1,048 results
34y · Male·Neck compression by hanging
Frederick Row Row, a 34-year-old Aboriginal man, died by suicide in Capricornia Correctional Centre following a precipitous change in risk assessment from high to low in less than 48 hours. After assaulting another priso…
32y · Female·Cerebral destruction caused by a self-inflicted bullet wound to the head
Gwen Lorraine Grover, aged 32, died by self-inflicted gunshot wound on 14 October 1983, with a blood alcohol level of 0.15% (over three times the legal driving limit). She was experiencing significant situational crisis:…
24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns
Omid Masoumali, a 24-year-old Iranian refugee detained on Nauru under Australian offshore processing arrangements, suffered severe thermal burns (>50% TBSA) on 27 April 2016 after self-immolating at the Nibok settlement.…
Female·Presumed drowned at sea (Enid); Asphyxia due to drowning (Norman)
Two Aboriginal people, Enid Cecilia Yeatman Hyde (36) and Norman Reeve Hyde (24), died by drowning off False Cape near Yarrabah on 28 March 1972. The 1973 inquest findings were reopened in 2021. Evidence indicates both c…
18y · Male·Multiple injuries due to motor vehicle collision
Logan Dreier, 18, was killed after a police pursuit of a stolen vehicle ended in a rollover crash on Queen Street, Southport. The crash occurred during a high-speed pursuit of a Toyota utility vehicle stolen from Movie W…
Unknown·Mr Christensen: stab wound to the chest. Mr Davy: blood loss caused by stab woun…
Two men died following stab wounds sustained while forcing entry to a dwelling in the early hours of 1 October 2018. The deceased had been misled about the circumstances of an injured woman they believed needed urgent as…
47y · Male·Hanging
John Harris, a 47-year-old life prisoner at Townsville Correctional Centre, died by hanging in his cell on 4 July 2019. He had an elevated baseline suicide risk due to a previous 2012 suicide attempt, yet was housed in a…
3y · Female·Hypoxic-ischaemic encephalopathy due to chorioamnionitis due to Gardnerella Vagi…
Zamia Ely-Smith died at 3 days of age from hypoxic-ischaemic encephalopathy due to chorioamnionitis following home birth at term. Clinical lessons include: (1) decreased fetal movements at 39+ weeks gestation and hospita…
49y · Female and male·Gunshot wound to head inflicted by spouse
Karina Lock was fatally shot by her husband Stephen Lock in a murder-suicide at a McDonald's restaurant on 10 September 2015. The coroner identified multiple systemic failures that failed to protect Ms Lock despite her h…
35y · Male·Not determined
Benjamin Batalha, aged 35, died in custody at Arthur Gorrie Correctional Centre. The exact cause of death could not be determined, though respiratory depression from mixed drug toxicity or fatal arrhythmia were likely. H…
27y · Male·multiple organ failure due to or as a consequence of heat stroke
Olivier Caramin, a 27-year-old Belgian national on a working holiday visa, died from heat stroke while picking pumpkins on 31 October 2017 in Far North Queensland. He was just three days into farm work without proper acc…
26y · Female·Neck injury due to stabbing
A 26-year-old woman was stabbed twice in the neck and fatally injured by her former de facto partner. Critical clinical and systemic failures preceded her death: her psychologist failed to notify police or health authori…
57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…
Cary James Saunders, aged 57, a prisoner with pre-existing mitral valve prolapse and aortic regurgitation, died from intracerebral haemorrhage secondary to infective endocarditis caused by Streptococcus mitis. He present…
21y · Male·Hanging
Luke Cunningham, aged 21, died by hanging in a prison cell at Arthur Gorrie Correctional Centre in Queensland in September 2018. He was on remand facing murder charges. An initial psychological assessment upon reception …
12y · Female·Undetermined (asphyxiation or choking)
Tiahleigh Palmer, age 12, was murdered on 29 October 2015 by her foster carer Richard Thorburn, who asphyxiated or choked her. The coroner identified critical systemic failures including: inadequate permanency planning b…
43y · Male·Drowning as a consequence of capsized boat
Martin Sydney Cunningham, 43, died by drowning after the fishing vessel Cygnet Lass collided with the tugboat Svitzer Nana near Bowen, Queensland on 25 May 2016. Both vessels were operating on autopilot in a crossing sit…
40y · Female·Head injuries inflicted by axe blows in context of intimate partner domestic abu…
Teresa Bradford, aged 40, was killed by her husband David Bradford in a premeditated domestic homicide at their Pimpama home on 31 January 2017, followed by his suicide. She died from head injuries inflicted with an axe.…
56y · Male·Liver cancer (hepatocellular carcinoma)
Phillip John Wust, a 56-year-old prisoner with chronic hepatitis C and cirrhosis, died from hepatocellular carcinoma. Serial imaging from 2018-2019 showed cirrhosis but no evidence of cancer until December 2019 when he p…
20y · Male·Multiple injuries due to motor vehicle accident
A 20-year-old station hand died from multiple injuries sustained when the unregistered Toyota utility he was driving lost control at speed on a remote dirt road near Croydon, Queensland. The vehicle misjudged a sharp lef…
31y · Male·Gunshot wounds to the neck and chest
Liam Scorsese, 31, died from gunshot wounds inflicted by police during a confrontation at his estranged partner's parents' home in Queensland. He had a history of violence, substance abuse (methamphetamine, cocaine), and…
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