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NSW2020-11-03

Inquest into the death of Lawrence Hausia

30y · Male·atherosclerotic coronary artery disease

Lawrence Hausia, a 30-year-old man with type II diabetes and hypertension, died of atherosclerotic coronary artery disease while in custody at Metropolitan Reception and Remand Centre. He had engaged in physical activiti…

emergency medicinecardiologymetformin
TAShome2020-11-02

Coroner's Finding: Besgrove, Trevor Scott

46y · Male·cause of death cannot be determined

Trevor Besgrove, a 46-year-old man with complex mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, was found deceased in his Bicheno home after an estimated tw…

psychiatrypsychologysystemprescribed medications
SAhospital2020-11-02

Coroner's Finding: HAUSLER Christopher Raymond

61y · Male·Creutzfeldt-Jakob disease

Christopher Raymond Hausler, a 61-year-old man, died from Creutzfeldt-Jakob disease (CJD) at the Royal Adelaide Hospital on 13 March 2018 while subject to a Level 2 Inpatient Treatment Order. He presented with rapidly pr…

general practiceneurologydiagnostic
VIC2020-10-29

Finding into death of Bo Zhao

31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)

Bo Zhao, a 31-year-old business owner, died from combined drug toxicity (amitriptyline and metoclopramide) in a hotel room on 28 February 2019. He was facing serious criminal charges for fraud involving millions of dolla…

psychiatrygeneral practicedelayamitriptyline
SAhospital2020-10-12

Coroner's Finding: USHER Peter Michael

56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose

A 56-year-old man with depression, known to close friends but not formally disclosed to healthcare providers, deliberately ingested temazepam tablets accumulated over time and insulin stolen from his mother on 10-11 Nove…

anaesthesiapsychiatrytemazepam
SAhome2020-10-12

Coroner's Finding: BABAKHANI Sina

21y · Male·heroin toxicity

A 21-year-old man died from heroin toxicity while on home detention bail. He had been engaged in a methadone program and psychological treatment for heroin addiction, PTSD, depression and anxiety since June 2015. Despite…

addiction medicinepsychiatryheroin
WA2020-10-07

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

0y · Male·dehydration complicating diarrhoea (aetiology unknown)

A 10-week-old infant in out-of-home care in a remote Western Australian community developed acute diarrhoea and fever one day after routine immunisation. Despite appropriate initial care by foster parents and timely hosp…

paediatricsemergency medicinesystemparacetamol
WAcommunity2020-10-02

Inquest into the Suspected Death of Jorn Jesper JENSEN

68y · Male·unascertained

A 68-year-old man with multiple chronic medical conditions including peripheral neuropathy, chronic pain, atrial fibrillation, dysphagia, and depression disappeared on 25 June 2017. He left home, drove his car to Lanceli…

general practicecardiologybuprenorphine
VIChome2020-09-30

Finding into death of Jennifer Joyce Coomber

66y · Female·Ischaemic heart disease

A 66-year-old woman with moderate intellectual disability living in a group home died from ischaemic heart disease due to severe coronary artery occlusion. On the morning of death, she presented with confusion, difficult…

general practiceemergency medicinesodium valproate
VIChome2020-09-28

Finding into death of Mary Veronica Payne

71y · Female·Combined drug toxicity in a woman with emphysema

Mary Veronica Payne, a 71-year-old woman with emphysema, died from combined drug toxicity after ingesting her daughter's methadone. The deceased had a long-standing history of chronic back pain from an old car accident a…

general practiceforensic medicinesystemmethadone
WAhospital2020-09-23

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

5y · Female·aspiration of vomit with microscopic early pneumonia, in a child with a history …

A five-year-old girl with cerebral palsy and epilepsy resulting from non-accidental head injuries at two months old died from aspiration of vomit with early pneumonia. Critical lessons: bruising in non-ambulant infants i…

paediatricsgeneral practicediagnosticcommunicationtopiramate
VIChome2020-09-11

Finding into death of Mr A

44y · Male·compression of the neck consequent upon hanging

A 44-year-old man with a 42-year history of intimate partner violence died by hanging. He had recently separated from his wife and was enrolled in a 18-week men's behaviour change program, having completed 17 of 18 sessi…

general practicepsychiatrysystemdelayalcohol
VIChospital2020-09-07

Finding into death of Ms TP

37y · Female·Hypoxic ischaemic encephalopathy as a direct result of neck compression

Ms TP, a 37-year-old woman of Indian origin living in Victoria, died from hypoxic ischaemic encephalopathy resulting from ligature strangulation (neck compression). She was admitted to ICU in cardiac arrest and died nine…

intensive careemergency medicine
VICcommunity2020-09-07

Finding into death of Ms WX

40y · Female·Injuries sustained when struck by a train (in circumstances where the deceased i…

A 40-year-old South Asian woman died by suicide when struck by a train, four weeks after arriving in Australia. She was deeply distressed by financial circumstances—construction delays on her new home and storage fees fo…

psychiatrygeneral practicesystemdelay
WAhospital2020-09-04

Inquest into the Death of Malakai Matiu Ward PARAONE

0y · Male·Complications in association with fulminant sepsis in an infant (Streptococcus p…

Malakai Paraone, a seven-month-old infant, died from fulminant Streptococcus pyogenes sepsis and septic shock. Over three days, he was seen at three hospitals and a general practice clinic but sepsis was not identified. …

emergency medicineintensive carediagnosticcommunicationparacetamol
WA2020-09-04

Inquest into the Suspected Death of Marek PETERA

41y · Male·suicide by unknown method, either through deliberate self-harm or by placing him…

Marek Petera, a 41-year-old Slovak-born Australian resident, disappeared from Drysdale River Station in Western Australia on 27 July 1999. He had left a suicide note for his daughter in June 1999, describing severe depre…

psychiatrygeneral practicediazepam
NSWcommunity2020-09-04

Inquest into the death of Thomas HUNT

27y · Male·unascertained; likely death from entering water

Thomas Hunt, a 27-year-old man, died after entering the water near Bondi Beach on 23 March 2017, likely after experiencing an acute mental health crisis characterised by paranoid delusions and auditory hallucinations. Mu…

psychiatrygeneral practicediagnosticcommunication
TAShospital2020-09-02

Coroner's Finding: Breen, Kylie Anne

40y · Female·hypoxic brain injury and acute lung injury; multiple drug toxicity with oxycodon…

A 40-year-old woman with advanced multiple sclerosis died from drug toxicity and hypoxic brain injury following intentional overdose and gas inhalation. She had completed an Advance Care Directive (ACD) 12 months prior r…

emergency medicineintensive carecommunicationsystemoxycodone
VICcommunity2020-08-31

Finding into death of Gregory David Tory

48y · Male·unascertained

Gregory David Tory, aged 48, disappeared from Mallacoota, Victoria in April 2018 and is presumed deceased. He had a history of methamphetamine use with associated paranoia and thought disorder, requiring psychiatric admi…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VICcommunity2020-08-28

Finding into death of Heather Telfer

69y · Female·Toxicity to pentobarbitone in circumstances where she intended to end her own li…

Heather Telfer, a 69-year-old woman with longstanding asthma, chronic health anxiety, and significant social isolation, died from pentobarbitone toxicity. She had a prior suicide attempt 12 years earlier and expressed su…

general practicerespiratory medicinecommunicationsystempentobarbitone

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