3,729 results
50y · Male·Coronary atherosclerosis
Patrick Michael Heenan, a 50-year-old Aboriginal male prisoner, died of acute coronary atherosclerosis during a football game at Darwin Correctional Facility on 16 September 2006. He experienced chest pain at half-time a…
20y · Male·Self-inflicted hanging
Corey McGeary, a 20-year-old remand prisoner with chronic risk factors for self-harm (history of suicide attempts, schizophrenia, personality disorder, severe childhood abuse, mild intellectual disability), died by hangi…
67y · Male·Coronary atherosclerosis and emphysema
Joseph Edwin James, aged 67, died of sudden cardiac arrest due to coronary atherosclerosis and emphysema while imprisoned at Lotus Glen Correctional Centre. He had no known prior medical issues and was in good health acc…
26y · Male·Restraint asphyxia compounded by the effects of amphetamine abuse and extreme ex…
Michael Eddy, a 26-year-old amphetamine user with a criminal history, died from restraint asphyxia compounded by amphetamine effects and extreme exertion during police arrest. Police pursued him for dangerous driving, lo…
16y · Female·intra-abdominal haemorrhage due to ruptured spleen
A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…
82y · Female·multi organ failure from burns on a background of aortic stenosis and ischaemic …
An 82-year-old woman with chronic pain from osteoporosis used a hot water bottle at a nursing home. A carer filled it with boiling water directly from a kettle and positioned it against the patient's back without followi…
38y · Male·ischaemic heart disease due to severe coronary atherosclerosis
Stuart Murray Chalklen, aged 38, died in Adelaide Remand Centre from ischaemic heart disease due to severe coronary atherosclerosis. He complained of left shoulder pain (a recognised symptom of cardiac disease) to cellma…
45y · Male·Coronary artery disease due to severe atherosclerosis; acute myocardial infarcti…
Mario Emmy Tyssen, a 45-year-old man in custody on approved leave, died suddenly while gardening from coronary artery disease due to severe atherosclerosis. He had a documented history of cardiac symptoms (chest pain pre…
Male·Self-inflicted hanging
Leon Mark Carroll died by hanging in prison while on remand for sexual offences. Initial assessment identified significant suicide risk, but this was reversed by the High Risk Assessment Team after only 5-6 minutes consi…
26y · Male·bronchopneumonia following severe head injury
Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony on 31 December 2002. He had been admitted to Long…
23y · Female·drowning and citalopram overdose
23-year-old woman with major depressive disorder presented to multiple healthcare providers on 17 March 2004 with suicidal ideation. She was referred to Flinders Medical Centre Emergency Department by her GP, where she w…
36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…
A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was t…
13y · Female·Pneumonia, due to or as a consequence of Hypoxic Brain Damage, due to or as a co…
Amanda Helen Boyce, aged 13, drowned in a spa pool at a resort after her long hair became entrapped in the pump suction system. She was submerged for an estimated 10-20 minutes before being freed. Despite immediate CPR a…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…
79y · Male·myocardial infarction
A 79-year-old man with significant comorbidities (ischaemic heart disease, diabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He developed acute confusion and delirium, initial…
Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…
Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…
63y · Male·ruptured abdominal aortic aneurysm
Norman Eric Keith Steele, 63 years old, collapsed at work on 28 May 2004 and was transported to Merredin District Hospital at 9:10am with a presenting complaint of severe abdominal pain (9/10) radiating to his back, dizz…
38y · Female·Asphyxiation by plastic bag
Helen Jeffery, aged 38, died by asphyxiation using a plastic bag in Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal …
66y · Female·Drowning
Beverley Ann Tierney, a 66-year-old woman, drowned after slipping and falling from a moored cabin cruiser at Cooran Cove Resort. She was intoxicated with alcohol (206 mg/100ml) and under the influence of multiple drugs i…
51y · Male·ischaemic heart disease
A 51-year-old prisoner died from ischaemic heart disease after suffering a cardiac event while being transferred between prison units. He had complained of chest pain to correctional officers, was directed to walk to the…
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