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NSWhospital2024-10-29

Inquest into the death of Roger Rogerson

83y · Male·Intracranial haemorrhage

Roger Rogerson, aged 83, died from intracranial haemorrhage due to cerebral amyloidosis while in custody at Long Bay Correctional Centre. He had been an inmate for nearly ten years. His condition deteriorated significant…

neurologygeriatric medicine
NSW2024-10-24

Inquest into the death of Fiona Goodberg

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…

psychiatrygeneral practicediagnosticcommunicationescitalopram
NSW2024-10-23

Inquest into the death of Alen Imbrisak

47y · Male·Sudden cardiac death in association with COVID-19 infection

Alen Imbrisak, a 47-year-old man incarcerated at Junee Correctional Centre, died on 26 January 2022 from sudden cardiac death in association with COVID-19 infection. He tested positive on 25 January 2022 during a centre-…

respiratory medicineemergency medicinecommunicationsystemmethadone
NSWcommunity2024-10-22

Inquest into the death of Cecilia Devine

41y · Female·Cause of death could not be established due to advanced decomposition

Cecilia Devine, a 41-year-old woman with bipolar disorder, was last seen alive on 6 September 2018 in Katoomba, NSW. Her body was discovered in the Upper Cascade Dam in March 2019, with aerial imaging suggesting death oc…

forensic medicinepsychiatrysystemdelaycannabis
NSW2024-10-17

Inquest into the death of Kevin Edwards

41y · Male·Unable to be ascertained

41-year-old male with schizophrenia/drug-induced psychosis and methamphetamine use died following police restraint on M5 motorway. Admitted to Shellharbour Hospital 10-30 May 2022 for psychotic behaviours and assault all…

psychiatryemergency medicinediagnosticcommunicationmethamphetamine
NSWhospital2024-10-11

Inquest into the death of AX

45y · Female·Multiple blunt force injuries

A 45-year-old woman with acute psychotic illness attended Prince of Wales Hospital ED on 4 August 2020 after presenting to police with persecutory delusions. She was assessed by mental health and medical clinicians who a…

emergency medicinepsychiatrydiagnosticcommunication
NSWmental health2024-09-30

Inquest into the disappearance and suspected death of KL

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…

psychiatrygeneral practicecommunicationsystemvenlafaxine
NSWhospital2024-09-19

Inquest into the death of Denis Ives

78y · Male·COVID-19 pneumonitis on a background of ANCA nephropathy, hypertension, and diab…

Denis Ives, a 78-year-old man with type 1 diabetes, chronic kidney disease stage 4, ANCA nephropathy and hypertension, died of COVID-19 pneumonitis while in custody at Long Bay Correctional Centre. He tested positive for…

emergency medicineinfectious diseases
NSW2024-09-17

Inquest into the death of Robert Phair

37y · Male·Cardiomegaly giving rise to lethal cardiac arrhythmia in the setting of drug tox…

37-year-old Robert Phair died in Parklea Correctional Centre from cardiomegaly causing lethal cardiac arrhythmia in the setting of drug toxicity. He was placed in detoxification requiring four-hourly clinical observation…

addiction medicineemergency medicinediagnosticcommunicationheroin
NSWPodcast2024-09-12

Inquest into the death of Andrew Seton

24y · Male·multiple injuries

Andrew Seton, an experienced 24-year-old backcountry skier, died on 3 September 2022 following an accidental fall while skiing alone at Watsons Crags in Kosciuszko National Park in icy conditions. He was not reported mis…

systemcommunication
NSW2024-09-06

Inquest into the death of Geoffrey Fardell

52y · Male·Neck compression (ligature strangulation)

Geoffrey Fardell, a 52-year-old man with schizophrenia, HIV, and substance abuse history, died from neck compression (strangulation) while in remand custody at Mid North Coast Correctional Centre. He was placed in a cell…

systemprocedural
NSWmental health2024-08-30

Inquest into the death of Corey SELBY

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 …

psychiatrygeneral practicesystemduloxetine
NSW2024-08-22

Inquest into the death of Russell Zaska

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…

psychiatrycorrectional healthsystemdelayolanzapine
NSW2024-08-21

Inquest into the death of Dwayne Johnstone

43y · Male·Gunshot wound to the chest and abdomen

Dwayne Johnstone, a 43-year-old Aboriginal man, died from a gunshot wound inflicted by a correctional officer during a medical escort from hospital. While in custody on remand, Johnstone experienced an epileptic seizure …

communicationsystem
NSWhospital2024-08-20

Inquest into the death of Ricky Dougie Hampson

36y · Male·perforated duodenal ulcer

Ricky Douglas Hampson, a 36-year-old First Nations man, presented to Dubbo Base Hospital on 14 August 2021 with sudden onset severe abdominal pain and a reported sensation of something popping in his abdomen. He had two …

emergency medicinegastroenterologydiagnosticcommunicationmorphine
NSWcommunity2024-08-13

Inquest into the death of Brett Walker

37y · Male·multiple gunshot wounds

Brett Walker, 37, was shot by police on 9 July 2022 after a domestic violence incident 23 days post-release from prison. He had long-standing drug addiction and mental health issues including paranoid ideation, particula…

psychiatryaddiction medicinesystemcommunicationcrystal methamphetamine
NSWhome2024-08-09

Inquest into the death of Linus Phillips

65y · Male·Cardiac arrhythmia, probably Torsades de Pointes, due to the combined effects of…

Linus Phillips, age 65, died at home in October 2014 from cardiac arrhythmia (Torsades de Pointes) precipitated by methadone prescribed with inadequate oversight. Mr Phillips had chronic pain from knee surgery, severe sl…

general practiceaddiction medicinediagnosticmedicationmethadone
NSWcustody2024-08-08

Inquest into the death of Phillip Boney

43y · Male·hanging

Phillip Mitchell Boney, a 43-year-old First Nations man, died by hanging in a correctional centre cell containing an obvious ligature point (exposed metal railings). He was under extended supervision in the community whe…

psychiatrygeneral practicecommunicationsystemmirtazapine
NSWhome2024-08-06

Inquest into the death of Dion Moore

29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …

Dion Moore, a 29-year-old Aboriginal man, died on 5–6 January 2019 from mixed drug toxicity (methamphetamine and buprenorphine), with heat and dehydration as significant contributing factors. After running out of fuel wi…

diagnosticdelaymethamphetamine
NSWcommunity2024-07-08

Finding into death of Jesse Lee Christopher EDWARDS

20y · Male·Prone restraint asphyxia in the setting of alcohol intoxication and centripetal …

Jesse Edwards, a 20-year-old Yorta Yorta and Mutthi Mutthi man, died from prone restraint asphyxia following a physical altercation outside a nightclub in Swan Hill. He was restrained face-down by a security officer for …

forensic medicineemergency medicineproceduralalcohol
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