2,612 results
32y · Male·methylamphetamine toxicity
Joshua Steven Kerr, a 32-year-old Aboriginal man with intellectual disability and substance use disorder, died from methylamphetamine toxicity on 10 August 2022 at Port Phillip Prison. After lighting a fire in his cell a…
13y · Female·Self-inflicted single gunshot wound to the chest
Grace, 13, died from a self-inflicted gunshot wound using an unsecured .308 Winchester rifle stored in her parents' bedroom. She had disclosed suicidal thoughts to a school counsellor in September 2021, but this disclosu…
44y · Female·Neck compression in the circumstances of hanging
A 44-year-old woman died by hanging following rape in 2014 and protracted criminal proceedings. She experienced ongoing trauma and PTSD exacerbated by reopening her complaint and multiple court processes. She had multipl…
41y · Male·complications in association with effects of fire, with terminal palliative care
Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by suicide on 1 November 2021 after self-immolating with boat f…
44y · Male·Cardiac arrhythmia on a background of hypertensive heart disorder, obesity, diab…
Michael Baker, a 44-year-old Aboriginal man in custody at Lithgow Correctional Centre, died from cardiac arrhythmia on 25 June 2019. He had multiple comorbidities (hypertensive heart disease, obesity, type 2 diabetes, un…
77y · Female·general inanition on a background of dementia, chronic subdural haematoma and ri…
Mrs Ann Perkins, aged 77, died from general inanition with dementia, chronic subdural haematoma, and fractured neck of femur as contributing factors. She sustained an unwitnessed fall at her aged care facility in Decembe…
62y · Male·end stage renal failure complicating oxalate crystal nephropathy with contributi…
Stewart Anthony Leane, 62, died from end-stage renal failure due to oxalate crystal nephropathy with contributing head injury. He had complex medical needs including dialysis-dependent kidney failure, schizophrenia, and …
95y · Female·end-stage dementia and inanition complicated by fractured neck of femur (operate…
Mrs Beulah Kennedy, aged 95, died from end-stage dementia and inanition complicated by a fractured neck of femur. She was admitted to Royal Adelaide Hospital on 10 September 2021 with agitation and falls. An inpatient tr…
17y · Female·Neck compression by hanging (suicide)
XY, a 17-year-old Wemba Wemba Aboriginal girl, died by suicide on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as …
39y · Female·multiple drug toxicity (etizolam and carisoprodol as major components)
Catherine Broadbent, 39, died from multiple drug toxicity involving benzodiazepines (etizolam, carisoprodol) sourced from the dark web, in the context of chronic borderline personality disorder and complex PTSD with life…
40y · Female·ligature compression of the neck (hanging)
Petra Michelle Marquis, a 40-year-old woman with a documented history of mental health issues including depression, anxiety, PTSD, and borderline personality disorder, died by suicide while in police custody after being …
39y · Male·most likely suicide; possibly accidental death from untreated epilepsy or natura…
Martin Page, a 39-year-old man with epilepsy, schizophrenia or Asperger's syndrome, severe obsessive-compulsive behaviours, and intellectual disability, disappeared from his family home in October 2006 and has not been l…
78y · Male·multiple blunt force injuries
An 78-year-old man with no prior mental health history died by suicide after jumping from a cliff following a police response to a welfare concern. He had recently undergone cardiac surgery and was managing physical reha…
27y · Male·gunshot injury to the head
A 27-year-old Western Australian police officer with a longstanding history of depression and anxiety took his own life using his police-issued firearm stored at home. He had struggled with mental health since 2017, atte…
57y · Male·Ischaemic heart disease in a man with chronic schizophrenia
Jon Lewis, a 57-year-old man with chronic schizophrenia, ischaemic heart disease, diabetes, hypertension, and cardiomyopathy, died from acute myocardial infarction or fatal cardiac arrhythmia at a specialist disability a…
36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…
Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…
16y · Male·mixed drug toxicity (codeine, morphine, tramadol, alprazolam and desmethylvenlaf…
LI, a 16-year-old with borderline personality disorder, factitious disorder, and opioid use disorder, died from mixed drug toxicity (codeine, morphine, tramadol, alprazolam, desmethylvenlafaxine) after obtaining prescrip…
93y · Male·general inanition on a background of cognitive impairment, congestive cardiac fa…
A 93-year-old man with dementia, heart failure, and chronic renal disease died of general inanition following a hip fracture sustained in a fall at an aged care facility. He was under a guardianship order with special po…
72y · Male·asphyxia due to upper airway obstruction due to choking on food
A 72-year-old man with acquired brain injury, seizure disorder, and dysphasia died from asphyxia due to choking on food while eating eggs and ham on toast at a disability care facility. He had no documented swallowing di…
87y · Female·General inanition complicating mixed vascular and Alzheimer's dementia on a back…
Victoria Feldstein, 87, died of general inanition complicating mixed vascular and Alzheimer's dementia following a left humeral fracture sustained in aged care. She fell on 16 August 2020, initially managed conservativel…
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