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VIC2022-07-28

Finding into death of Master S

17y · Male·Unascertained in the setting of volatile substance abuse

Master S, a 17-year-old Yorta Yorta young man, died on 3 July 2017 at the Bert Williams Hostel from a cause unascertained in the setting of volatile substance abuse (chroming Rexona deodorant). He had a history of exposu…

paediatricspsychiatrycommunicationsystemrexona deodorant
WAprison2022-07-22

Inquest into the Death of Callum MITCHELL

26y · Male·ligature compression of the neck (hanging)

Callum Mitchell, aged 26, died by ligature compression of the neck (hanging) in his cell at Hakea Prison on 21 April 2019. He had a longstanding history of self-harm, severe personality disorders (borderline and antisoci…

psychiatrycorrectional healthsystemcommunicationtramadol
NSW2022-07-22

Inquest into the death of Daniel KING

33y · Male·multiple gunshot wounds to the head, trunk and limbs

Daniel King died following multiple gunshot wounds sustained during a police operation. He had acquired a firearm and attended three locations in western Sydney, discharging it before arriving at Penrith Police Station w…

psychiatryneurologysystemcocaine
NSW2022-07-22

Inquest into the death of Mootijah Douglas Andrew Shillingsworth

44y · Male·Complications of a Left Temporal Lobe Abscess

Mootijah was a 44-year-old Aboriginal man who died from a brain abscess originating from an untreated chronic ear infection. He had documented hearing impairment and a history of chronic ear disease requiring ENT special…

correctional healthgeneral medicinediagnosticsystemciprofloxacin eardrops
TAShome2022-07-21

Coroner's Finding: Moran, Kayla Maree

31y · Female·hanging

A 31-year-old woman with a long history of depression, anxiety, and PTSD died by hanging. She experienced multiple concurrent stressors: workplace sexual harassment and threats, endometriosis diagnosis requiring surgery,…

general practicepsychiatrydiagnosticcommunication
VIChome2022-07-18

Finding into death of Mr EBG

46y · Male·Combined effects of helium toxicity and plastic bag asphyxia

A 46-year-old man died by suicide using helium inhalation and plastic bag asphyxia. He had a history of suicide attempt in November 2020, was referred to psychology and prescribed antidepressants by his GP in January 202…

general practicepsychiatryantidepressants
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

21y · Male·complications of ligature compression of the neck (hanging)

Sarwan Al Jhelie, a 21-year-old Iraqi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose att…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
VIC2022-07-15

Finding into death of Wiki Raymond Lowe

35y · Male·hanging

Two inmates at Karreenga Correctional Centre died by hanging within four months of each other in 2017. Mr Lowe, aged 35, died on 7 March 2017 after learning he faced a longer prison sentence than expected. Mr Thomas, age…

psychiatrycorrectional healthcommunicationsystem
VIC2022-07-15

Finding into death of Noel Thomas

42y · Male·hanging

Two prisoners at Karreenga Correctional Centre died by suicide within four months of each other. Mr Lowe, aged 35, hanged himself on 7 March 2017 after learning his prison sentence would be longer than expected. Mr Thoma…

psychiatrycorrectional healthsystemcommunication
NSWcommunity2022-07-15

Inquest into the death of C S

5y · Male·Presumed drowning

CS, aged 5 years 9 months, died by presumed drowning on 2 March 2017 in the Murray River, Moama NSW. His mother LS, who was mentally unwell and using ice, forcibly held him underwater. Multiple agencies—FACS, NSW and Vic…

paediatricspsychiatrydiagnosticsystemmethamphetamine
VIChome2022-07-14

Finding into death of Mr P

71y · Male·Exsanguination from incised wounds to the neck and wrist

A 71-year-old man with bipolar disorder, depression, alcohol addiction, and cirrhosis died by suicide via exsanguination from neck and wrist lacerations. He had stopped psychiatric medications in 2017 and was managed by …

general practicepsychiatrycommunicationsystem
VICcommunity2022-07-13

Finding into death of Dane Warren Simpson

52y · Male·Hanging

A 52-year-old man with a 25-year history of depression, anxiety, and severe obsessive-compulsive disorder (OCD) died by hanging. He had recent contact with mental health services including a psychiatrist, psychologist sp…

general practicepsychiatrycommunicationfluoxetine
QLDhome2022-07-12

Jack - Non-inquest findings

41y · Male·Stab wound to the chest

Jack, a 41-year-old man with extensive history of domestic violence perpetration across multiple relationships, died from a stab wound to the chest inflicted by his partner Sally during a domestic disturbance. Sally had …

forensic medicinecorrectional healthcommunicationsystemmethamphetamine
VIC2022-07-11

Finding into death of Mladen Jovanoski

57y · Male·Consequences of multiple injuries (from fall from elevated walkway)

Mladen Jovanoski, a 57-year-old remand prisoner, died from head injuries sustained after falling from a prison walkway on 11 April 2018. He had suspected metastatic thyroid cancer requiring urgent biopsy at a tertiary ho…

endocrinologyoncologysystemcommunication
SAmental health2022-07-08

Coroner's Finding: Cardwell, Phillip David

53y · Male·lung abscess with empyema

A 53-year-old man with schizophrenia died from lung abscess with empyema while an involuntary inpatient at a mental health facility. He had been readmitted with a respiratory infection and was treated with intravenous an…

psychiatryemergency medicinedelayclozapine
VIChome2022-07-08

Finding into death of X RR

29y · Male·Mixed drug toxicity (heroin and methamphetamine)

A 29-year-old man with a history of heroin and methamphetamine addiction died from mixed drug toxicity. He had suffered a work-related back injury leading to opioid dependence, complicated by anxiety and panic attacks. A…

addiction medicinegeneral practicesystemheroin
NSW2022-07-06

Inquest into the death of Kevin BUGMY

57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…

Kevin Bugmy, a 57-year-old Aboriginal man, died of severe coronary artery disease while in custody at Cessnock Correctional Centre. The coroner found the care received for his chronic inhalant use disorder was grossly in…

cardiologygeneral practicediagnosticcommunicationacetone
NSWcommunity2022-07-05

Inquest into the deaths of Darren WALLACE and T B D

Male·Darren Wallace: single gunshot wound to right side of neck. TBD: two self-inflic…

Two deaths occurred on 9 December 2015 in a tragic incident connected to a dispute within the Rebels Outlaw Motorcycle Gang. TBD, a 31-year-old former ADF member with severe post-traumatic stress disorder (PTSD), alcohol…

psychiatryemergency medicinesystemdelaysertraline
NSW2022-07-04

Inquest into the death of W W

48y · Male·hanging

A 48-year-old man remanded in custody for breaching an Apprehended Violence Order died by suicide by hanging in a correctional centre cell approximately 1.5 hours after being refused bail. He was arrested on 12 September…

forensic medicinecorrectional healthmethamphetamine
TAShospital2022-07-01

Coroner's Finding: CL de-identified

33y · Female·hanging

A 33-year-old woman with major depressive disorder and a history of suicide attempts died by hanging five days after discharge from hospital following a carbon monoxide poisoning attempt. The coroner found that discharge…

psychiatryemergency medicinediagnosticcommunicationsertraline

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