1,232 results
34y · Male·Multiple Blunt Force Injuries
Dennis Ellis, 34, died from multiple blunt force injuries when his vehicle collided with a tree at high speed near Yass, NSW. He was significantly intoxicated (BAC 0.173g/100mL, causing 'very significant' driving impairm…
0y · Male·positional asphyxia
Harvey McGlinn, a 3-week-old infant, died from positional asphyxia while being carried in a Boba Wrap fabric sling in an incorrect position on 8 April 2019. The sling was positioned horizontally and low across his mother…
29y · Male·Hanging
ZH, a 29-year-old man serving a 9-year sentence for drug supply, died by hanging in his minimum-security cell at Parklea Correctional Centre on 11 August 2021. The coroner found his death was self-inflicted. Key clinical…
36y · Male·Hypoxic Ischaemic Encephalopathy
Brenden Montgomery, aged 36, died from hypoxic ischaemic encephalopathy after hanging himself on 30 December 2019 while police were present outside his home. He had a long-standing history of depression and anxiety, prev…
17y · Female·Hanging
Charli Powell, 17, died by hanging at Freebody Oval on 11 February 2019 during an abusive relationship with Rohan Rosewarne. The coroner found her death was intentionally self-inflicted but occurred in the context of sig…
47y · Male·Gunshot wounds to the chest
Jasson Pearce died from gunshot wounds to the chest after being shot by police during an incident at his home on 1 November 2019. Police responded to a call about a male threatening to slit throats and burn houses. Offic…
Male·Fentanyl toxicity, with aspiration pneumonia as a significant contributing condi…
A man (ZA) died from fentanyl toxicity in custody at Shortland Correctional Centre after his cellmate, who had brought fentanyl into the prison by concealing it in his rectum, shared it with him. Both men snorted the pow…
44y · Female·Hanging
Kerry-Ellen Knight, aged 44, died by suicide in custody at Silverwater Women's Correctional Centre on 5 March 2021 after only 6 days in custody. She was in COVID-19 quarantine in an old-style cell with prominent hanging …
22y · Female·cardiac arrest of uncertain cause noting the existence of drug toxicity; the dru…
Faithe Baxter, aged 22, died from cardiac arrest due to methamphetamine toxicity after using multiple drugs including methamphetamine, benzodiazepines, opioids and nitrous oxide. She became unconscious in a car overnight…
35y · Male·hyponatraemia due to excessive consumption of water, against a background of psy…
Trevor Samuel, a 35-year-old Aboriginal and Torres Strait Islander man with treatment-resistant schizophrenia and psychogenic polydipsia, died in custody from hyponatraemia following excessive water consumption. His psyc…
81y · Male·cardiac arrest following neck compression due to hanging
An 81-year-old man with a history of alcohol dependence, paranoid delusions regarding his wife's infidelity, and possible vascular dementia was admitted to mental health facilities involuntarily after discharging a firea…
51y · Male·multiple injuries sustained by a high velocity fall from a height
A 51-year-old man with longstanding schizoaffective disorder who was inadequately medicated drove 400km from home and positioned himself precariously on the Wingecarribee River Bridge with clear suicidal intent. Fourteen…
36y · Male·Cannot be determined
CD, aged 36, disappeared on 17 June 2019 after exhibiting significant mental health deterioration, recent suicidal ideation, paranoia, alcohol abuse, and relationship breakdown. The coroner found sufficient evidence that…
47y · Male·Multiple gunshot wounds; discharged by police officer during enforcement of Comm…
Ian Fackender, aged 47, died from gunshot wounds during a Community Treatment Order breach enforcement operation in his home. He had severe, treatment-resistant schizophrenia and was acutely psychotic during the incident…
74y · Female·Blunt force injuries sustained when struck by a motor vehicle while crossing Joh…
A 74-year-old woman was struck by a motor vehicle while crossing John Street in Lidcombe at approximately 8:30pm on 16 February 2019, sustaining fatal blunt force injuries. The coroner found the pedestrian at fault, havi…
19y · Male·Hanging
LAK, a 19-year-old Aboriginal man, died by suicide at a community rehabilitation facility after a complex mental health journey involving forensic orders and psychosis. Key clinical lessons include: recognising vulnerabi…
1y · Male·methadone toxicity
Phoenix Hemmings, a 14-month-old child, died from methadone toxicity on 31 March 2015. He was found unresponsive at home after falling asleep on a sofa next to his mother, while his mother's partner (on a methadone opioi…
31y · Male·hanging
Mr Gavin Ellis, 31 years old, died by hanging in custody on 2 April 2017 at the Metropolitan Remand and Reception Centre, Silverwater. He had a chronic treatment-resistant schizophrenic illness with extensive self-harm h…
31y · Male·sepsis due to urosepsis and pneumonia on a background of C3 incomplete tetrapleg…
Michael Quinn, a 31-year-old quadriplegic inmate, died from sepsis secondary to urosepsis and pneumonia. He had C3 incomplete tetraplegia from a self-inflicted stab wound in 2013 and was serving a 20-year sentence. An in…
75y · Male·multifactorial causes on a background of ischaemic heart disease, generalised va…
Robert Bischard, a 75-year-old man with multiple complex comorbidities including coronary artery disease, chronic kidney disease, and diabetes, died five days after elective right total knee replacement surgery. The coro…
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