918 results
39y · Male·neck compression (due to hanging) and plastic bag asphyxia
John Steve Costi, aged 39, died by suicide in Adelaide Remand Centre on 27 November 2013. He fashioned a ligature from bedding strips and hanged himself using an unusual hanging point in his single cell between 4am and 6…
40y · Male·drowning
Jason Wilson, a 40-year-old Aboriginal man, drowned in the River Murray while evading police questioning regarding a minor theft. He had recently undergone major abdominal surgery (partial gastrectomy, pancreatic duct st…
88y · Male·pulmonary thromboembolism complicating ischaemic and hypertensive heart disease …
An 88-year-old man with dementia, detained under guardianship orders at a nursing home, died of pulmonary thromboembolism complicating cardiac and respiratory disease. On the day of death, he was found confused and breat…
95y · Male·multi-organ failure due to sepsis and general inanition on a background of advan…
William Albert Hodgins, aged 95, died of multi-organ failure due to sepsis and general inanition on a background of advanced vascular dementia and ischaemic heart disease. He was admitted under a Level 2 Inpatient Treatm…
22y · Female·plastic bag asphyxia, possibly contributed to by neck compression
A 22-year-old woman with severe depression and documented suicidal ideation died by plastic bag asphyxiation while detained under a Mental Health Act order in a psychiatric ward. She had explicitly stated plastic bag asp…
76y · Male·pneumonia and exacerbation of chronic obstructive airway disease
George William Cameron, aged 76, died from pneumonia and exacerbation of chronic obstructive airway disease at Noarlunga Hospital. He was admitted with acute alcohol withdrawal, confusion, and respiratory symptoms. A Lev…
60y · Male·End stage renal failure
Geoffrey Frederick, aged 60, died of end-stage renal failure while subject to a Mental Health Act order at Royal Adelaide Hospital. He had schizophrenia and chronic kidney disease requiring dialysis, but repeatedly remov…
31y · Male·carbon monoxide toxicity
Shaun Martin Keane, aged 31, died by carbon monoxide toxicity while on home detention bail following arrest for assault. He had a documented history of suicidal ideation, including a previous gassing attempt in 2010, and…
66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…
Rita Ann Broadway, 66, died from urinary tract infection on 2 January 2015, one day after presenting to Modbury Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling cathe…
84y · Male·multi-organ failure due to general inanition due to end-stage dementia
Geoffrey Neil Allen, aged 84, died at an aged care facility from multi-organ failure due to general inanition secondary to end-stage dementia. He was subject to guardianship orders with detention powers under the Guardia…
81y · Male·gastrointestinal haemorrhage and multi-organ failure on a background of severe d…
William Thomas Kelbin, aged 81, died from gastrointestinal haemorrhage and multi-organ failure on a background of severe dementia. He had been placed under guardianship with detention powers after becoming unable to self…
92y · Female·heart failure secondary to aortic stenosis, anaemia, atrial fibrillation and isc…
A 92-year-old woman with multiple comorbidities (aortic stenosis, anaemia, atrial fibrillation, ischaemic heart disease) died of heart failure four days after admission to aged care. She had been hospitalised for three m…
58y · Male·pneumonia on a background of adenocarcinoma of the lung stage 4, ischaemic heart…
58-year-old male prisoner died from pneumonia complicated by stage 4 lung adenocarcinoma, ischaemic heart disease, and chronic emphysema. He presented with critical leg ischaemia requiring femoral endarterectomy, develop…
79y · Female·General inanition due to advanced vascular dementia on a background of ischaemic…
Maureen Mary Weir, aged 79, died of general inanition due to advanced vascular dementia with background ischaemic heart disease and chronic lymphatic leukaemia. She was a resident at Kapara Nursing Home under a Guardians…
72y · Male·Bilateral pneumothoraces and pneumoperitoneum due to insufflation of the bladder…
Stephen Herczeg, a 72-year-old patient with COPD and urinary tract infection, died from bilateral pneumothoraces and pneumoperitoneum caused by insufflation of his bladder with oxygen. The oxygen supply tubing was someho…
64y · Male·hypertensive and valvular heart disease
A 64-year-old man died in custody from hypertensive and valvular heart disease. He had pre-existing cardiac disease diagnosed in 2008, including mild aortic stenosis and left ventricular hypertrophy, managed in the commu…
78y · Male·metastatic malignancy (unknown primary) with contributing right-sided heart fail…
Leonard Edward Dodson, aged 78, died in custody from metastatic liver cancer (unknown primary) with contributing right-sided heart failure. He had prostate cancer diagnosed in 2010 via elevated PSA (20ng/ml) but was not …
22y · Female·compression of the neck consistent with hanging
22-year-old Deborah McKenzie, an Aboriginal woman, died by hanging on 13 March 2013 after a complex sequence of failures in mental health care and police procedures. She had reported her partner Shane Woods to police for…
47y · Male·gunshot wound of the head (self-inflicted)
A 47-year-old man with delusional disorder was discharged from mental health detention with a firearm prohibition order. He attended a commercial firing range and fatally shot himself. The coroner found his death was pre…
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…
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