2,612 results
80y · Male·asphyxia due to choking on food
Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 40+ year history and poo…
55y · Male·Hanging
Christopher Traill, a 55-year-old lawyer with alcohol dependence and depression, died by hanging in a psychiatric inpatient unit on 25 February 2017, just hours after admission as a compulsory patient. He used his belt a…
19y · Male·Stab wounds to the neck and chest
Taylor Oliver, a 19-year-old with schizophrenia and substance use disorder, died by self-inflicted stab wounds on 1 December 2019. He had been admitted to mental health inpatient care on 18 November 2019 following overdo…
21y · Female·Neck compression
Kira Shae James, a 21-year-old with psychosis, borderline personality disorder, and eating disorder, died by ligature at Thomas Embling Hospital while an involuntary inpatient under Mental Health Act orders. She had a le…
27y · Male·Global cerebral ischaemic injury in the setting of hanging
Jamie Kowalewsky, a 27-year-old with long-standing mental health issues including depression, substance abuse (ICE and cannabis), and previous suicide attempt, was voluntarily admitted to a low dependency psychiatric uni…
22y · Male·ligature compression of the neck (hanging)
Lewis Weston, aged 22, died by suicide on 3 November 2020 while subject to a Community Treatment Order (CTO) for Schizoaffective Disorder. He presented with first-episode psychosis in 2017 and repeatedly refused antipsyc…
50y · Male·Hanging
A 50-year-old man with Parkinson's disease died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary to Parkinson's disease and its treatment…
41y · Female·Multiple injuries
Alicia Maree Little, aged 41, was struck and killed by a motor vehicle driven by her former intimate partner while she was leaving the relationship. The case highlights significant systemic failures in family violence re…
27y · Male·Multiple injuries sustained in a fall from height
Reece Pullen, 27, died from multiple injuries sustained in a fall from a seventh-floor balcony on 27 October 2021. He had a history of drug-induced psychosis following methamphetamine use, treated at Orygen Youth Health …
30y · Male·Gunshot wounds to the chest
Gabriel Messo, a 30-year-old man with bipolar affective disorder, died from gunshot wounds inflicted by Victoria Police on 16 July 2020 after violently assaulting his mother at John Coutts Reserve. Clinical lessons inclu…
55y · Female·exsanguination due to a gunshot wound to the upper left chest
A 55-year-old woman with a 20-year history of depression died from a self-inflicted gunshot wound. She had attempted suicide twice in 2019 (July and December) and was managed by her general practitioner and Tasmania Heal…
68y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)
Christopher Ronald Donnelly, aged 68, died of Sudden Unexpected Death in Epilepsy (SUDEP). He had a 5-year history of seizures managed with antiepileptic medications, including a recent switch from valproate to levetirac…
61y · Male·hanging
Andrew Robert Young, a 61-year-old man with lifelong depression and social phobia, died by hanging on 13-14 January 2020. He had received consistent psychiatric care from an experienced psychiatrist for 16 years using su…
38y · Female·Sudden Unexpected Death in Epilepsy (SUDEP)
Chantal Maree Godwin, a 38-year-old woman with left temporal lobe epilepsy since childhood, died of Sudden Unexpected Death in Epilepsy (SUDEP) in February 2020. She had experienced increasing seizure frequency in the mo…
Male·mixed prescription drug toxicity (tramadol and diazepam)
Daniel Wayne Dare died from mixed prescription drug toxicity involving tramadol and diazepam. He had a history of chronic lower back pain and depression managed with these medications prescribed by his GP over several ye…
41y · Male·Gunshot wounds to the head and torso
Duy Linh Ho, a 41-year-old man with long-standing substance use disorder and untreated mental health issues, died from gunshot wounds after a police response to his self-harm and suicidal crisis. He had used methamphetam…
30y · Male·Cyanide poisoning
A 30-year-old teacher in regional Victoria died from cyanide poisoning in June 2020. He presented to his GP in February 2020 with atypical features including fear of being poisoned, which raised concerns for possible psy…
43y · Male·Hanging
William Epere, aged 43, died by hanging in custody at Dawn de Loas Correctional Centre on 10 January 2019. He had been remanded in custody for 27 days following repeated breaches of a domestic violence order, despite cle…
46y · Male·Cold environmental exposure in a man with cardiomegaly
Carl Robert Adler, a 46-year-old man with treatment-resistant schizophrenia, intellectual disability, and autism, died from cold environmental exposure complicated by pre-existing cardiomegaly after leaving a community c…
44y · Male·gunshot wound to the abdomen
Vlado Micetic, 44, was fatally shot by Leading Senior Constable Timothy Baker during a traffic interception for stolen number plates in Windsor, Victoria, on 25 August 2013. Baker claimed Micetic produced a knife during …
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