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NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

43y · Female·Subarachnoid haemorrhage due to a ruptured berry aneurysm

Trina McGrady, a 43-year-old Goomeroi woman, died from subarachnoid haemorrhage due to a ruptured berry aneurysm on 15 September 2020. She had been admitted to John Hunter Hospital following incidental discovery of two l…

neurosurgeryradiologycommunicationdiagnosticaspirin
NSW2025-12-04

Inquest into the death of Wayne Campbell

57y · Male·Unknown - available evidence does not allow for any finding to be made as to the…

This case concerns the disappearance and presumed death of Mr Wayne Campbell, a 57-year-old man last seen on 20 August 2022. While police investigations confirmed his death on the balance of probabilities, the cause, man…

NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation

Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him…

emergency medicineneurology
NSWcommunity2025-11-28

Inquest into the death of Adam Moore

38y · Male·multiple injuries

Adam Moore, 38, died following a motorcycle collision in Mount Pritchard after proceeding through a red traffic signal. A NSW Police officer (Sergeant McDonald) initiated a traffic stop after observing the red light viol…

methamphetamine
NSW2025-11-27

Inquest into the deaths of Lilie James and Paul Thijssen

21; 23y · Female; male·Lilie: multiple blunt force injuries to the head and neck. Paul: multiple blunt …

Lilie James, aged 21, was killed by Paul Thijssen, aged 23, a colleague at St Andrew's Cathedral School, using a hammer in a bathroom on 25 October 2023. Paul killed himself by jumping from a cliff at Diamond Bay Reserve…

NSW2025-11-19

Inquest into the death of Mark Lewis

86y · Male·End-stage congestive cardiac failure on a background of dilated cardiomyopathy

Mark Lewis, aged 86, died from end-stage congestive cardiac failure in custody at Long Bay Hospital Aged Care Unit. He had multiple chronic conditions (dilated cardiomyopathy, chronic kidney disease, diabetes, ischemic h…

cardiologyinfectious diseases
NSWhospital2025-11-17

Inquest into the death of Brooke Tiddy

32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…

A 32-year-old woman with Sponastrime Dysplasia (a rare genetic bone disorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinica…

bariatric surgeryanaesthesiadiagnosticcommunicationsevoflurane
NSWcommunity2025-11-13

Inquest into the disappearance and suspected death of Gerald Whitefoot

44y · Male·undetermined

Gerald George Francis Whitefoot disappeared on 9 December 1977 from Miller, NSW, and is now presumed deceased. He was 44 years old at disappearance. The coroner found him deceased on the balance of probabilities, but cou…

communicationsystemdiazepam
NSWcommunity2025-11-13

Inquest into the death of Bradley Vincent Balzan

20y · Male·gunshot wounds to the chest and abdomen

Bradley Balzan, 20, died on 23 December 2020 after being shot twice by NSW Police officer SC Vingerhoed during a police operation. The fatal encounter began when Nepean PACT officers stopped Bradley on a street without e…

forensic medicineoccupational and environmental healthproceduralcommunication
NSWcommunity2025-11-06

Inquest into the death of Simone Strobel

25y · Female·Undetermined

25-year-old German national Simone Strobel was found dead on 17 February 2005 near Lismore, NSW, covered with palm fronds. She died between midnight and 5:30am on 12 February 2005 following an argument with her boyfriend…

forensic medicinetoxicologycannabis
NSW2025-11-05

Inquest into the death of Amar Dk Kattola

34y · Male·multiple gunshot wounds

Amar Dk Kattola, aged 34, was shot and killed by two unknown assailants in the garage of his Fairfield apartment on 10 January 2021. He suffered multiple gunshot wounds in a targeted attack that occurred at 2:27 am. Desp…

NSWcommunity2025-11-03

Inquest into the death of JF

60y · Female·multiple injuries

JF, a 60-year-old woman with recurrent major depressive disorder and a history of suicide attempts, died by suicide at Redhead Headland on 12 February 2024. Despite three prior psychiatric hospitalizations and documented…

psychiatrygeneral practicesystemmirtazapine
NSWcommunity2025-10-31

Inquest into the disappearance and suspected death of Sana Salman

34y · Female·not able to be determined - body not found

Sana Salman, a 34-year-old woman with bipolar disorder and schizoaffective disorder, went missing on 1 September 2022 after being discharged from Northern Beaches Hospital on 22 August 2022. She had been admitted for a p…

psychiatrysystemcommunicationclozapine
NSW2025-10-22

Inquest into the Death of Frank Dwayne COLEMAN

43y · Male·methadone toxicity

Frank Coleman, a 43-year-old First Nations man, died of methadone toxicity after being supplied diverted methadone by another inmate while imprisoned at Long Bay Correctional Complex. Mr Coleman had repeatedly requested …

addiction medicinepsychiatrydiagnosticsystemmethadone
NSWhospital2025-10-20

Inquest into the death of BR

1y · Unknown·unascertained

A 12-month-old infant suffered unexpected cardiac arrest at home nine days after receiving routine MMR, meningococcal, and pneumococcal vaccinations. He presented to Manning Base Hospital on 27 July 2020 with fever (38.5…

emergency medicineintensive carecommunicationsysteminfanrix hexa
NSWmental health2025-10-20

Inquest into the Death of JSZ

66y · Male·Multiple blunt force injuries

JSZ, a 66-year-old forensic patient with chronic paranoid schizophrenia, died by suicide while on unsupervised day leave from Cumberland Hospital's Bunya Unit on 20 September 2023. He jumped from a cliff at Queen Elizabe…

psychiatryproceduralcommunicationzyprexa relprevv
NSWcommunity2025-10-14

Inquest into the disappearance and suspected death of Paul Barning

58y · Male·Unknown - the available evidence does not allow for any finding as to the cause …

Paul Barning, an experienced game fisherman, died on 23 February 2025 when he was suddenly pulled overboard whilst managing a trace line during a game fishing tournament off Newcastle. He was holding the trace line with …

NSWhome2025-10-03

Inquest into the death of Dima Thomson

39y · Male·multiple gunshot wounds

Dima Thomson, a 39-year-old man with a history of alcohol-fuelled domestic violence incidents and mental health conditions, died from multiple gunshot wounds after police attended his home responding to a breach of an ap…

forensic medicinecommunicationsystemalcohol
NSWmental health2025-09-29

Inquest into the death of BQ

23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging

BQ was a 23-year-old Aboriginal woman who died by hanging on the Paringa Ward at Cumberland Hospital while detained as an involuntary mental health patient. She had a complex psychiatric history with schizophrenia and bo…

psychiatryemergency medicinediagnosticcommunication
NSWcommunity2025-09-29

Inquest into the disappearance and suspected death of Leisl Smith

23y · Female·Unknown (homicide)

Leisl Smith, 23 years old, disappeared on 19 August 2012 after being picked up by James Church from Tuggerah Railway Station. She was never found. The coroner concluded on the balance of probabilities that Church killed …

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