3,425 results
52y · Female·Unascertained (natural causes)
Jocelyn Riddiford, a 52-year-old woman with intellectual disability and autism residing in supported accommodation, died from unascertained natural causes. Over 18 months prior to death, she experienced progressive decli…
77y · Male·Respiratory arrest in the setting of metastatic malignancy
An elderly man with metastatic malignancy died from respiratory arrest in hospital. The coroner found the death resulted from his underlying advanced cancer rather than medical mismanagement. No autopsy was performed, bu…
52y · Male·Unascertained
GM, a 52-year-old man with bipolar affective disorder, died of unascertained causes after absconding from a mental health inpatient unit on 2 December 2015. He was admitted voluntarily for management of a suspected manic…
Male·drowning
Tony Guan died by drowning at Ascot Vale Leisure Centre in 2014. The coronal inquiry identified that three staff members were present but failed to notice the incident, highlighting systemic failures in pool supervision.…
75y · Female·Hypostatic bronchopneumonia in the setting of dementia
A 75-year-old woman with intellectual disability, dementia, and asplenia died from hypostatic bronchopneumonia. She had been declining since April 2016 with progressive weight loss, increased agitation, falls, and swallo…
79y · Male·head injuries sustained in a fall from a bicycle
A 79-year-old man died from head injuries sustained in a bicycle fall on a rural road. While riding at approximately 40 km/h on a descent, he swerved to avoid mud and debris on the road surface, struck another cyclist's …
40y · Male·neck compression consequent upon hanging
Ross Campbell, a 40-year-old man with a history of family violence perpetration, alcohol abuse, and undiagnosed mental illness, died by hanging. He had attended a Men's Behavioural Change Program in 2011 following a fami…
33y · Male·Cerebral haemorrhage
A 33-year-old man with Lowes syndrome (rare genetic disorder causing intellectual disability, blindness, epilepsy, and feeding difficulties) died from cerebral haemorrhage while in supported accommodation. He had been re…
50y · Male·aspiration pneumonia (with Down syndrome as contributing condition)
Glenn Altmann, a 50-year-old man with Down syndrome, epilepsy, cognitive impairment and oropharyngeal dysphagia, died from aspiration pneumonia. He was under palliative care in the community following a January 2014 diag…
66y · Male·Complications of chronic lithium therapy
Sydney Kennedy, a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but ther…
22y · Male·Asphyxia from recreational use of nitrous oxide
Aaron McDonald, 22, died from asphyxia while using nitrous oxide recreationally alone at home, breathing the gas through apparatus connected to a canister. He had sourced knowledge and equipment from the internet and ret…
8y · Female·Effects of fire
Two children, Georgia (8) and Kaden (3), died in a house fire caused by inadequate wood heater flue installation. The flue was installed without proper air gap between the pipe and chimney wall, contrary to AS/NZ 2918:20…
60y · Female·Consistent with drowning
Kaye Ward, 60, drowned in Belfast Bay, Port Fairy after her fishing boat's motor failed to start due to corroded battery cable. With an undersized anchor that dragged ineffectively, the boat drifted into breaking waves a…
56y · Female·Combined drug toxicity
A 56-year-old woman with a long history of depression and recurrent suicide attempts died from combined drug toxicity while an inpatient at a private psychiatric hospital. She had been admitted following suicidal ideatio…
28y · Female·Motor vehicle accident related chest injuries
Elaine O'Driscoll, a 28-year-old Irish working holiday maker, died from chest injuries sustained in a motor vehicle rollover on a rural road near Swan Hill, Victoria. The vehicle she was travelling in collided with a B-d…
19y · Male·Hanging (self-inflicted)
Jacob Van Berlo, a 19-year-old male, died by hanging following a suicide. He had a history of depression treated with sertraline and an uncontrolled gambling addiction. On the day of death, after receiving his weekly pay…
22y · Male·Drowning
A 22-year-old Sudanese man drowned after inexplicably jumping from a jetty into Lake Narracan despite being unable to swim. The water was 2 metres deep with zero visibility, submerged obstacles, and thick mud. He entered…
24y · Male·Aspiration pneumonia secondary to drug abuse and overdose of multiple drugs
A 24-year-old man with schizophrenia died from aspiration pneumonia following overdose of multiple drugs including diazepam, tramadol, morphine, and others. The day before death, he took excess diazepam to manage auditor…
Male·Drowning
Gordon Edward Wright drowned after capsizing his boat at Manns Beach Entrance on 18 November 2009. He became fatigued in the water and was unable to prevent aspiration. The coroner found this death was likely preventable…
Male·Multiple gunshot wounds from police shooting
Tyler Cassidy, 18, died after police shot him multiple times when he advanced on them with two knives in a public park. The coroner found that while Tyler's actions were deliberate, they were not voluntary—he was overwhe…
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