742 results
35y · Male·ischaemic heart disease due to coronary atherosclerosis
A 35-year-old Aboriginal man died of ischaemic heart disease due to coronary atherosclerosis whilst in prison custody. He presented with chest pain and arm tingling at 6:20am but received only Panadol and Mylanta from no…
76y · Male·Cardiac arrest due to cardiomegaly, myocardial fibrosis and ischaemic coronary a…
Henry Portelli, a 76-year-old prisoner with significant cardiovascular disease including cardiomegaly, myocardial fibrosis, and ischaemic coronary artery disease, died of cardiac arrest in custody. The autopsy showed chr…
50y · Male·Chronic liver disease (alcohol, hepatitis C) with hepatocellular carcinoma and c…
Noel Robert Rogerson, a 50-year-old prisoner with chronic liver disease (alcohol-related cirrhosis and hepatitis C), died from decompensated liver disease with hepatocellular carcinoma on 28 March 2009 at St Vincent's Ho…
42y · Male·Hanging (self-inflicted) while suffering from serious mental illness
Brian Dunningham, aged 42, died by hanging at Bathurst Correctional Complex (9–10 September 2009) while in custody. He had serious mental illness (psychosis, depression) requiring antipsychotic and antidepressant medicat…
40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…
Michael Peter Magro, a 40-year-old male inmate at a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were id…
64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…
James Tranby, a 64-year-old Indigenous diabetic prisoner, presented with a fish bone lodged in his rectum on 3 December 2008. Following removal on 5 December, he developed progressive sepsis leading to necrotising fascii…
Troy Thomas Lee: acute neck compression due to hanging; Scott Leslie Matthews: m…
Two men died by suicide while on home detention bail awaiting trial. Troy Thomas Lee (38, hanging) and Scott Leslie Matthews (23, mixed drug toxicity from tramadol and alprazolam overdose) both died on their parents' pre…
56y · Male·Hepatorenal syndrome from end-stage liver disease (multifocal hepatocellular car…
Michael Metcalfe, a 56-year-old male prisoner with end-stage liver disease from hepatitis C cirrhosis and hepatocellular carcinoma, died from hepatorenal syndrome while in custody. He was transferred between prison facil…
36y · Male·Gunshot wound to the forehead
A 36-year-old man with a 10-year history of forensic mental health order died by gunshot wound during a siege after police arrived to enforce psychiatric hospitalisation. The coroner found mental health care was appropri…
40y · Male·carbon monoxide poisoning
A 40-year-old male sex offender on community-based orders died by carbon monoxide poisoning on 24 August 2009, two days after a serious suicide attempt involving his car. He had been assessed at Frankston Hospital ED on …
73y · Female·Bacterial endocarditis organism arising from a staphylococcal infection that ent…
Mary Roberts, aged 73, received a 5-year custodial sentence in September 2004. She had complex medical needs: dementia from previous strokes, diabetes requiring insulin monitoring, and Warfarin use. Justice Health provid…
27y · Male·Hanging
Jeremy Barker, a 27-year-old man with bipolar disorder, recent suicide attempts, and explicit stated intention to hang himself, was admitted to Arthur Gorrie Correctional Centre's medical unit for observation as an 'at-r…
56y · Male·head injuries inflicted by blunt force trauma
56-year-old John Douglas Simpson-Willson was fatally assaulted in Brisbane's Botanical Gardens on 3 June 2005 by Daniel Pattel, released from prison five days earlier. Pattel had expressed clear intentions to kill someon…
36y · Male·Effects of hanging
Jason Muir, a 36-year-old remand prisoner with a history of mental illness and suicidal ideation, died by hanging in Arthur Gorrie Correctional Centre. He had been removed from suicide observation in June 2008 following …
40y · Male·Laryngeal stenosis caused by laryngeal oedema due to squamous cell carcinoma of …
Thomas Andrew Clumpoint, 40-year-old Aboriginal man, died from laryngeal stenosis caused by squamous cell carcinoma of the head and neck while imprisoned. He had undergone surgery and chemo-radiation for tonsillar cancer…
32y · Male·Cardiac arrest as a result of the combined effects of severe coronary atheroscle…
Tofia Mataia, a 32-year-old male with schizophrenia, died in custody at Capricornia Correctional Centre following restraint after assaulting officers. He collapsed during a 2-minute prone restraint by five officers. The …
55y · Male·dilated cardiomyopathy
Stanley Walter Peter, 55, died of dilated cardiomyopathy while in GSL custody at Port Adelaide Police Station. He had presented with alcohol intoxication (0.311% blood alcohol) on arrest and was transferred to GSL custod…
32y · Male·traumatic subdural haemorrhage resulting from blunt head trauma
A 32-year-old Aboriginal man died from subdural haemorrhage caused by blunt head trauma sustained when climbing over a fence while evading police. He was arrested and brought to Alice Springs watch house in an unresponsi…
63y · Male·Metastatic carcinoma of the lung
Lawrence Jeffrey, a 63-year-old inmate at Lotus Glen Correctional Centre, died from metastatic lung carcinoma on 11 May 2008. He presented with symptoms consistent with his known chronic conditions (asthma, COPD, silicos…
60y · Male·Metastatic carcinoma of the prostate
Michael Goldman was a 60-year-old prisoner at Port Phillip Prison who died of metastatic prostate cancer. He was diagnosed with prostate cancer in September 2006 and underwent brachytherapy in mid-2007. By May 2008, prog…
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