332 results
18y · Male·Multiple injuries due to train over-run
Charles Ross Maxwell Morgan, an 18-year-old Aboriginal man, died when struck by a train near Zillmere Railway Station in January 2012. He was moderately intoxicated with alcohol and cannabis, with recent cannabis use. Th…
46y · Female·mixed drug toxicity
46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roommate), olanzapine, fluoxetine, oxycodone, and diazepam. She disclosed to her …
28y · Male·consistent with drowning
Benjamin Pappas, a 28-year-old with a history of substance abuse, depression, borderline personality disorder, and suicidal ideation, died by drowning on approximately 4 March 2007, following the discovery that his partn…
19y · Male·Ruptured aorta post motor vehicle incident
Simon Kirwan, 19, died by motor vehicle collision in circumstances indicating suicide after discharge from involuntary mental health care. He had made three serious suicide attempts within 7 days (overdoses, wrist lacera…
47y · Female·Neck compression subsequent upon hanging
Li Zhen Gao, a 47-year-old woman from a culturally and linguistically diverse background, died by suicide following her husband's sudden departure and separation. She had a five-year history of stress, anxiety, depressio…
Three deaths with different primary causes: James Unicomb - acute toxicity due t…
Combined inquest into three deaths at Psyche South Clinic involving treatment failures: James Unicomb (22, 2005) from multi-drug overdose after naltrexone implant; Michael Poole (48, 2008) from ruptured aneurysm post-Rap…
41y · Male·Hanging
Timothy Casey, a 41-year-old remand prisoner with a history of major depressive disorder and drug/alcohol dependence, died by hanging in Port Phillip Prison in March 2008. The coroner identified multiple system failures:…
58y · Male·gunshot wounds
Senior Sergeant Michael James Isles, a 58-year-old Queensland police officer with 34 years of service, disappeared on 23 September 2009. He was the subject of corruption allegations (which proved unfounded), stood down f…
62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …
Pamela Stone, a 62-year-old woman with a complex history of trauma, depression and relationship difficulties, presented to Albany Regional Hospital ED on 26 March 2009 after a violent altercation at home, having been sed…
38y · Male·Hanging
Adam Cartledge, 38, died by hanging in his cell at Arthur Gorrie Correctional Centre while on remand. He had a long history of psychiatric illness, including depression, paranoid schizophrenia, previous suicide attempts,…
Unknown·Multiple causes: Antony Way died from stab wounds to neck and trunk; Tania Simps…
Paul Rogers murdered his estranged partner Tania Simpson and her friend Antony Way by stabbing them at their Robina apartment on 15 May 2011. He then abducted their 5-year-old daughter Kyla, drove to NSW, and asphyxiated…
19y · Female·asphyxiation
A 19-year-old university student with chronic bilateral uveitis presented to university counselling with depression. She disclosed detailed written suicide plans (helium asphyxiation) to the Head of Counselling, who appr…
55y · Male·Hanging
Peter Tully, 55, died by hanging 4 days after discharge from his first psychiatric admission for major depressive disorder with suicidality. He had made 3 suicide attempts in the week before admission. During hospitalisa…
24y · Male·neck compression due to hanging
A 24-year-old man with depression and anxiety died by hanging in March 2009, three weeks after hospital discharge following an overdose. Critical clinical lessons emerge: (1) discharge summaries from psychiatric admissio…
56y · Male·Asphyxia
Stuart Cecil Ford, a 56-year-old prisoner at Wolston Correctional Centre, died by asphyxiation when he intentionally placed a plastic bag over his head on 16 January 2010. He had a history of adjustment disorder with anx…
46y · Male·Acute hypoxic brain damage resulting from intentional self-inflicted hanging
A 46-year-old male prisoner died from acute hypoxic brain damage following self-inflicted hanging in custody. He had a history of physical health issues including HIV and mental health concerns including anger management…
57y · Male·injuries sustained in a fall from height
Michael George Pichler, aged 57, died from injuries sustained in a fall from the 9th floor of an apartment building on Spring Street, Melbourne, on 19 August 2010. Mr Pichler had experienced significant financial losses …
Male·Ashton Michael Sunfly: ligature compression of the neck (hanging); Mitchell Nana…
This coronial inquiry examined five deaths in Balgo Aboriginal Community over a 24-month period: four suicides by hanging and one death from volatile substance abuse. The suicide rate in Balgo was more than 100 times the…
28y · Male·hanging
Aaron Nathan Stagg, 28-year-old man with likely Asperger's Syndrome and emerging paranoid psychosis, died by hanging on 5 March 2010 after a period of disengagement from mental health services. He was referred to Top End…
50y · Female·compression of the neck consistent with hanging
Yan Yi Xu, a 50-year-old woman with a history of depression and recent breast cancer diagnosis, was admitted to Cramond Clinic psychiatric ward following a suicide attempt on Christmas Day 2008. She died by hanging in he…
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