2,612 results
45y · Male·multiple drug toxicity
Robert Maxfield, a 45-year-old inmate at Cooma Correctional Centre, died from multiple drug toxicity involving methadone and mirtazapine. He had a history of drug dependence and mental health conditions (schizophrenia, d…
63y · Male·respiratory failure in a man with lung cancer, chronic obstructive pulmonary dis…
Stephen Craig Solly, aged 63, died from respiratory failure due to advanced lung cancer, COPD, and pulmonary fibrosis while an involuntary psychiatric patient at Graylands Hospital. He had paranoid schizophrenia, cogniti…
Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…
Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…
22y · Male·Drowning
A 22-year-old university student with recent substance use presented to ED following violent behaviour. He had facial trauma with mild head injury and abnormal metabolic parameters. Initial management appropriately prior…
24y · Male·Gunshot wound to the head
A 24-year-old man with bipolar disorder and ADHD died by gunshot wound to the head approximately 5 months after a serious suicide attempt by overdose. He had been assessed as fit to hold a firearms licence by his treatin…
62y · Female·Gunshot wounds to the head
Rosemary Gibson, age 62, was fatally shot by her husband Alan Gibson on 14 April 2016 in their Traralgon home. The death occurred in the context of family violence, with multiple risk factors present: the perpetrator had…
56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) on a rural road. The coroner found he intentionally took his o…
22y · Male·Hypoxic ischaemic encephalopathy complicating hanging
Christopher Ritson, a 22-year-old with severe alcohol and polysubstance dependence (ICE, cannabis), depression, anxiety and social phobia, died by suicide via hanging on 17 March 2020, four days after discharge from hosp…
48y · Male·hanging
Dimitrios Mavris, a 48-year-old man arrested for drug importation, died by hanging in the Surry Hills Cells Complex on 25 May 2018, approximately 40 hours after being taken into custody. He was initially assessed as pres…
37y · Male·hypoxic encephalopathy due to asphyxia from hanging
Joseph Aaron Lattimer, aged 37, presented to the Royal Hobart Hospital Emergency Department at 5:02am on 10 July 2016 in mental health crisis with suicidal ideation, correctly triaged as Category 3 (urgent, requiring ass…
24y · Female·Head injury from repeated blunt force trauma
A 24-year-old woman was fatally assaulted by her intimate partner after a period of escalating domestic and family violence. The perpetrator had a documented history of violent DFV across multiple relationships, with pri…
69y · Male·Partial contact range gunshot wound of the head
David Lester Townsend, a 69-year-old man with bipolar disorder and chronic suicidal ideation, died by gunshot wound to the head on 25 September 2017. He had been receiving psychiatric care from Dr McDougall and case mana…
42y · Male·Multiple injuries sustained in a fall from a height
Mr LY, a 42-year-old compulsory inpatient with extensive mental health history, died by suicide when he jumped from the Belford Road overpass during approved unescorted leave. Key clinical events included a concerning ps…
34y · Female·Head injuries from blunt force trauma (multiple blows from axe); abdominal injur…
A 34-year-old pregnant woman died from severe head and abdominal injuries inflicted by her estranged partner in a domestic violence homicide. The death followed escalating domestic and family violence (DFV) including phy…
20y · Male·Hanging
Mitchell Dowling, a 20-year-old university student, died by hanging on 18 July 2018 after a period of psychological treatment for depression with suicidal ideation. He had presented with major depressive disorder with at…
Female·suicide by firearm
A woman in rural Victoria died by suicide using a firearm. She had presented to her GP with depressive symptoms and was referred to mental health services, but there were delays in accessing psychiatric care. The coroner…
21y · Male·Injuries sustained in a fall from a height
A 21-year-old Vietnamese international student died by suicide, jumping from the 10th floor of a university building. He was not known to university health or counselling services and had no documented contact with Austr…
72y · Male·ischaemic heart disease due to right coronary artery thrombus and unstable plaqu…
Michael Richard Meerman, a 72-year-old man with schizophrenia and diabetes, died of ischaemic heart disease due to right coronary artery thrombosis. He was subject to a Mental Health Act Treatment Order and received comm…
47y · Male·Hanging
A 47-year-old man with newly diagnosed schizophrenia died by hanging. He had presented with paranoid delusions and was engaged with mental health services in February 2017. Critical deficiencies were identified in the me…
29y · Female·Mixed drug toxicity (gamma hydroxybutyrate, methylamphetamine, amphetamine, diaz…
A 29-year-old woman with a history of childhood and intimate partner violence died from mixed drug toxicity (GHB, methylamphetamine, amphetamine, diazepam). She had multiple mental health diagnoses including PTSD, depres…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.