1,232 results
64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…
Peter Gretton, a 64-year-old man imprisoned at Junee Correctional Centre, died from metformin toxicity complicated by acute renal impairment and severe lactic acidosis. His renal function deteriorated in the three to fou…
55y · Female·The available evidence does not allow for any finding to be made as to the preci…
Sharon Edwards, a 55-year-old schoolteacher, died on or about 14 March 2015 as a result of interpersonal violence, ruled as homicide. Her estranged husband was convicted of her murder. She has not been found. The coroner…
82y · Male·unknown
Malcolm McPhail, aged 82, disappeared from his rural property on 30 March 2021 while engaged in his usual weeding activities. He had early signs of dementia, prior episodes of becoming lost, was blind in one eye, and had…
70y · Male·ischaemic and valvular heart disease with chronic pulmonary disease being a sign…
Barry Faulkner, aged 70, died of ischaemic and valvular heart disease with chronic pulmonary disease while in lawful custody at Long Bay Correctional Complex on 25 January 2020. He suffered a sudden cardiac arrest while …
34y · Male·ischaemic heart disease secondary to coronary atherosclerosis as an antecedent c…
Reuben Button, a 34-year-old Aboriginal man, died in custody from ischaemic heart disease secondary to coronary atherosclerosis. During his 5-year imprisonment, his weight increased from 86kg to 162kg despite attempts at…
51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …
Ziad Hamawy, a 51-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following his discharge from Concord Hospital's mental health unit on 18 March 2019…
50y · Male·Immersion, with alcohol intoxication and doxepin toxicity being significant fact…
Jean-Louis Langlois, a 50-year-old French-Australian man with significant mental health issues, alcohol dependence, and chronic social difficulties, was found deceased on Wanda Beach in January 1997. He died from immersi…
73y · Male·unknown
A 73-year-old man with dementia and frontal lobe impairments disappeared from a nursing home on 5 January 2018; his remains were discovered a year later in a nearby river. Critical clinical and organisational failures oc…
43y · Male·Hanging
GS, a 43-year-old man with complex mental health history (depression, anxiety, borderline personality disorder, substance use), died by hanging in Goulburn Correctional Centre after 183 days in custody. The critical fail…
26y · Male·hanging, intentionally self-inflicted
A 26-year-old Aboriginal man died by suicide in custody following discharge from a Risk Intervention Team (RIT) management plan on 19 October 2021. He had self-harmed on 17 October, reporting voices telling him to cut hi…
5y · Male·multiple stab wounds
A 5-year-old boy died from multiple stab wounds inflicted by his father during an acute psychotic episode. The father, diagnosed with schizophrenia in 2003, was admitted to Hornsby Hospital in April 2018 following deteri…
21y · Male·Complications of blunt head injury resulting from at least two separate acts of …
Baylen Pendergast, 21 months old, died from complications of blunt head injury sustained in two separate traumatic incidents (17 and 28 November 2013). The coroner found injuries were non-accidental and resulted from sig…
67y · Male·Unascertained
Ruben Pablo Gardiol, age 67, disappeared on 30 October 2020 from Kurnell, NSW and is presumed deceased. The coroner found he died on or about the date of disappearance, likely within days based on vehicle evidence and co…
23y · Male·In keeping with drowning
Brandon Clark, a 23-year-old Aboriginal man, died by drowning in the Manning River during a police foot pursuit on 22 January 2022. He was stopped while in a vehicle following drug intelligence, gave false identity detai…
56y · Male·hanging (neck compression)
CJ, a 56-year-old man, died by hanging in custody at Bathurst Correctional Centre on 31 December 2020, shortly after the suicide of his son in June 2020. He had recently been remanded in custody on domestic violence char…
26y · Male·hanging
Azhar Abdul, aged 26, died by hanging in Bathurst Correctional Complex while in protective custody. He had requested removal from the Honour House program on 27 February 2022, citing external threats and a debt to motorc…
59y · Male·Drowning
Benjamin Woodhouse, a 59-year-old involuntary mental health patient with schizophrenia and a history of absconding, drowned in the Parramatta River while on escorted leave. Critical systemic failures included inadequate …
20y · Male·The evidence does not allow a finding on the cause of death
A 20-year-old Swedish national died following a witnessed fall from a cliff at Bluefish Point, Manly on 18 January 2023. While swimming at the Mermaid Pools, the deceased lost his grip on the rock face during the ascent,…
Unknown·Multiple blunt force injuries and immersion secondary to seaplane crash caused b…
On 31 December 2017, a de Havilland DHC-2 Beaver seaplane crashed into Jerusalem Bay, Sydney, killing all six occupants. The coroner found the crash was caused by pilot impairment due to carbon monoxide (CO) exposure. Pr…
49y · Female·Cannot be determined
Melissa Caddick, a financial advisor running a Ponzi scheme, disappeared on 12 November 2020 after ASIC executed a search warrant at her home. Her decomposed foot washed ashore 100 days later. Clinical lessons emerge: th…
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