742 results
33y · Male·lobar pneumonia (Streptococcus pneumonia with septic shock)
Owen King, a 33-year-old Aboriginal man, died of lobar pneumonia on 24 June 2002 at Alice Springs Hospital following brief police custody for alleged intoxication. He was apprehended twice on 23 June under protective cus…
41y · Male·Shotgun wound to the left side of the chest with laceration of the heart and hae…
Geoffrey Douglas Nicholls, aged 41, was shot by police during an armed incident at Oodnadatta, South Australia. He had a history of mental illness including depression with suicidal ideation, Bartter's syndrome (causing …
30y · Male·Hypertrophic Cardiomyopathy
Gary John Holcroft, a 30-year-old prisoner at Casuarina Prison Complex, died on 19 September 2001 from Hypertrophic Cardiomyopathy. He had a known heart murmur since childhood and Hepatitis C, and was noted to have eleva…
26y · Male·gastric aspiration
A 26-year-old remanded prisoner died from gastric aspiration at Adelaide Remand Centre. He was a heroin user experiencing withdrawal, having been offered but declined infirmary treatment and methadone on arrival. Cellmat…
28y · Male·Ligature compression of the neck (hanging)
Evan Charles Slater, 28, died by ligature compression of the neck (hanging) in Cell D7, Unit 10 of Hakea Prison on 12 March 2001. He was on remand facing assault and restraining order breach charges stemming from domesti…
29y · Male·Hanging
Craig Mark Allen, aged 29, died by hanging in cell 211 of Yatala Labour Prison on 16 October 2000, six days after admission for assault. Critical failures in prisoner management contributed to this preventable death. The…
22y · Male·Hypoxic Ischaemic Encephalopathy due to suffocation
Bradley William Rapley, aged 22, died from hypoxic ischaemic encephalopathy on 2 September 1999 at Fremantle Hospital after a suicide attempt by suffocation in a Casuarina Prison cell on 25 August 1999. Rapley was a pris…
17y · Male·cranial and facial trauma
A 17-year-old male with acute schizophrenia died from cranial and facial trauma after running off a 15.6-metre cliff during a psychotic episode. Hours before, he had been seen by a trainee psychologist who failed to reco…
39y · Male·Ligature Compression of the Neck (Hanging)
Gerhardus Theron, 39, died by suicide in a remand centre on 25 June 2000 by ligature compression of the neck. He had murdered his wife on 28 April 2000 while their four children were present, and was remanded in custody.…
26y · Male·Ligature compression of the neck (Hanging)
Scott Davidson, a 26-year-old recently sentenced prisoner with paranoid schizophrenia, died by suicide in Casuarina Prison on 5 June 2000. Following sentencing to 9 years imprisonment, he was transferred to Casuarina Pri…
32y · Male·Ligature Compression of Neck (Hanging)
Leslie William Wesley, a 32-year-old Indigenous man, died by hanging on 7 May 2000 in Cell A10 of Unit 5, Casuarina Prison Complex, Western Australia. He was on remand awaiting trial for sexual assault charges. Wesley ha…
18y · Male·Ligature Compression of Neck (Hanging)
Adam Timothy Garner, aged 18½, died by hanging in his prison cell at Canning Vale Prison Complex on 6 January 2000, approximately 24 hours after admission. He was on remand for a serious violent offence and was experienc…
29y · Male·hanging
A 29-year-old man remanded in custody at Adelaide Remand Centre died by hanging on 15 January 2000. At admission, he denied self-harm risk and psychiatric history; no warning signs were identified. He was found hanging f…
19y · Male·heroin toxicity
Marshall Carter, 19, died in custody from heroin toxicity at Yatala Labour Prison. He had a long history of drug abuse starting from age 14 and was an intravenous heroin user. Critical failures included: inadequate trans…
47y · Male·Ligature compression of the neck (hanging)
Kenneth John Groth, aged 47, died by hanging in Casuarina Prison on 9 April 1998. He was a sentenced prisoner convicted of sexual offences, serving a 10-year sentence. His appeal was adjourned and legal aid was refused, …
24y · Male·plastic bag asphyxiation
Sean Kevin Hayes, a 24-year-old male remand prisoner, died from plastic bag asphyxiation in his cell at Canning Vale Remand Centre in Western Australia on 20-21 August 1997. He had a history of psychiatric illness, previ…
31y · Male·extensive global cerebral hypoxia following prolonged asphyxia following attempt…
Ian Glen Bransby, a 31-year-old remandee with a history of substance abuse and depression, died from asphyxia following attempted hanging at Calvary Hospital on 14 February 1998. He had been remanded at Belconnen Remand …
21y · Male·Suffocation from hanging
Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 1996 while on remand awaiting trial f…
Unknown·Multiple injuries sustained in motor vehicle collisions
This complex coronial finding examined six deaths arising from police pursuits in Western Australia between 2012-2014. The deceased included taxi driver Kuldeep Singh and passenger Dr D. (killed in a collision with a sto…
62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…
Robert Paul Rodda, a 62-year-old long-term prisoner with extensive medical comorbidities including ischaemic heart disease, COPD, and a known abdominal aortic aneurysm (AAA), presented with chest pain in September 2015. …
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