1,232 results
30y · Male·mixed drug toxicity (MDMA, methylamphetamine and methoxyamphetamine)
Charles Yan, a 30-year-old male prisoner, died from mixed drug toxicity (MDMA, methylamphetamine, methoxyamphetamine) following cardiac arrest in an open-wing correctional facility. Fellow inmates observed progressive si…
54y · Male·acute myocardial infarction due to coronary artery atherosclerotic disease
Brett Furner, a 54-year-old man with significant coronary artery disease and recent myocardial infarction (February 2023), suffered an acute myocardial infarction and cardiac arrest while in police custody at Goulburn po…
44y · Male·Cardiac arrhythmia on a background of hypertensive heart disorder, obesity, diab…
Michael Baker, a 44-year-old Aboriginal man in custody at Lithgow Correctional Centre, died from cardiac arrhythmia on 25 June 2019. He had multiple comorbidities (hypertensive heart disease, obesity, type 2 diabetes, un…
27y · Male·The available evidence does not allow for any finding to be made as to the cause…
Samuel Segal, aged 27, disappeared on 15 January 2022 from Glenbrook National Park in the Blue Mountains, NSW. He was found to be deceased. The coroner determined he died from misadventure, though the exact cause, date a…
90y · Female·fatal injuries from sustained attack by three dogs
Ada Holland, aged 90, was fatally attacked by three dogs on Collingwood Beach on 29 March 2020. One week prior, the same dogs escaped their owner's premises and attacked another person. Council rangers attended but faile…
71y · Male·strychnine toxicity
Douglas Thrift, 71, died from strychnine toxicity on 1 December 2018 at his home in Denman NSW. He had a long history of depression and alcohol use disorder with two prior suicide attempts (1984, 2009). On the day of his…
78y · Male·multiple blunt force injuries
An 78-year-old man with no prior mental health history died by suicide after jumping from a cliff following a police response to a welfare concern. He had recently undergone cardiac surgery and was managing physical reha…
35y · Male·cardiac arrhythmia with amisulpride toxicity, and myocarditis being contributory…
35-year-old Mohamed Warwar died in custody at Metropolitan Remand & Reception Centre from cardiac arrhythmia with amisulpride toxicity and myocarditis. He was admitted to custody with a history of mental health issues an…
48y · Female·Ischaemic bowel, with contributing conditions of coronary artery disease, diabet…
Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (requiring ileostomy), and coronary artery disease, died from ischaemic bowel while in custody at Junee Correctional Centre on 29 January 2022, only 17…
48y · Female·Ischaemic bowel; coronary artery disease, diabetes mellitus and Crohn's disease …
Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (with prior colectomy and ileostomy), and coronary artery disease, died from ischaemic bowel on day 17 of incarceration at Junee Correctional Centre du…
59y · Male·head injuries
Roger Schnelle, a 59-year-old accountant, died from head injuries sustained through intentional self-harm while involuntarily detained at Nolan House mental health facility in April 2021. He developed sudden onset severe…
16y · Male·mid-gut volvulus and bowel obstruction, leading to ischaemic bowel and related c…
Finlay Browne, a 16-year-old with Down syndrome, presented to Bathurst Base Hospital on 30 September 2016 with acute abdominal pain and vomiting. Despite clear clinical signs—including a lactate of 7.2 mmol/L (grossly ab…
20y · Male·exertional heat stroke
A 20-year-old professional rugby league player collapsed and died from exertional heat stroke after his first pre-season training session following an extended off-season break. Keith had the lowest aerobic fitness of hi…
Female·Mona: multiple internal injuries (including head and lung injuries) sustained in…
Mona Lisa Smith (16) and Jacinta 'Cindy' Rose Smith (15), Aboriginal girls from Bourke, NSW, died in a single-vehicle motor vehicle accident on 6 December 1987 when a Toyota utility driven by Alexander Grant rolled over …
0y · Female·unascertained
A nine-month-old First Nations child (Baby Q) was killed by her psychotic father in November 2018. The family, transient and homeless, were known to child protection and police in NSW and Queensland with complex mental h…
44y · Male·Multiple blunt force injuries from fall from height
Michael Murray, aged 44, died following a fall from Landslide Lookout in the Blue Mountains. He had been diagnosed with borderline personality disorder (BPD) and chronic suicidality. His death highlighted critical gaps i…
0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …
Everett Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was incorrectly reported as posterior on ultrasound, though …
37y · Male·a single gunshot wound to the chest
Saso Ristevski, aged 37, was fatally shot in the chest by an unknown assailant outside his home in Lake Heights, NSW on 28 September 2011. Three males confronted him at approximately 8:30-8:45pm; one produced a firearm a…
40y · Male·gunshot wounds
Todd McKenzie, a 40-year-old man with treatment-resistant schizophrenia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. Todd became acutely psychotic, waving a knife and expressi…
50y · Female·Multiple stab wounds to the abdomen and chest
Michelle Michell, a 50-year-old woman, was stabbed to death by her estranged husband Neville in a premeditated domestic violence homicide on 30 June 2021. Critical lessons include: (1) police failed to recognise escalati…
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