28y · Male·Traumatic brain damage complicating contact .22 calibre gunshot wound to the mid…
Anthony Roy Graetz, aged 28, died from a self-inflicted .22 calibre gunshot wound to the forehead during a police siege at his parents' property in Loxton, South Australia. In the months prior, he had displayed signs of …
23y · Male·aspiration of blood due to stab wound to trachea
23-year-old man with self-inflicted stab wound to neck presenting to emergency department while intoxicated and agitated. Ambulance noted 3cm laceration to midline trachea with minimal external bleeding. Registered nurse…
24y · Male·plastic bag asphyxiation
Sean Kevin Hayes, a 24-year-old male remand prisoner, died from plastic bag asphyxiation in his cell at Canning Vale Remand Centre in Western Australia on 20-21 August 1997. He had a history of psychiatric illness, previ…
22y · Male·Multiple injuries sustained in a shark attack
A 22-year-old male windsurfer disappeared while windsurfing at Hardwicke Bay, South Australia on 29 May 1999. His sailboard was found undamaged, but his wetsuit and harness showed damage consistent with a great white sha…
20y · Male·Ligature Compression of the Neck (Hanging)
Steven Charles Indich, a 20-year-old Aboriginal man with schizophrenia and a long history of psychotic symptoms, violent behaviour and substance abuse, died by suicide in Smith Ward at Graylands Hospital on 13 November 1…
Unknown·Four deaths: three by self-inflicted hanging, one by multiple injuries from fall
Four Aboriginal Tiwi Islanders died in 1998 from suicide by hanging (three cases) and by falling from a power pole (one case). The inquest identified widespread alcohol and cannabis abuse, domestic violence, cultural dis…
31y · Male·extensive global cerebral hypoxia following prolonged asphyxia following attempt…
Ian Glen Bransby, a 31-year-old remandee with a history of substance abuse and depression, died from asphyxia following attempted hanging at Calvary Hospital on 14 February 1998. He had been remanded at Belconnen Remand …
17y · Male·Cerebral ischaemia caused by hanging at Quamby Youth Detention Centre at approxi…
Mark Watson, a 17-year-old boy charged with assault, was detained at Quamby Youth Detention Centre. During his second remand in September 1996, after a failed hospital admission, he returned to the same unit where he had…
2y · Male·drowning
A 2-year-old Aboriginal boy drowned in an exposed septic tank at a remote community after plumbers removed concrete covers without installing replacements or notifying residents. The fibreglass lid's fastening screws had…
Male·Transection of the aorta with exsanguination caused by gunshot wounds to the mid…
Warren I'Anson died from gunshot wounds to the mid-back on 17 November 1995 during a police response to a mental health crisis. He had schizophrenia, recently experienced grief from his wife and friend's deaths, and was …
12y · Female·Head injury caused by high-velocity steel fragment missile, approximately 999 gr…
Katie Bender, aged 12, was struck fatally in the head by a 999-gram steel fragment while watching the controlled implosion of Royal Canberra Hospital on 13 July 1997. The fragment travelled 430 metres in 3.1 seconds at 1…
14y · Male·Loss of blood arising from incised wound to the left arm (cubital fossa)
A 14-year-old Aboriginal petrol sniffer brought to a remote outstation (Ilpurla) without pre-arrangement died from massive haemorrhage following a self-inflicted laceration to his arm. Clinical lessons: petrol sniffers i…
0y · Male·multi-organ failure from septicaemia following surgical reduction of intussuscep…
Nathan Wrench, 11 weeks old, presented to Queanbeyan Hospital on 14 October 1996 with persistent vomiting for 3 days. GP Dr Renshaw diagnosed viral infection with possible reflux, admitted for observation, and managed co…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
Brian Duff, a 36-year-old with severe chronic schizophrenia, died from Clozapine toxicity (pulmonary oedema and cardiac arrest) on 14-15 February 1997. He was subject to a Community Treatment Order and under case managem…
21y · Male·Suffocation from hanging
Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 1996 while on remand awaiting trial f…
25y · Female·injuries sustained by jumping from the Tasman Bridge
A 25-year-old woman with longstanding borderline personality disorder, chronic suicidal ideation, and substance abuse died by jumping from the Tasman Bridge on 4 January 1996. She presented to the Emergency Department on…
0y · Female·unknown
This coronial finding concerns the death of Azaria Chamberlain, a 9-week-old infant who disappeared from a tent at Ayers Rock on 17 August 1980. After her parents were convicted of murder and accessory after the fact (la…
Kabe 40, Okano 35, Linklater 22, Pritchard 31y · Male·Kabe and Okano: blunt head injury (head-to-head collision of occupants within ve…
On 24 May 1994, Ferrari F40 driver Akihiro Kabe entered a checkpoint lay-by at excessive speed (>100 kph, possibly 150 kph) following the 87.3 km mark where he mistakenly believed the checkpoint was located. The Ferrari …
48y · Male·shotgun wound to the head
A 48-year-old Yolngu man with chronic mental illness (schizophrenia) died from a shotgun wound to the head on Elcho Island, NT in April 1990. After spearing two people with a fishing spear, police Task Force was called t…
Multiple traumatic injuries sustained in earthquake-induced building collapse; o…
The 28 December 1989 Newcastle Earthquake (magnitude 5.6) killed 13 people: 9 in the Newcastle Workers Club collapse and 3–4 from Beaumont Street building failures. The coroner found that while the 1972 Club extensions l…
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