral practicesystemdiazepam
TAShome2025-12-02

Coroner's Finding: de-identified DQ

54y · Female·mixed drug toxicity (methadone and diazepam)

A 54-year-old woman with long-standing opioid use disorder died from mixed methadone and diazepam toxicity. She had tripled her methadone dose by injecting additional takeaway doses alongside her prescribed pharmacy dose…

general practicepharmacologydiagnosticmedicationmethadone
QLD2025-12-01

Non-Inquest findings into the deaths of Ashley Pangana Morris and Humbereto Ferreira Leite

Male·Multiple injuries due to or as a consequence of concrete wall collapse

Two workers, Ashley Morris (34) and Humberto Leite (55), were fatally crushed by collapsing concrete wall panels on 6 October 2016 while installing foul water settling tanks at Eagle Farm Racecourse. The work system desi…

occupational and environmental healthproceduralsystem
WA2025-11-28

Inquest into the Death of Cleveland Keith DODD

16y · Male·complications of ligature compression of the neck (hanging)

A 16-year-old Aboriginal youth, Cleveland Keith Dodd, died by suicide via hanging in Unit 18, a youth detention centre housed within an adult maximum-security prison in Western Australia. The coroner found Cleveland's de…

psychiatrypsychologyproceduralcommunication
TAShospital2025-11-28

Coroner's Finding: Clark, Dennis

83y · Male·Sepsis due to staphylococcus aureus bacteraemia following infection of a left an…

An 83-year-old man with heart and kidney failure died from sepsis caused by MSSA bacteraemia following infection at a peripheral intravenous catheter (PIVC) insertion site. Ambulance paramedics inserted the PIVC 56 hours…

emergency medicinesurgeryproceduralsystem
WAhospital2025-11-27

Inquest into the Death of Stephen Joseph SCHIPP

58y · Male·complications of oesophageal cancer, with terminal palliative care

Stephen Joseph Schipp, a 58-year-old sentenced prisoner, died from complications of oesophageal cancer with terminal palliative care at Bunbury Regional Hospital. He had been diagnosed with oesophageal carcinoma in Janua…

oncologypalliative caresystemdelaychemotherapy
NSW2025-11-27

Inquest into the deaths of Lilie James and Paul Thijssen

21; 23y · Female; male·Lilie: multiple blunt force injuries to the head and neck. Paul: multiple blunt …

Lilie James, aged 21, was killed by Paul Thijssen, aged 23, a colleague at St Andrew's Cathedral School, using a hammer in a bathroom on 25 October 2023. Paul killed himself by jumping from a cliff at Diamond Bay Reserve…

VIChospital2025-11-25

Finding into death of Bailey Peer Harry

25y · Male·Multiple injuries sustained in a bicycle incident (rider)

Bailey Peer Harry, a 25-year-old Wiradjuri man, was killed in a bicycle-motor vehicle collision. He rode a BMX bicycle without helmet, lights, reflectors or functional brakes, wearing dark clothing at night, and failed t…

methamphetamine
VIChome2025-11-24

Finding into death of Suk Ching Annie Ng

64y · Female·Blunt Force Trauma to the Head in the Setting of Prolonged Lie; Metastatic Breas…

Annie Ng, aged 64, died from blunt force head trauma sustained in her home on 27 February 2024, with death occurring 9 March 2024 at Royal Melbourne Hospital. Her husband Chai, experiencing severe financial and psycholog…

oncologygeneral practicesystem
QLDrural property, community2025-11-21

Inquest into the deaths of Matthew Joseph Arnold; Rachel Clare McCrow; Alan Thomas Brendan Dare; Gareth Daniel Train; Nathaniel…

Constable Arnold: single gunshot wound to the chest. Constable McCrow: gunshot w…

On 12 December 2022, two Queensland Police Constables (Matthew Arnold, Rachel McCrow) and a civilian (Alan Dare) were fatally shot at 251 Wains Road, Wieambilla by Gareth and Nathaniel Train while responding to a missing…

emergency medicinepsychiatrycommunicationsystem
ACT2025-11-21

Inquest into the death of Alistair Urquhart

45y · Male·multiple injuries sustained in a motor vehicle accident at the intersection of t…

A 45-year-old man died from catastrophic injuries sustained in a motor vehicle collision at an intersection in Canberra when a truck driver ran a red light at approximately 79 km/h. The truck driver had been inattentive …

cannabis
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