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VIChome2026-07-02

Finding into death of AQV

32y · Male·Multiple injuries sustained in a fall from a height

AQV, 32, had escalating depression, alcohol use disorder, and suicidal ideation while perpetrating family violence against his partner. In June 2024, following an overdose with suicidal intent in NSW, he underwent a comp…

psychiatrygeneral practicealcohol
VICcommunity2026-07-01

Finding into death of VNP

41y · Female·Injuries sustained in a fall from a height

VNP was a 41-year-old woman with longstanding bipolar disorder type 1, chronic pain from endometriosis, and substance misuse history who died by suicide on 10 July 2023. She had experienced homelessness, family estrangem…

general practicepsychiatryalcohol
NSWmental health2026-06-30

Inquest into the deaths of LF, Merryn Ward and Shao

33y · Female·Hanging

A 33-year-old woman with major depressive disorder died by hanging while voluntarily admitted to a mental health inpatient unit. She was stabilizing on medication and scheduled for transfer to a private facility. The cor…

psychiatry
WAhome2026-06-29

Inquest into the Death of David William LAVARS

Male·phosphine toxicity in a man with atherosclerotic heart disease

Robert Lavars died on 6 September 2022 after deliberately ingesting aluminium phosphide tablets while under police arrest at his home in Shoalwater. He had serious health conditions including strokes, heart disease, and …

toxicologyparamedicineproceduralcommunicationaluminium phosphide
VIChome2026-06-29

Finding into death of Heather Joy Harris

61y · Female·Unascertained (natural causes)

Ms Harris, aged 61, with intellectual disability, autism spectrum disorder, and multiple medical conditions (including aortic regurgitation, hypothyroidism, dyspnoea, hyperlipidaemia, and obesity), was living in supporte…

general practicecardiologysertraline
ACTmental health2026-06-26

Inquest into the death of Lena Edwards

34y · Female·Pulmonary thromboembolism

Lena Edwards, 34, died from pulmonary thromboembolism on 25 September 2021 while involuntarily detained at Dhulwa Mental Health Unit under a Psychiatric Treatment Order. She had severe, treatment-resistant schizophrenia …

psychiatryolanzapine
WA2026-06-26

Inquest into the Suspected Death of Alfred Keith CROZIER

59y · Male·Unknown - body not recovered

Alfred Keith Crozier, aged 59, disappeared after 5 May 2013 following the emergence of serious historical criminal allegations in early 2013. He attempted suicide in February 2013 following initial discovery of the alleg…

psychiatry
VIChome2026-06-24

Finding into death of Sheridan Louise Burnell

24y · Female·Mixed drug toxicity

Sheridan Burnell, 24, died from mixed drug toxicity following an intentional overdose of prescription medications (lamotrigine and quetiapine) on 2 January 2021. Her mental health care was reasonable and appropriate. The…

psychiatrygeneral practicecommunicationsertraline
NSWmental health2026-06-23

Inquest into the death of SK

34y · Male·multiple gunshot wounds

SK, age 34, died on 10 January 2024 after being shot 12 times by NSW Police tactical officers at a medical practice in Nowra. He had chronic schizophrenia, opioid dependence, and was experiencing active psychosis. His GP…

general practicepsychiatrydiagnosticsystemmethadone
VIChome2026-06-23

Finding into death of Kaylah Veronica Sarah Woollard

25y · Female·Mixed drug consumption (pregabalin, oxycodone, desmethylvenlafaxine, aripiprazol…

Kaylah Veronica Sarah Woollard, age 25, died from mixed drug toxicity in the context of significant natural disease. She had WHO Class III obesity (BMI 94.5), cardiac hypertrophy, and mental health conditions (depression…

general practicepsychiatrycommunicationpregabalin
VIChome2026-06-19

Finding into death of Elizabeth Jean Hanlon

38y · Female·Pulmonary thromboembolism secondary to deep venous thrombosis due to promethazin…

Elizabeth Jean Hanlon, aged 38, died from pulmonary thromboembolism secondary to deep venous thrombosis following a promethazine overdose. She had complex mental health diagnoses including borderline personality disorder…

psychiatryintensive carepromethazine
NSWhospital2026-06-19

Inquest into the Death of Simon Myles Mackay

37y · Male·Neck compression and the complications thereof

Simon Mackay, age 37, was admitted as an involuntary psychiatric patient on 12 July 2022 for acute methamphetamine-induced psychosis with paranoia and aggression, complicated by severe polysubstance dependence. Although …

psychiatryaddiction medicinepaliperidone
NThome2026-06-19

Inquest into the death of RL

17y · Male·Suicide by self-inflicted hanging

RL was a 17-year-old Alice Springs teenager who died by suicide while under Northern Territory mental health services' care. Critical clinical lessons emerged: failure to inform his mother about mental health deteriorati…

psychiatrypsychologycommunicationdiagnostic
SAhospital2026-06-19

Coroner's Finding: Clancy, Carmen Jayne

37y · Female·sepsis secondary to rectosigmoid perforation on a background of metastatic squam…

Carmen Jayne Clancy, aged 37, died on 27 September 2022 from sepsis secondary to rectosigmoid perforation caused by metastatic cervical cancer. Incarcerated on home detention following a cancer diagnosis in 2021, she und…

oncologycolorectal surgerypsyllium
QLDhome2026-06-17

Inquest into death of Steven Richard Angus

52y · Male·Gunshot wound to the chest

Steven Richard Angus, a 52-year-old veteran with severe alcohol use disorder, major depressive disorder, and generalised anxiety disorder, died from a gunshot wound inflicted by Queensland Police during a welfare check o…

emergency medicinepsychiatrysystemcommunicationalcohol
ACTaged care2026-06-11

Inquest into the death of Peter Wallace

76y · Male·congestive cardiac failure complicated by type 2 respiratory failure

Peter Vernon Wallace was a 76-year-old man with schizophrenia subject to a Psychiatric Treatment Order, living in aged care. He had serious physical comorbidities including congestive cardiac failure, type 2 respiratory …

psychiatrygeriatric medicinezuclopenthixol
VIChome2026-06-09

Finding into death of A T

42y · Male·Gunshot injury to the head

AT was a 42-year-old secondary school teacher with diagnosed depression, adjustment disorder, and ketamine abuse beginning in 2019. He received inpatient psychiatric treatment in August 2021. On 20 December 2024, followi…

psychiatrysystemketamine
WA2026-06-08

Inquest into the Death of Mason SHAHZAD

40y · Male·ligature compression of the neck (hanging)

Mason Shahzad, a 40-year-old sentenced prisoner serving 30 years for serious family violence offences, died by ligature hanging in his cell at Acacia Prison on 11 November 2024. He had a history of depression, PTSD, and …

psychiatrycorrectional healthescitalopram
SA2026-06-02

Coroner's Finding: Taylor, Nathan James

40y · Male·Unascertained

Nathan James Taylor, aged 40, died in Port Lincoln Prison on 24 March 2022 while in custody pending trial on witness interference charges. He had significant medical history including infective endocarditis with tricuspi…

cardiologygeneral medicinediagnosticsystempaliperidone
VICcommunity2026-05-29

Finding into death of EKU

53y · Female·Multiple injuries sustained in a fall from height

A 53-year-old woman with delusional disorder and late-onset schizophrenia had progressive psychotic symptoms and suicidal ideation. In May 2024, she declined voluntary hospital admission due to housesitting commitments a…

psychiatrypsychologybrexpiprazole

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