742 results
41y · Male·Coronary artery thrombosis due to or as a consequence of coronary atherosclerosi…
Albert William Hendy, a 41-year-old prisoner, died suddenly in custody from coronary artery thrombosis due to coronary atherosclerosis. He sustained a minor head laceration on the day of death which received appropriate …
33y · Male·Self-inflicted hanging
Troy Crossman, a 33-year-old prisoner at Borallon Correctional Centre, died by hanging in his cell on 17 March 2004. He had an extensive documented history of depression, suicidal ideation, and previous suicide attempts.…
46y · Male·Diffuse Alveolar Damage (Adult Respiratory Distress Syndrome) as a consequence o…
Anthony Kenneth Hansen, a 46-year-old inmate at Maryborough Correctional Centre, presented with flu-like symptoms on 24 August 2003 and was appropriately evaluated by visiting medical officers. Despite timely antibiotic …
24y · Male·consequences of hanging
Damian John Cook, aged 24, died by hanging in his cell at Adelaide Remand Centre after 5 months in custody. His suicidal ideation on the day of death (following difficult phone calls with his ex-partner regarding access …
34y · Male·Septicaemia resulting from Melioidosis
Warren Maminyamanja, a 34-year-old Aboriginal man, died from melioidosis septicaemia on 13 June 2004 whilst in custody at Darwin Correctional Centre. Clinical assessment for melioidosis was not considered, though expert …
35y · Male·Disseminated Lymphoblastic Lymphoma
A 35-year-old Aboriginal man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriatel…
45y · Male·bronchopneumonia and suppurative bronchitis complicating hypoxic brain damage
Ian McLeod, a 45-year-old lawyer with alcohol dependence and depression, died from hypoxic brain damage and bronchopneumonia following a hanging while in custody at Yatala Labour Prison. Multiple system failures contribu…
27y · Male·asphyxia caused by self-inflicted hanging
A 27-year-old Aboriginal man died by hanging in the back of a community police van whilst being transported from Hope Vale to Cooktown after arrest for domestic violence. Three community police officers with minimal trai…
Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…
Four separate inquests into the deaths of Kunmanara Ward (19), Kunmanara Ken (35), Kunmanara Ryan (25), and Kunmanara Cooper (27) on the Anangu Pitjantjatjara Lands between May 2003 and March 2004. Three deaths were by h…
Unknown·Multiple causes including neck compression due to hanging (Ward, Ryan, Cooper) a…
This inquest into four deaths on the Anangu Pitjantjatjara Lands involved multiple causes including hanging (three cases) and exposure with complications. Kunmanara Ward died by hanging while intoxicated with petrol; Kun…
75y · Male·Metastatic Lung Carcinoma
Allan Chapman, a 75-year-old sentenced prisoner, died of metastatic lung carcinoma on 4 April 2004 at Murdoch Community Hospice. He presented with lethargy and dysphonia in February 2004, leading to prompt chest imaging …
34y · Male·multiple myeloma
Anthony Trent Wilson, aged 34, died of multiple myeloma on 18 August 2003 while on compassionate leave from prison. He was diagnosed with multiple myeloma in December 2001 while in custody at Adelaide Remand Centre await…
39y · Male·Ligature compression of the neck (hanging)
Hendrik Jan Groothedde, a 39-year-old remand prisoner at Hakea Prison, died by ligature compression of the neck (hanging) on 31 January 2003. He had been admitted to custody in December 2002 following stabbing an ex-girl…
18y · Male·Ligature compression of the neck (hanging)
Damien George Garlett, an 18-year-old Aboriginal remand prisoner at Hakea Prison, died by ligature compression of the neck (hanging) on 4 April 2003. He had a history of self-harm, drug-induced psychosis, violent offence…
56y · Female·Cardiac Failure Secondary to Atherosclerotic Heart Disease, Systemic Hypertensio…
Marlene Faye Ware, a 56-year-old Aboriginal woman serving home detention for traffic offences, collapsed suddenly at home on 24 November 2002 and died in the Emergency Department of Royal Perth Hospital. She had Type II …
36y · Male·hanging
Troy Phillip Turner, aged 36, died by hanging in his prison cell on 2 September 2001 while on remand for serious domestic violence-related offences. The coroner identified several preventable failures: (1) Duty Superviso…
25y · Female·Ligature Compression of the Neck (Hanging)
Natasha Quartermaine, a 25-year-old female prisoner at Bandyup Women's Prison in Western Australia, died by suicide via ligature compression of the neck on 27 August 2001. She had a long history of mental illness, person…
33y · Male·hanging
Brian Dewson, a 33-year-old man with a 12-year history of drug and alcohol abuse, multiple psychiatric assessments (antisocial personality disorder, depression), and prior suicide risk designations died by hanging in Por…
26y · Male·Ligature Compression of the Neck (Hanging)
Dylan Robert Green, a 26-year-old remand prisoner at Hakea Prison, died by hanging on 11 July 2002. He had a history of serious mental illness, including psychotic episodes with delusional beliefs, and a previous suicide…
38y · Female·neck compression due to hanging
Margaret Lindsay, 38, died by hanging in Adelaide Women's Prison on 23 May 2001 whilst remanded in custody. She had a complex history of psychiatric illness, drug and alcohol abuse, and multiple suicide attempts. Despite…
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