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WAmental health2023-02-13

Inquest into the Death of Philip SULLEY

58y · Male·coronary artery arteriosclerosis (natural causes)

Philip Sulley, 58, died of coronary artery arteriosclerosis on 27 April 2020 at Bentley Mental Health Unit. He presented to Royal Perth Hospital emergency department on 19 April 2020 with psychotic behaviour but was disc…

psychiatryemergency medicinecommunicationolanzapine
WAcommunity2023-02-03

Inquest into the Suspected Death of Roly NIXON

44y · Male·Unascertained; presumed exposure

Roly Nixon, a 44-year-old man with significant medical comorbidities including rheumatic heart disease, diabetes, organic psychosis and seizure disorder, disappeared from Fitzroy Crossing, Western Australia on 28 January…

emergency medicinecardiologywarfarin
WAprison2023-01-31

Inquest into the Death of Cally GRAHAM

31y · Female·hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia comp…

Cally Graham, age 31, died from hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia complicating cardiorespiratory arrest associated with probable Takotsubo cardiomyopathy and methylamphetamine ef…

emergency medicineintensive caresystemcommunicationmethamphetamine
WAhome2023-01-09

Inquest into the Death of Child F (Name Subject to Suppression Order)

3y · Male·Pneumonia and respiratory failure in association with metachromatic leukodystrop…

Child F, aged 3 years, died of pneumonia and respiratory failure complicating metachromatic leukodystrophy (MLD), a rare neurodegenerative genetic disorder. He had previously suffered severe non-accidental injuries inclu…

paediatricsneurologymorphine
WA2022-12-23

Inquest into the Death of Ms L (Name Subject to Suppression Order)

27y · Female·multiple injuries sustained from fall from 30-storey building

Ms L, a 27-year-old German national, died by suicide on 4 March 2021 after jumping from a 30-storey building in Perth. She had experienced depression since 2016, exacerbated by recent diagnoses of chlamydia and HPV16 in …

general practicegynaecologyfluoxetine
WAprison2022-12-13

Inquest into the Death of William Frederick ANDERSON

53y · Male·intracerebral haemorrhage

William Anderson, an Aboriginal man aged 53, suffered a catastrophic intracerebral haemorrhage while imprisoned and died despite timely emergency response. Multiple delays occurred: 25 minutes before the cell was opened,…

emergency medicineneurologydelaysystemaspirin
WAcommunity2022-12-12

Inquest into the Death of Lewis Henry Mark WESTON

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…

psychiatryemergency medicineolanzapine
WAhome2022-12-08

Inquest into the Death of Child B (Name Subject to Suppression Order)

3y · Male·Hypoxic ischaemic encephalopathy complicating hypoglycaemia with shock and statu…

A 3-year-old boy with septo-optic dysplasia and panhypopituitarism died from hypoxic ischaemic encephalopathy secondary to adrenal crisis and hypoglycaemic shock. He was in state care and had an emergency management plan…

endocrinologypaediatricssystemdelayhydrocortisone
WAhospital2022-11-03

Inquest into the Death of Jeffery William ROONEY

41y · Male·subarachnoid haemorrhage due to rupture of a berry aneurysm of the right interna…

A 41-year-old male prisoner died from subarachnoid haemorrhage caused by rupture of an undiagnosed berry aneurysm while incarcerated. He had a complex medical history including migraines, head injuries, hypertension, and…

neurosurgeryemergency medicineamitriptyline
WAhospital2022-10-07

Inquest into the Death of Justine PAINTER

51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…

Justine Painter, aged 51, died from multiple injuries sustained jumping from a multi-storey carpark while an inpatient at Royal Perth Hospital (RPH). She had severe treatment-resistant schizoaffective disorder, command h…

gastroenterologypsychiatrycommunicationsystempaliperidone
WA2022-09-15

Inquest into the Death of Leslie SHORTTE

71y · Male·Complications of metastatic squamous cell carcinoma (terminal palliation)

Leslie Shortte, a 71-year-old life prisoner, died from metastatic squamous cell carcinoma with complications. Critical failures in his prison medical care included: failure to complete annual health assessments after 201…

oncologypalliative carediagnosticcommunicationlidocaine
WAcommunity2022-09-14

Inquest into the Death of Warren Keith MATTHEWS

27y · Male·Head injury

Warren Keith Matthews, aged 27, died from head injury following a motor vehicle collision on Bussell Highway, Western Australia. He was driving a vehicle without registration plates when police attempted to stop him. He …

emergency medicineneurosurgerymethamphetamine
WAhospital2022-08-22

Inquest into the Death of Roderick Malcolm NARRIER

38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…

A 38-year-old Noongar man died from multiorgan failure following out-of-hospital cardiac arrest after being restrained in prone position by police. He had injected methylamphetamine and developed excited delirium, becomi…

emergency medicineintensive caremethamphetamine
WAcommunity2022-08-17

Inquest into the Death of Quoc Xuan TRAN

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…

psychiatryemergency medicinesystempaliperidone
WA2022-08-05

Inquest into the Death of Michael James HARDIE

41y · Male·haemothorax due to ruptured thoracic aortic aneurysm in a man with Marfan syndro…

A 41-year-old man with Marfan syndrome and a thoracic aortic aneurysm managed conservatively with blood pressure medications died from aneurysm rupture while imprisoned. Methylamphetamine in his system significantly elev…

cardiologyvascular surgerycommunicationsystemmethamphetamine
WAhospital2022-08-02

Inquest into the Death of Henry ALLEN

60y · Male·sepsis and aspiration pneumonia in a man with oral squamous cell carcinoma and m…

Henry Allen, a 60-year-old man with oral squamous cell carcinoma, lung cancer, and multiple comorbidities died from sepsis and aspiration pneumonia while in prison custody at Fiona Stanley Hospital. He received appropria…

oncologypalliative caresystemdelayoxycodone
WAhospital2022-08-01

Inquest into the Death of Ronald Joseph BUCKLAND

70y · Male·bronchopneumonia in a man with intra-abdominal carcinoma and multiple co-morbidi…

Ronald Joseph Buckland, aged 70, died in custody at Fiona Stanley Hospital from bronchopneumonia with intra-abdominal carcinoma and multiple comorbidities. A life-sentenced prisoner, he had extensive medical conditions i…

cardiologygastroenterologysystemcommunication
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
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
WA2022-07-06

Inquest into the Death of Paul Stephen KEATING

60y · Male·atherosclerotic heart disease (cardiac arrhythmia secondary to severe long-stand…

Paul Stephen Keating, a 60-year-old man with severe atherosclerotic heart disease, died from cardiac arrhythmia while incarcerated in Casuarina Prison, Western Australia. He had significant coronary artery disease diagno…

cardiologycorrectional healthamiodarone
134520

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