2,612 results
45y · Male·drowning and intoxication with methamphetamine and other substances
45-year-old male with long-standing substance use disorder, depression, and anxiety died from drowning combined with acute methamphetamine intoxication. In the weeks before death, he displayed escalating paranoia and del…
61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…
Kelvin Moulds, a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ de…
53y · Female·unascertained natural causes
Ms Rona, a 53-year-old woman with major depression, was admitted involuntarily to Bungarabee House psychiatric unit on 6 August 2018 after presenting with catatonic features, mutism, and refusal to eat or drink. She was …
70y · Male·Hanging
A 60-year-old man with recent pituitary surgery developed persistent fatigue and depressive symptoms. Despite normal cortisol levels, he remained convinced his symptoms were due to hormonal deficiency rather than depress…
44y · Male·Gunshot wound to the head
Jason Smith, 44, was shot in the head by his uncle John Pozzebon in a family violence incident. The coroner found that while Pozzebon had a valid firearms license, his mental health had deteriorated significantly followi…
31y · Male·Coronary artery disease in a man using synthetic cannabinoids
A 31-year-old man with pre-existing coronary artery disease and supraventricular tachycardia died suddenly after smoking synthetic cannabinoids (Cumyl-PeGACLONE) and drinking alcohol at home. He was found unresponsive ap…
64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall
Ian Gould, a 64-year-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He develop…
56y · Male·Hanging
A 56-year-old man with a long history of bipolar affective disorder and alcohol misuse died by hanging between 18–20 December 2018. He presented to hospital on 16 December after expressing suicidal intent (plan to overdo…
32y · Male·unascertained; most likely exposure after walking in bushland
Jason Marcus Lawson, a 32-year-old man with a complex psychiatric history including depression, anxiety, polysubstance use, and previous suicide attempts, disappeared on 11 December 2003, one week after discharge from an…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
FJ, an Iranian woman with bipolar affective disorder and schizophrenia, died by suicide at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during trans…
65y · Male·aspiration pneumonia
Roger Alan Gibson, a 65-year-old man with advanced Alzheimer's disease and severe behavioural disturbance, died from aspiration pneumonia at the Roy Fagan Centre. He had been admitted following escalating aggression requ…
90y · Male·aspiration pneumonia, vascular dementia, ischaemic heart disease, congestive car…
Raymond Albert Daly, aged 90, died of aspiration pneumonia complicated by vascular dementia, ischaemic heart disease, congestive cardiac failure and chronic renal failure whilst a resident at the Roy Fagan Centre under a…
55y · Male·exsanguination resulting from self-inflicted wounds to left brachial artery and …
Saxon George Hyatt, 55, died by suicide in Risdon Prison on 14 January 2019 through exsanguination from self-inflicted wounds to his brachial artery and wrists. He had a long history of mental health conditions including…
25y · Male·Multiple system failure and ingestion of sodium nitrite
BT, a 25-year-old man with bipolar affective disorder and long-standing depression, died from intentional sodium nitrite ingestion while an inpatient in the Behavioural Assessment Unit at Royal Melbourne Hospital. He pre…
41y · Female·Nitrate/nitrite toxicity
Jessinda Kiroyan, a 41-year-old woman with a longstanding history of bipolar affective disorder, died from nitrate/nitrite toxicity in May 2019 after intentionally ingesting sodium nitrite obtained from a food ingredient…
61y · Male·Hanging
Stanley Bruce Weaver, a 61-year-old firefighter with a history of depression and previous suicide attempts, died by hanging at his workplace on 26 August 2019. His wife had reported concerns about medication stockpiling …
35y · Female·Stab wounds to the chest
Chan Chen, 35, was killed by her husband Andrew Luo in their home through stab wounds to the chest. Luo had displayed increasingly erratic behaviour throughout 2019, including delusions of persecution, beliefs that Chen …
26y · Male·Plastic bag asphyxia in the setting of a vitiated atmosphere with inert gases
Jack Watson, 26, died by intentional asphyxiation with inert gas on 2 August 2016. He had a long history of mental health issues including ADHD, depression and suicidal ideation. Following acute psychiatric admission to …
19y · Male·Multiple injuries sustained on a train impact (pedestrian)
Casey Evan Cahill, aged 19, died by suicide on 10 October 2019 when he placed himself in front of a train near Berwick Railway Station. He had a significant history of mental ill health including depression, psychotic sy…
2y · Male·traumatic head injury
A 2-year-7-month-old boy died from traumatic head injury inflicted by person(s) unknown after experiencing severe and escalating physical abuse over weeks. Despite 13 reports to FACS (now DCJ) between 2010-2012, includin…
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