2,612 results
24y · Male·Neck compression in the circumstances of hanging
Boe Luke Memery, a 24-year-old Aboriginal man, died by hanging on 19 May 2019 following a relationship breakdown. He had a history of depression, self-harm, and previous suicide attempts. In the weeks before his death, h…
32y · Male·Mixed drug toxicity
A 32-year-old man with bipolar disorder and substance abuse history died from mixed drug toxicity (oxycodone 0.7 mg/L, tramadol, benzodiazepines, cannabis and amphetamines). Emergency services attended after his partner …
19y · Male·Hanging
LAK, a 19-year-old Aboriginal man, died by suicide at a community rehabilitation facility after a complex mental health journey involving forensic orders and psychosis. Key clinical lessons include: recognising vulnerabi…
63y · Male·acute blood loss due to self-inflicted sharp force incisional wounds of the thro…
A 63-year-old man with multiple chronic conditions including psoriatic arthritis, depression, prostate cancer, and recent dental issues died by self-inflicted sharp force wounds while on approved leave from a mental heal…
31y · Male·hanging
Mr Gavin Ellis, 31 years old, died by hanging in custody on 2 April 2017 at the Metropolitan Remand and Reception Centre, Silverwater. He had a chronic treatment-resistant schizophrenic illness with extensive self-harm h…
36y · Male·Immersion (drowning)
Quoc Xuan Tran, a 36-year-old man with schizoaffective disorder and autism spectrum disorder, died by drowning in the Swan River on 10 April 2019. He was subject to a Community Treatment Order and had experienced repeate…
87y · Male·infective exacerbation of chronic obstructive lung disease
An 87-year-old man with a long smoking history and no prior diagnosis of lung disease suffered a hip fracture requiring surgery. Postoperatively, he developed delirium and hypoxia. Two Inpatient Treatment Orders were app…
83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…
An 83-year-old man with end-stage Alzheimer's dementia died from general inanition and aspiration pneumonia while subject to a Mental Health Act order in hospital. He had experienced two episodes of aspiration pneumonia …
64y · Male·sodium nitrite poisoning
A 64-year-old man on home detention bail died from intentional sodium nitrite poisoning. He had a documented history of depression, anxiety, and suicidal ideation. His GP noted he was 'pretty much suicidal' in February 2…
58y · Female·aspiration pneumonia following palliative treatment for frontotemporal dementia
Jillian Ann Woolley, aged 58, died of aspiration pneumonia on 18 September 2014 at Roy Fagan Centre following palliative sedation for terminal frontotemporal dementia. She had been severely distressed with uncontrolled b…
60y · Female·undetermined; natural causes not excluded (possible paraganglioma infarction, pn…
A 60-year-old woman with depression, recent acute kidney injury from dehydration, and suicidal ideation was discharged from hospital on 27 August 2021 after psychiatric improvement. She was prescribed increased Sertralin…
74y · Male·Aspiration of gastric contents, significantly contributed to by advanced dementi…
Mr Bogdan Dora, aged 74, died from aspiration of gastric contents while residing at Roy Fagan Centre, a residential aged care facility for people with dementia. He had advanced dementia, emphysema, and severe atheroscler…
31y · Male·hanging
Christopher Hunter, a 31-year-old with emerging paranoid psychotic disorder, was admitted to Delmont Private Hospital for 3 days before requesting discharge against medical advice on 9 June 2015. A senior registrar (Dr T…
47y · Female·Mixed drug toxicity (pregabalin, oxycodone and mirtazapine)
A 47-year-old woman died from mixed drug toxicity involving pregabalin, oxycodone, and mirtazapine. She had chronic pain, anxiety, and depression, and attended a medical clinic frequently. Over five days before her death…
Male·Hanging
YGE, a man with major depressive disorder, suicidality, and illicit substance use, died by hanging at the Neighbourhood Justice Centre on 28 December 2019. He was subject to a family violence intervention order and had b…
58y · Female·thermal burns
A 58-year-old woman with schizophrenia died from extensive thermal burns after a fire originated in a wall-mounted heat pump that lacked a required residual current device (RCD). The heat pump was installed in 2012 witho…
51y · Male·Stab wound to the heart
Brian Liston, a 51-year-old teacher, died from a stab wound to the heart inflicted by William Cahill during an unprovoked attack at a bus stop in December 2015. Cahill suffers severe treatment-resistant schizophrenia and…
37y · Male·Unascertained
Kenneth Klees, aged 37, disappeared on 1 February 2021 and was found deceased on Mollymook beach on 26 February 2021. He had a history of depression, anxiety, poorly controlled type 2 diabetes, and obsessive-compulsive d…
53y · Male·Multiple gunshot injuries
53-year-old man with longstanding unresolved childhood trauma, affected by COVID-19 pandemic restrictions, developed acute paranoia and anxiety. Believed people were hacking his devices and tracking him. When school welf…
55y · Female·asphyxia due to choking on food (steak)
A 55-year-old woman with multiple comorbidities including morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommoda…
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