2,612 results
44y · Male·acute alcohol intoxication
Samuel Patrick Burke Drummond, aged 44, died from acute alcohol intoxication with blood alcohol level of 0.572g/100ml (above the lethal threshold of 0.4g/100ml), combined with methylamphetamine use. He had a longstanding…
36y · Male·Unascertained
A 36-year-old male psychiatrist disappeared on 25 January 2023 and is presumed deceased. He had treatment-resistant depression, was in significant pain from a recent back injury, and was prescribed opioids (Lyrica, Endon…
43y · Male·exsanguination from incised wounds to the arms - self inflicted
A 43-year-old man with schizophrenia, PTSD, and methamphetamine use died from exsanguination following self-inflicted incised wounds to both arms. He had been discharged from psychiatric inpatient care on 1 February 2020…
74y · Female·Metastatic duodenal carcinoma
Elizabeth Helen Barber, a 74-year-old woman with schizophrenia and a Custodial Supervision Order at Thomas Embling Hospital, presented to Austin Hospital in April 2021 with postural hypotension, fainting, and weakness. I…
38y · Male·hanging
Shane Tuck, an elite AFL player (2004-2013) and professional boxer (2015-2017), was found deceased by hanging on 20 July 2020. Post-mortem neuropathology confirmed severe stage III chronic traumatic encephalopathy (CTE).…
47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…
Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatric assessment. After moving from Geelong to Ballarat in Feb…
37y · Male·mixed drug toxicity with fentanyl as the principal agent
37-year-old Jason Cullen died from mixed drug toxicity with fentanyl as the principal agent. He had chronic idiopathic intracranial hypertension requiring multiple neurosurgeries and was prescribed opioids and benzodiaze…
36y · Female·plastic bag asphyxia
A 36-year-old woman with longstanding severe mental illness, including recurrent suicidal ideation and self-harm, died in custody at Dame Phyllis Frost Centre from plastic bag asphyxia on 29 August 2020. She was housed i…
51y · Male·gunshot wound to the chest
Andrew Chee Quee, aged 51, died on 20 April 2020 from a gunshot wound to the chest fired by Probationary Constable Worboys in Rockdale, Sydney, during armed police confrontation. Chee Quee was armed with knives and hamme…
46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…
Samuel Edward Ashby, a 46-year-old prisoner with treatment-resistant schizophrenia, died from aspiration pneumonia complicated by clozapine effect. Key clinical lessons: (1) smoking cessation dramatically increases cloza…
Male·suicide
This cluster finding examined five suicides of males aged under 18 in Greater Geelong between February-June 2020. All deaths were temporally, spatially, and socially clustered with shared risk factors including relations…
33y · Female·Mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, du…
Melissa Arbuckle, a 33-year-old woman, died from mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, duloxetine) by intentional overdose. She had been convicted of infanticide following her daug…
31y · Female·Compression of the neck
Caitlin O'Brien, a 31-year-old nurse, was murdered by her intimate partner Shea Sturt via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk…
43y · Male·Gunshot wounds to the chest; exsanguination and respiratory failure secondary to…
Imad Damouni (43) died from gunshot wounds to the chest after self-immolating with petrol in a parking lot in Sunnybank, Brisbane on 6 April 2020, following a domestic dispute. Police responded appropriately to a suicide…
51y · Male·Stab wounds to the chest
A 51-year-old man with documented mental health issues including psychosis, paranoia, and delusions died from self-inflicted stab wounds during a police siege at his mother's home. He had breached a domestic violence ord…
52y · Male·hanging
A 52-year-old man with a history of depression, ankylosing spondylitis, and severe obstructive sleep apnoea died by hanging in custody. He had requested a CPAP machine for over 9 months without receiving one, which he be…
58y · Male·acute bronchopneumonia
Giovanni Trotta, aged 58, died in custody from acute bronchopneumonia. He was a vulnerable prisoner with COPD, schizoaffective disorder, and profound deafness. Clinical lessons include: (1) hospital discharge summaries m…
55y · Female·smoke inhalation from domestic fire caused by unextinguished cigarette
A 55-year-old woman with a prior stroke causing physical disability, intellectual disability, schizophrenia, epilepsy, diabetes and atrial fibrillation died from smoke inhalation in a domestic fire. She was a heavy smoke…
48y · Male·unascertained
Abdurahman Faid, a 48-year-old man with chronic schizophrenia and acquired brain injury from cerebral malaria, died unexpectedly in hospital on 31 December 2018 while an involuntary psychiatric patient. He had untreated …
29y · Male·Effects of fire
Manmeet Sharma, a 29-year-old bus driver, was killed on 28 October 2016 when Anthony O'Donohue, an untreated patient with severe psychotic illness characterised by persecutory delusions, boarded his bus and set him on fi…
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