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WAcommunityNew2026-05-27

Inquest into the Death of David GRAY

58y · Male·Gunshot injury to the abdomen

David Gray, 58, deliberately induced police to shoot him as a means of suicide following undisclosed mental health deterioration. On 22 September 2023, he called police anonymously reporting an armed person, then present…

emergency medicineforensic medicine
WAhomeNew2026-05-27

Inquest into the Death of Martin Carl QUITERIO

59y · Male·Multiple injuries

Martin Carl Quiterio, a 59-year-old man with longstanding schizophrenia and suspected autism spectrum disorder, died on 3 January 2024 when he jumped from the 14th floor of a car park in West Perth. He had been discharge…

psychiatrygeneral practicesystemcommunicationhaloperidol
WAcommunityNew2026-05-25

Inquest into the Death of Josephine JENNINGS

32y · Female·Unknown - body not recovered

Josephine Jennings, a 32-year-old Aboriginal woman from Kalgoorlie, Western Australia, disappeared on or about 15 April 1997 and was presumed dead. In October 1996, she reported a sexual assault by Carey Simms, a communi…

WA2026-04-28

Inquest into the Death of Corey Desmond DEVREE

41y · Male·Ligature compression of the neck (hanging) and penetrating sharp force injury (s…

Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…

psychiatrygeneral practicediagnosticcommunication
WA2026-04-22

Inquest into the Suspected Death of Paul David MURPHY

24y · Male·unknown

Paul David Murphy, aged 24, disappeared in July 1986 from Perth, Western Australia. His abandoned Austin 1800 sedan was found near Toolinna Rockhole in September 1986, along with his personal belongings discovered in Mar…

WA2026-04-14

Inquest into the Death of Wayne HARRIS

56y · Male·complications of advanced metastatic sigmoid adenocarcinoma in an adult man with…

A 56-year-old Aboriginal man died of advanced metastatic sigmoid adenocarcinoma while serving an 11-year sentence for child sex offences. He had been diagnosed with Stage 4 colorectal cancer in 2018 with an expected life…

oncologypalliative carecommunicationsystemchemotherapy
WAhospital2026-04-01

Inquest into the Death of David John HATCHER

60y · Male·Pulmonary tuberculosis in a man with chronic obstructive pulmonary disease, with…

David John Hatcher, aged 60, was a remand prisoner at Hakea who died at Fiona Stanley Hospital on 27 September 2024 from pulmonary tuberculosis superimposed on severe chronic obstructive pulmonary disease. He was hospita…

respiratory medicineinfectious diseasesproceduralsystem
WAcommunity2026-03-30

Inquest into the Deaths of Terry James CZERNOWSKI and Lachlan Richard Francis BOWLES

25y · Male·Gunshot injury to the head (Lachlan); gunshot injuries to head and chest (Terry)

On 7 September 2023, 25-year-old Lachlan Richard Francis Bowles shot his 44-year-old workmate Terry James Czernowski at Moylan Grain Silos in Kellerberrin, causing Terry's death from gunshot injuries to the head and ches…

cannabis
WAhospital2026-03-26

Inquest into the Death of Sandipan DHAR

1y · Male·Complications of acute lymphoblastic leukaemia

Sandipan Dhar, 21 months old, died from undiagnosed acute lymphoblastic leukaemia (ALL) complicated by sepsis and pneumonia on 24 March 2024. After three weeks of intermittent fever, he attended his GP three times and wa…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
WA2026-03-26

Inquest into the Death of Brian John KEALY

42y · Male·Ligature compression of the neck (hanging)

Brian Kealy, aged 42, died by suicide via hanging at Hakea Prison on 2 August 2024 while on remand. He had complex mental health needs including probable schizophrenia, anti-social personality disorder, and polysubstance…

psychiatrygeneral medicinecommunicationsystemolanzapine
WAcommunity2026-03-13

Inquest into the Suspected Death of PARBHAT

24y · Male·unknown cause

Parbhat was a 24-year-old Indian international student and worker who disappeared at The Gap in Torndirrup National Park, Albany, WA on 5 August 2024. After moving to Perth in 2021, his circumstances deteriorated followi…

alcohol
WA2026-03-09

Inquest into the Death of Russell Graham PENNY

56y · Male·complications of viral hepatitis related advanced-chronic liver disease

Russell Graham Penny, 56, a Noongar man, died from advanced liver disease with hepatocellular carcinoma while in prison custody. With chronic hepatitis C from intravenous drug use, Russell had developed cirrhosis and was…

correctional healthgeneral medicinesystemcommunication
WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

Child MML was an Aboriginal boy born in April 2010 who suffered catastrophic abusive head trauma at eight months old in December 2010, causing severe lifelong neurological impairment including cerebral palsy, uncontrolle…

neurologypaediatricscommunicationsystem
WAcommunity2026-02-19

Inquest into the Suspected Death of Barry John PODMORE

73y · Male·Unascertained

Barry John Podmore, aged 73, disappeared on 6 December 2024 while prospecting in remote bushland between Karroun Hill Nature Reserve and Mount Jackson, Western Australia. Despite extensive searches by police, family, and…

WAcommunity2026-02-18

Inquest into the Death of Bailey Bryan BURNS

23y · Male·Multiple injuries from motor vehicle crash

Bailey Bryan Burns, aged 23, died on 7 September 2024 when the vehicle he was driving struck a tree on Canning Highway near Attadale, Western Australia. He was travelling at approximately 150 km/h in a 60 km/h zone on we…

alcohol
WA2026-02-13

Inquest into the suspected death of Frederick Richard WINSLOW

56y · Male·Unascertained—likely injuries from motor vehicle crash, but may have resulted fr…

Frederick Richard Winslow, aged 56, a British immigrant, disappeared on 28 November 1974 while driving from Darwin to Wyndham, Western Australia. His crashed Holden station wagon was discovered at Golden Gate Cutting on …

WAcommunity2026-02-02

Inquest into the Death of Joshua Fredrik VAN MALSSEN

24y · Male·Cardiac arrest in a man with Sotos syndrome and multiple comorbidities, includin…

Joshua Fredrik Van Malssen, 24, with Sotos syndrome, dilated cardiomyopathy, asthma, and WHO class III obesity (BMI 40.6) died from cardiac arrest on 16 June 2023 after being restrained in prone position by PTA transit o…

communicationproceduralalcohol
WAhome2026-01-23

Inquest into the Death of Sean Theo WINMAR (Mr STW)

46y · Male·Complications of ligature compression of the neck (hanging)

Sean Theo Winmar, a 46-year-old Aboriginal man, died by suicide on 11 August 2022 while on an interim supervision order after his release from prison. He had depression, substance use disorder, and chronic suicidal ideat…

general practiceaddiction medicinesystemdelaymethamphetamine
WAcommunity2026-01-08

Inquest into the Suspected Death of John Howitson FRYLINCK

70y · Male·Unascertained; likely exposure, possibly natural causes secondary to medical epi…

John Howitson Frylinck, a 70-year-old man with Alzheimer's disease and poorly controlled type 2 diabetes, disappeared while walking at Mundaring Sculpture Park on the evening of 18 January 2024. He became disoriented in …

donepezil
WA2026-01-08

Inquest into the Death of Lewis Walter WARD

Male·out-of-hospital cardiac arrest due to atherosclerotic cardiovascular disease and…

Lewis Walter Ward, a Ngarinyin man in his early thirties, died from out-of-hospital cardiac arrest while playing sport at West Kimberley Regional Prison. He had Type 2 diabetes, hypertension, dyslipidaemia, and was a smo…

cardiologyemergency medicinediagnosticsystem
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