332 results
18y · Female, female, male·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…
Three adolescent patients (aged 18 at death) died by suicide within four months of the Barrett Adolescent Centre (BAC) closure in January 2014. Caitlin had complex mental health needs including bipolar affective disorder…
53y · Female·Unable to determine; circumstances suggest death by suicide but body never recov…
Angela Joy Jeffrey, a 53-year-old woman with a long history of depression managed with antidepressants and psychiatric care, disappeared on 1 June 2016 from Bakers Beach, Tasmania. She had experienced a significant mood …
50y · Female·ligature compression of the neck (hanging)
Annabel Nicol, a 50-year-old woman, died by ligature compression of the neck (hanging) in Bandyup Women's Prison on 15 June 2015. She was a remand prisoner with chronic alcoholism, depression, and suicidal ideation who h…
52y · Female·Plastic bag asphyxia and asphyxia in the setting of an irrespirable environment
Diane Bell, a 53-year-old woman with delusional disorder and chronic suicidal ideation, died by argon gas inhalation in June 2017. She had been under care of North West Area Mental Health Service with a Community Treatme…
24y · Female·injuries sustained in descent from height
A 24-year-old woman with intellectual disability and borderline personality disorder died from injuries sustained in descent from height from a sixth-floor balcony. She had threatened suicide from the same balcony on 8 M…
Male·Multiple: ligature compression of neck (hanging) in four cases; incised injury t…
Five male prisoners died by suicide at Casuarina Prison, Western Australia between 2014-2015. All deaths were by hanging or self-inflicted laceration. The coroner identified multiple systemic failures including: inadequa…
31y · Male·acute neck compression by ligature
Steven Malcolm Williams, aged 31, died in custody at Yatala Labour Prison on 1 January 2015 from acute neck compression by ligature. He had a 12-year history of schizophrenic disorder previously managed with antipsychoti…
54y · Male·incised wound to the neck
Terrence Michael Malone, a 54-year-old man with a 20-year history of bipolar affective disorder, PTSD, and alcohol dependence, died by suicide in Brisbane Correctional Centre on 8 November 2014, three days after re-incar…
48y · Male·Hypovolaemic shock due to incised wounds to the arms; other significant conditio…
Garry Ronald Appleton, a 48-year-old Indigenous man with schizophrenia, emphysema, and coronary disease, died from hypovolaemic shock after cutting his forearms with a prison-issue razor blade while in custody at Brisban…
43y · Male·asphyxiation by ligature
A 43-year-old man in remand at Parklea Correctional Centre died by suicide via asphyxiation by ligature in July 2016. He was suffering from major depression and anxiety triggered by criminal charges. Expert psychiatric e…
25y · Male·The available evidence does not allow for any finding to be made as to the cause…
Karl Melo-Richards, a 25-year-old man with a long history of depression and suicidal ideation since age 14-15, went missing on 2 September 2016. Despite extensive police investigations and searches, his body was never fo…
35y · Male·The medical cause of death is unknown
Gregory Hutchings, a 35-year-old man with longstanding depression and anxiety, received outpatient treatment from GP Dr S. and psychologist Sandra Lundbergs throughout 2013. His mental health deteriorated significantly f…
40y · Male·Toxic effects of a gas
Nathan Shanahan, a 40-year-old former ADF member, died from toxic gas inhalation in his vehicle. He had struggled with depression, anxiety, and PTSD following service in the Solomon Islands where he witnessed a sexual as…
43y · Male·neck compression due to hanging
Michael David Bird, aged 43, died by hanging at his home while on home detention bail. He had a history of anxiety, depression, and chronic pain, managed by a psychiatrist (Dr T.) with weekly appointments described as hi…
Female·self-inflicted death
Emily, a child in out-of-home care since infancy, died by suicide in 2014. She had early childhood trauma, attachment difficulties, and anxiety managed by a psychologist from age 5. Critical clinical lessons: (1) Complet…
36y · Male·Combined effect of gunshot wounds to the chest and abdomen
Paul Lambert, 36, was shot by NSW Police on the Pacific Highway after attacking and stabbing his former girlfriend Dr J. multiple times. He had a longstanding pattern of intimate partner violence, stalking, emotional abu…
Male·thermal injuries (burns)
Ali Jaffari, an immigration detainee, died by suicide at Yongah Hill Immigration Detention Centre on 16 September 2015. He sustained fatal thermal injuries from a fire he deliberately started in his room. The deceased ha…
38y · Female·neck compression (hanging)
RR, a 38-year-old woman with complex mental health history including PTSD, substance use disorder, and borderline personality traits, was admitted to Bloomfield Hospital on 12 April 2015 following an overdose with stated…
27y · Male·combined drug toxicity (U-47700 and etizolam)
Mark Sach, aged 27, died from combined drug toxicity involving U-47700 (a synthetic opioid 7.5 times more potent than morphine) and etizolam (a benzodiazepine 10 times more potent than diazepam), obtained via internet pu…
19y · Female·self-inflicted hanging
Sabrina Di Lembo, a 19-year-old law student, died by suicide after experiencing anxiety and panic attacks during exam preparation. Over nine weeks, she had 17 medical contacts but received inadequate assessment, no detai…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.