873 results
38y · Male·carbon monoxide toxicity
Samuel Mark Walsh died by carbon monoxide toxicity (suicide) in October 2014 while subject to a custody order for a forensic mental health condition. He had paranoid schizophrenia and had been remarkably stable on clozap…
23y · Male·multiple injuries sustained in head-on motor vehicle collision
Jordan Thorsager, a 23-year-old motorcyclist, was killed in a head-on collision with a car driven by Kylee King, who was evading police while under the influence of methylamphetamine (20 times the impairment threshold). …
3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea
A 3-year-old Aboriginal girl died from bronchopneumonia complicated by severe obstructive sleep apnoea. She had rapid-onset childhood obesity (36 kg at death; normal weight 14-16 kg) with multiple cardiopulmonary complic…
19y · Female·Unknown cause (likely foul play but insufficient evidence)
Glenyce Rae McGowan, aged 19, disappeared from Nanutarra Roadhouse in Western Australia on 10 December 1975 and has not been seen since. She was travelling to visit a friend in Tom Price when the roads became flooded. Wi…
64y · Female·phosphine toxicity from deliberate ingestion of aluminium phosphide fumigation p…
Janice Croft, 64, died from phosphine toxicity after deliberately ingesting fumigation pellets during a police intervention on her property facing eviction for mortgage default. Ms Croft had long-standing bipolar disorde…
42y · Male·Upper airway obstruction (choking) in an obese man with atherosclerotic heart di…
Andre Walter Bond, a 42-year-old man with schizophrenia, schizoaffective disorder, Asperger's syndrome, and severe obesity, died from upper airway obstruction (choking) on food while dining at home. He had been recently …
Female·Ray: homicide by a person or persons unknown involving blunt force trauma; Jenni…
A 47-year-old man (Ray) and 49-year-old woman (Jennie) died on or about 22 March 2015 during a prospecting trip in remote Western Australia near Sandstone. Ray's body was found in a disused mineshaft on 8 April 2015; Jen…
48y · Male·Severe soft tissue injury to the left arm, consistent with impact with a wire fe…
Davide Candeloro, 48, died from severe laceration to his left arm after his Harley Davidson motorcycle crashed into a wire fence at high speed on a residential street. Police officers had initiated a brief traffic interc…
3y · Female·tramadol toxicity
A 3-year-old girl in state care died from tramadol toxicity after accessing prescribed opioid medication left unsecured in her carer's bedroom. The child was removed from her mother's care due to neglect and substance ab…
38y · Male·Unascertained; most likely exposure after walking in bushland
Sebastian Poulson, age 38, disappeared from Wangkatjunka Community in remote Western Australia on 19 October 2014. He had serious cardiac conditions including rheumatic heart disease, decompensated congestive heart failu…
68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…
Cyril Churchill, a 68-year-old man with multiple comorbidities, died from surgical complications after laparoscopic cholecystectomy for acute cholecystitis. Postoperatively, he developed profound hypotension. The treatin…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
FJ, an Iranian woman with bipolar affective disorder and schizophrenia, died by suicide at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during trans…
32y · Male·unascertained; most likely exposure after walking in bushland
Jason Marcus Lawson, a 32-year-old man with a complex psychiatric history including depression, anxiety, polysubstance use, and previous suicide attempts, disappeared on 11 December 2003, one week after discharge from an…
63y · Male·respiratory failure in a man with lung cancer, chronic obstructive pulmonary dis…
Stephen Craig Solly, aged 63, died from respiratory failure due to advanced lung cancer, COPD, and pulmonary fibrosis while an involuntary psychiatric patient at Graylands Hospital. He had paranoid schizophrenia, cogniti…
24y · Male·unascertained; most likely immersion after falling overboard, but preceding medi…
Conrad Thon Mpanza, a 24-year-old South African crew member, disappeared from the bulk carrier S.A. Skukuza on 7 January 1978 in the Indian Ocean off Western Australia's North West Cape. He was last seen at approximately…
2y · Male·pneumonia in association with bronchiolitis
Child T, a 2-year-old boy in Department of Communities' care, died from pneumonia in association with bronchiolitis on 13 July 2019. The coroner found the Department should have intervened with more intensive family supp…
0y · Female·head and neck injuries
A 4-month-old girl (Baby H) died from head and neck injuries caused by violent shaking inflicted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physi…
70y · Male·carcinoma of the lung
Stuart Dugan, a 70-year-old prisoner with advanced lung cancer, died in hospice care. He had multiple missed opportunities for earlier diagnosis. While smoking-related lung cancer commonly presents late with poor prognos…
0y · Male·Scimitar syndrome
An 11-week-old term infant (Baby JDU) died from Scimitar syndrome, a rare congenital heart and lung disorder with bilateral complications including pulmonary hypoplasia, venous obstruction, and severe pulmonary hypertens…
16y · Male·multiple injuries
A 16-year-old child in state care under a Protection Order (Until 18) was a passenger in a stolen vehicle being driven by his friend. Police attempted multiple vehicle intercepts during a series of evade police driving i…
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