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NSW

Inquest into the deaths of Kayla EWIN and Iziah O'SULLIVAN (Annexure to finding)

This document is not a coroner's finding about a specific deceased person. It is a SUDI (Sudden Unexpected Death in Infancy) classification framework used by NSW coroners to categorise unexpected infant deaths. The class…

NT

Inquest into the death of Road Deaths 33 and 34 of 2024

17y · Male·Multiple blunt force injuries sustained in motor vehicle crash

On 12 July 2024, a 17-year-old Aboriginal male and a 64-year-old Aboriginal female died in a road traffic crash on Tanami Road, Northern Territory. The driver, unlicensed with a significant history of traffic offences, w…

forensic medicinesystem
NSW

This document is not a coroner's finding. It is a NSW court list dated 1 May 2026 containing listings for Industrial Court and Industrial Relations Commission proceedings. No death, cause of death, or coroner's analysis …

WAcommunity

Inquest into the Death of Keannita SAMSON

13y · Female·Chest and Head Injuries sustained in motor vehicle crash

A 13-year-old Aboriginal girl was a passenger in a stolen vehicle that was pursued by Western Australian police. The vehicle driver, also aged 13 and inexperienced, lost control during the pursuit, causing the vehicle to…

system
WAcommunity

Inquest into the Death of Sarah Jane RUTHERFORD

28y · Female·multiple injuries

Sarah Jane Rutherford, a 28-year-old with bipolar affective disorder and schizophrenia, died by suicide on 27 December 2009 after falling from a bridge onto the Mitchell Freeway while on leave from Graylands Hospital. Sh…

psychiatryemergency medicinerisperidone
WAcommunity

Inquest into the Death of Samir Joseph Abraham

30y · Male·Drowning

A 30-year-old male musician and plasterer died by drowning at Yanchep Lagoon while attempting to swim to a reef marker after consuming alcohol. Despite appearing initially healthy and a competent swimmer, he developed di…

WA

Inquest into the Death of Rohan Daniel WILSON

38y · Male·unascertained; evidence suggests catastrophic fire or explosion on vessel

Rohan Wilson, 38-year-old experienced fisherman, disappeared while fishing alone in his boat 'Hot Gossip' on 15 June 2016 off Perth, Western Australia. Despite extensive search operations with 99% probability of detectio…

WA

Inquest into the Death of Damien Mark MILLS

35y · Male·drowning (immersion)

Damien Mills, a 35-year-old mortgage broker, drowned in the Indian Ocean after falling off a charter boat returning from Rottnest Island on 31 October 2014. While intoxicated, he was likely knocked overboard during rough…

systemcommunication
WAhome

Inquest into the Death of Reef Jason Bruce KITE

21y · Male·crush asphyxia

Reef Kite, a healthy 21-month-old boy, died from crush asphyxia after a chest of drawers toppled onto him in his bedroom while he napped. He was unresponsive when found and died despite emergency resuscitation at Princes…

emergency medicinepaediatrics
WA

Inquest into the Death of Nigel Paradine KITCHEN and Andrew Trevor HINDS

Male·Drowning following capsizing and disintegration of recreational fishing vessel i…

Two experienced recreational fishermen, aged 50 and 57, died in a boating accident near Coral Bay, Western Australia on 29 May 2016. Their vessel Centrefold, an 8.2-metre recreational boat equipped with safety equipment …

WAhome

Inquest into the Death of Satwant KAUR

57y · Female·Multiple penetrating (stab) injuries to the body and neck

Satwant Kaur, aged 57, was murdered by her stepson in her home on 5 December 2013 after he made multiple threats to kill her while in custody. Critical failures in intelligence sharing between the Department of Correctiv…

communicationsystemmethamphetamine
WAhospital

Inquest into the Death of JDC (Subject to Suppression Order)

17y · Female·fungal brain infection and infarction complicating fungal infection of a scalp l…

A 17-year-old Aboriginal girl died from fungal brain infection and infarction following a scalp laceration sustained in a motor vehicle crash. She had driven her uncle's car while intoxicated without a valid licence. Ini…

trauma surgeryoral and maxillofacial surgerydelayinsulin
WA

Inquest into the Death of Matthias Ashley BACHE

25y · Male·Drowning

A 25-year-old experienced swimmer and rock jumper died by drowning after jumping into ocean water at Wyadup Rocks, Western Australia. Despite strong swell conditions and his friend's warning against jumping, the deceased…

WAcommunity

Inquest into the Death of Petronella ALBERT

22y · Female·Unable to determine - open finding

Petronella Albert, a 22-year-old Aboriginal woman from Broome, disappeared in late April or early May 1999 and is presumed deceased. The coronial inquest, conducted in 2017, established her death beyond reasonable doubt …

systemdelay
WAmental health

Inquest into the Death of Vincent Tavita Tolai SCHWENKE

24y · Male·complications of ligature compression of the neck (hanging)

Vincent Schwenke, a 24-year-old male of Maori descent, developed acute psychotic symptoms after ceasing cannabis use and was admitted to a secure mental health unit as an involuntary patient. Despite initial improvement …

psychiatryneurologyescitalopram
WAhospital

Inquest into the Death of Robert Paul RODDA

62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…

Robert Paul Rodda, a 62-year-old long-term prisoner with extensive medical comorbidities including ischaemic heart disease, COPD, and a known abdominal aortic aneurysm (AAA), presented with chest pain in September 2015. …

vascular surgerycardiology
WAcommunity

Inquest into the Death of Gary John LYDDIETH

54y · Male·Unknown - death established on balance of probabilities but manner and cause und…

A 54-year-old man with major depressive disorder, chronic suicidality, and alcohol abuse was discharged from psychiatric hospital on 23 April 2014 while remaining at "very high chronic suicide risk." He had multiple prio…

psychiatrygeneral medicinesystemcommunication
WAcommunity

Inquest into the Death of Radwan KANAWATI

41y · Male·atropine toxicity

A 41-year-old man with schizoaffective disorder, intellectual disability and sexual offending history died from atropine toxicity after ingesting 6-8ml of atropine liquid prescribed for hyper-salivation. He had been disc…

psychiatrycommunicationsystematropine
WA

Inquest into the Death of Jarrod Arthur HAMPTON

22y · Male·drowning secondary to incapacitation from air embolism

A 22-year-old skilled and experienced pearl shell drift diver with over 600 logged dives died from drowning secondary to air embolism and cerebral arterial gas embolism while diving for Paspaley Pearling Company off Broo…

diving medicineoccupational and environmental healthsystemdelay
WAmental health

Inquest into the Death of David GRIEVE

45y · Male·Coronary Atherosclerosis

David Grieve, a 45-year-old man with chronic schizophrenia and multiple cardiac risk factors (hypertension, diabetes, obesity, smoking), died of coronary atherosclerosis while an involuntary psychiatric patient at Grayla…

psychiatrycardiologysystemcommunicationhaloperidol

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