Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…
Two Aboriginal brothers with chronic alcohol use disorder and cognitive impairment died in July and September 2023 in Alice Springs Hospital. Both had adult guardianship orders, NDIS packages, and aged care assessments r…
41y · Female·Combined Drug Toxicity (ethanol and benzodiazepine)
Narisha Faye Cash, 41-year-old Aboriginal woman, died on 26 March 2020 from combined drug toxicity (ethanol and benzodiazepines) following an inadequate emergency services response to her mental health crisis. She called…
56y · Male·Hanging
Chao Liang Mai, a 56-year-old remanded prisoner with documented psychiatric history and previous suicide/self-harm risk flags, died by hanging in a prison cell on 27 November 2018. Critical systemic failures included: (1…
14y · Female·ligature compression of the neck (hanging); suicide
A 14-year-old girl in state care (Child RK) died by suicide on 20 April 2022. She had complex presentations stemming from early childhood trauma, including attachment difficulties, emotional dysregulation, self-harm, sui…
48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…
A 48-year-old woman with depression, anxiety, and bipolar disorder died from mixed drug toxicity while on voluntary inpatient psychiatric admission. She had undisclosed significant illicit drug use, which was not identif…
57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…
A 57-year-old woman with complex medical and mental health conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. She had severe chronic pain following abdominal surgeries, opio…
60y · Male·Neck compression secondary to hanging
A 60-year-old man with Type 2 diabetes and low mood died by hanging within 24 hours of being interviewed by police regarding child sexual abuse allegations. While police identified that suspects are at heightened suicide…
Male·neck injury (laryngeal fracture from compression) in a man with atherosclerotic …
Ashley James Bropho died from neck injury at Hakea Prison in March 2023 after being assaulted by fellow inmate Evan Martin. Bropho was a vulnerable remand prisoner with intellectual disability, schizophrenia, previous my…
57y · Male·Mixed drug toxicity (heroin, methadone, benzodiazepines including novel benzodia…
Raymond John Flaherty, a 57-year-old Wurundjeri man with longstanding opioid and benzodiazepine dependence, died from mixed drug toxicity involving heroin, methadone, prescribed diazepam, unprescribed benzodiazepines inc…
28y · Male·Hanging
Dylan Bell, 28, died by hanging following discharge from Redland Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a concern…
54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine
JI, a 54-year-old man with chronic schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following a fall onto a metal grate during an altercation with another resident at support…
16y · Male·complications of ligature compression of the neck (hanging)
Cleveland Keith Dodd, aged 16, died on 19 October 2023 from complications of ligature compression of the neck (hanging) while in custody at Unit 18, a youth detention facility within Casuarina Prison, Western Australia. …
Constable Arnold: single gunshot wound to the chest. Constable McCrow: gunshot w…
On 12 December 2022, two Queensland Police Constables (Matthew Arnold, Rachel McCrow) and a civilian (Alan Dare) were fatally shot at 251 Wains Road, Wieambilla by Gareth and Nathaniel Train while responding to a missing…
50y · Male·Mixed alcohol and drug toxicity (clozapine, paracetamol, caffeine); cardiac hype…
A 50-year-old man with treatment-resistant schizoaffective disorder died from mixed alcohol and drug toxicity (clozapine, paracetamol, caffeine) combined with cardiac hypertrophy. He ceased his antipsychotic medication o…
40y · Female·hypoxic ischaemic encephalopathy due to ligature compression of the neck
Wendy McCabe, a 40-year-old woman with a history of depression, anxiety, substance use and previous self-harm, died of asphyxiation from ligature compression after fashioning a noose from a standard blanket in her police…
39y · Male·mixed drug toxicity (methadone, benzodiazepines, olanzapine, zopiclone)
Jason Hosier, a 39-year-old man with complex mental health and substance use history, died from mixed drug toxicity following discharge from Sunshine Hospital. He was subject to an inpatient temporary treatment order and…
62y · Male·Shotgun injury to the head
Kon Maximos, aged 62, died from a self-inflicted shotgun wound to the head on 15 October 2023. He was in acute interpersonal crisis following marital separation, family estrangement over infidelity, and police interventi…
60y · Female·multiple injuries
JF, a 60-year-old woman with recurrent major depressive disorder and a history of suicide attempts, died by suicide at Redhead Headland on 12 February 2024. Despite three prior psychiatric hospitalizations and documented…
34y · Female·not able to be determined - body not found
Sana Salman, a 34-year-old woman with bipolar disorder and schizoaffective disorder, went missing on 1 September 2022 after being discharged from Northern Beaches Hospital on 22 August 2022. She had been admitted for a p…
44y · Female·Cardiac arrest in the context of several contributory factors (physical exertion…
Selesa Tafaifa, a 44-year-old woman with Samoan heritage, died in custody at Townsville Women's Correctional Centre on 30 November 2021 during physical restraint by correctional officers, including application of a safet…
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