742 results
34y · Male·Mixed drug toxicity (heroin, codeine and doxepin)
Jason Hester, a 34-year-old prisoner at a transitional correctional facility, died from mixed drug toxicity (heroin, codeine and doxepin) following an apparent overdose. He had been granted approved leave and had been co…
55y · Male·Acute myocardial infarction due to coronary thrombosis and coronary atherosclero…
Leonard Fraser, a 55-year-old prisoner, died from acute myocardial infarction on 1 January 2007 following a second cardiac event. He presented to prison medical centre on 7 December 2006 with chest pain, sweating, and le…
34y · Male·asphyxiation by hanging
A 34-year-old Aboriginal male died by suicide while on remand in prison. Despite a history of suicide attempts in 2004-2005, reception screening failed to identify suicide risk, partly because electronic alerts were not …
24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…
A 24-year-old man with schizoaffective disorder and substance abuse killed his 2-year-old son and himself in March 2009. The deceased had been released on licence following a mental impairment finding and was subject to …
38y · Male·Exsanguination due to penetration of arm veins
Declan Brennan, a 38-year-old sentenced prisoner at Acacia Prison due for release on 30 April 2008, died by suicide on 27 April 2008 from exsanguination due to penetrating wounds to his arm veins. Brennan had a long-stan…
37y · Male·acute viral pneumonia secondary to swine flu (H1N1) infection of the lungs, exac…
Steven Andrew Forbes, age 37, died of acute viral pneumonia secondary to H1N1 influenza, complicated by chronic rheumatic heart disease. He died in police/correctional custody following arrest at hospital discharge for a…
61y · Male·ischaemic heart disease with significant atherosclerotic narrowing of all three …
Lindsay Allan Fry, a 61-year-old prisoner with poorly controlled Type II diabetes, died of ischaemic heart disease while in custody at Yatala Labour Prison. Autopsy revealed marked coronary artery atherosclerosis, myocar…
Male·Suicide: hanging (Al-Akabi, Saunders); diving from balcony (Rauluni)
Three immigration detainees died by suicide at Villawood Detention Centre in Sydney within three months in 2010. Josefa Rauluni (Fijian) jumped from a balcony on 20 September after being informed of imminent removal desp…
37y · Female·exsanguination from incised wounds to right wrist and elbow
Tracey Inglis, a 37-year-old woman with chronic pain from multiple orthopaedic injuries, hepatitis C, and a history of suicidal ideation, died by suicide while imprisoned. Critical clinical lessons include: the Initial R…
46y · Male·Ventricular arrhythmia in a man with epilepsy and documented episodes of bradyca…
Garry John Stephens, aged 46, died in Port Phillip Prison on 7 September 2007 from ventricular arrhythmia in a man with epilepsy and documented bradycardia episodes. The coroner accepted this as consistent with sudden un…
62y · Male·Ischaemic heart disease due to coronary atherosclerosis
Peter Albert Begg, a 62-year-old prisoner, died of ischaemic heart disease due to severe coronary atherosclerosis with contributing dothiepin toxicity. He collapsed while pushing a food trolley and did not respond to res…
15y · Male·Gunshot wound to the chest
Tyler Cassidy, a 15-year-old boy, was fatally shot by Victoria Police on 11 December 2008 during a mental health crisis. He had stolen two large kitchen knives from Kmart and made threatening statements, explicitly deman…
33y · Male·acute hydrocephalus following ventricular blockage by a colloid cyst
Daniel Johnson, a 33-year-old Aboriginal man, died of acute hydrocephalus caused by a colloid cyst in the brain while in custody at Darwin Correctional Centre. He had complained of severe, recurring headaches for months …
18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…
An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February but was assessed only for boils and not thoroughly evaluated. Clin…
Male·Ashton Michael Sunfly: ligature compression of the neck (hanging); Mitchell Nana…
This coronial inquiry examined five deaths in Balgo Aboriginal Community over a 24-month period: four suicides by hanging and one death from volatile substance abuse. The suicide rate in Balgo was more than 100 times the…
49y · Male·Acute blood loss from a single incised injury to left forearm
Jeremy Edward Chandler, a 49-year-old first-time prisoner, died by suicide in Melbourne Assessment Prison 36 hours after admission. He had been convicted of serious charges and remanded in custody pending sentencing. Des…
34y · Male·Asphyxia consistent with plastic bag asphyxia
A 34-year-old male in pre-trial custody at Arthur Gorrie Correctional Centre died by asphyxiation using a plastic bag on 3 September 2008. He had a psychiatric history with prior suicide attempts and was on olanzapine. H…
68y · Male·Ischaemic heart disease and coronary artery atherosclerosis
Patrick Paul, a 68-year-old man with significant cardiac history including prior myocardial infarction and coronary stents, died of ischaemic heart disease while in prison custody. He presented to hospital with symptoms …
53y · Male·Multi-organ failure due to sepsis
Matthew Tiers, a 53-year-old Aboriginal man with extensive comorbidities including alcoholic liver disease, was arrested and detained at Rockhampton Watchhouse then transferred to Capricornia Correctional Centre. He deve…
36y · Male·infective endocarditis
John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.