76y · Female·complications of subdural haemorrhage (operation)
Josephine Cesnik, 76, died from complications of subdural haemorrhage following head trauma on 20 January 2008. She initially concealed the injury, attributing it to a fall, and did not seek medical attention for 9 days …
42y · Female·Complications of cutaneous burns
Nicole Joy Millar, 42, died from severe burns inflicted by her intimate partner in a premeditated attack at a petrol station. She had disclosed prior intimate partner violence to support services but remained isolated an…
14y · Male·head injuries when struck by a train
Mikael Rohan, a 14-year-old with a history of separation anxiety, attachment disorder, and sleep disturbance, died after stepping in front of a train on 16 November 2010. He had recently been distressed about a reported …
0y · Male·Respiratory insufficiency; interstitial fibrosis and low-grade pneumonitis of pr…
Zakaria Tartoussi died at age 43 days from respiratory insufficiency due to interstitial fibrosis and low-grade pneumonitis of probable viral aetiology. He presented for medical attention five times in six weeks with sym…
37y · Female·unlawful killing
Kath Bergamin, a 37-year-old woman, disappeared from her home in Wangaratta, Victoria on 18 August 2002. She had recently left her husband John following years of psychological and physical abuse, obtaining intervention …
40y · Male·Haemorrhage from gunshot wound to chest
Lee Andrew Kennedy, a 40-year-old man with a history of mood instability, migraines, and medical treatment through a GP and psychiatrist, died from a gunshot wound to the chest inflicted by Constable Erin Levay during a …
3y · Male·unascertained
Mohammed Tartoussi, aged 3 years 11 months, presented to Bell Street Family Medical Centre on 28 June 2003 with chest pain and mild upper respiratory symptoms. He was diagnosed with mild symptoms and given prednisolone. …
50y · Female·Aspiration pneumonia
Vicki Maree Hay, a 50-year-old woman with severe intellectual disability residing in a group home, was admitted to Bendigo Hospital with severe vomiting following two weeks of outpatient GP treatment for lower respirator…
52y · Female·Unascertained (natural causes)
Jocelyn Riddiford, a 52-year-old woman with intellectual disability and autism residing in supported accommodation, died from unascertained natural causes. Over 18 months prior to death, she experienced progressive decli…
40y · Male·neck compression consequent upon hanging
Ross Campbell, a 40-year-old man with a history of family violence perpetration, alcohol abuse, and undiagnosed mental illness, died by hanging. He had attended a Men's Behavioural Change Program in 2011 following a fami…
66y · Male·Complications of chronic lithium therapy
Sydney Kennedy, a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but ther…
19y · Male·Hanging (self-inflicted)
Jacob Van Berlo, a 19-year-old male, died by hanging following a suicide. He had a history of depression treated with sertraline and an uncontrolled gambling addiction. On the day of death, after receiving his weekly pay…
50y · Male·aspiration pneumonia (with Down syndrome as contributing condition)
Glenn Altmann, a 50-year-old man with Down syndrome, epilepsy, cognitive impairment and oropharyngeal dysphagia, died from aspiration pneumonia. He was under palliative care in the community following a January 2014 diag…
56y · Female·Combined drug toxicity
A 56-year-old woman with a long history of depression and recurrent suicide attempts died from combined drug toxicity while an inpatient at a private psychiatric hospital. She had been admitted following suicidal ideatio…
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