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WAcommunity2024-12-02

Inquest into the death of NW

31y · Female·unlawful homicide (manslaughter); specific cause could not be determined due to …

NW, aged 31, was killed by her partner on 9-10 October 2021 in Kununurra, Western Australia. She had a history of domestic violence victimization and had obtained a Family Violence Restraining Order. On the evening of he…

emergency medicineforensic medicinecommunicationsystem
WA2024-11-15

Inquest into the death of Kingsley Dean Garlett

32y · Male·ligature compression of the neck (hanging) in a man with methadone and methylamp…

Kingsley Garlett, aged 32, died by hanging in a maximum security prison cell on 31 July 2022. The evidence indicates his death was an impulsive response to relationship conflict with his partner revealed through prison p…

psychiatrypsychologysystemdelaymethadone
WAhospital2024-11-13

Inquest into the death of Chloe Grace Tupper

31y · Female·organ failure due to anorexia nervosa

Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since age 14, receiving multiple episodes of hospital-based refeeding that never achieved lasti…

psychiatrypaediatricssystemcommunicationmirtazapine
WA2024-10-22

Inquest into the Suspected Death of Sydney Ronald Guest

42y · Male·unascertained

Sydney Ronald Guest disappeared in the late 1960s and was last known alive in the early 1970s. An abandoned truck he had been using was found at a service station in the Cannington/Thornlie area, containing personal item…

WAhome2024-10-22

Inquest into the death of Dane Lindon Squires

35y · Male·Gunshot injury to the chest in a man with sharp force injuries to the neck and l…

Dane Squires, aged 35, died from a gunshot wound to the chest after rushing at police officers with a large kitchen knife while appearing affected by methamphetamine and experiencing possible drug-induced psychosis. Poli…

methamphetamine
WAcommunity2024-10-22

Inquest into the Death of Karl Jonathan TURNER

49y · Male·combined drug toxicity

Karl Turner, a 49-year-old man with schizoaffective disorder and chronic polysubstance use, died from combined drug toxicity (heroin, morphine, pregabalin, methylamphetamine, and cannabis). He was managed on a Community …

psychiatryintensive caresystemdelaymorphine
WAhospital2024-09-24

Inquest into the death of Raymond Sydney CHEEK

89y · Male·Complications in association with a gastrointestinal illness in an elderly man w…

Raymond Sydney Cheek, an 89-year-old prisoner with multiple comorbidities including insulin-dependent diabetes, died from complications of gastrointestinal illness with acute renal failure. While medical care at Casuarin…

emergency medicineendocrinologymedicationsystemryzodeg insulin
WAhome2024-09-11

Inquest into the Death of Stephen Kenneth SHERWOOD

31y · Male·ligature compression of the neck (hanging)

Stephen Sherwood, a 31-year-old Aboriginal man with untreated mental health issues and history of methylamphetamine use, died by suicide on 13 April 2022. He had attempted suicide by wrist-cutting on 30 March 2022 and th…

psychiatryemergency medicinecommunicationmethamphetamine
WA2024-09-05

Inquest into the Death of Robert Fredrick PARNELL

29y · Male·butane and propane toxicity from inhalation of canola oil spray propellants

Robert Parnell, aged 29, died from butane and propane toxicity after inhaling propellants from a can of canola oil spray in a prison kitchen toilet. He had a long history of polysubstance use including solvent sniffing d…

forensic medicineemergency medicinesystemsupervisionbutane
WAcommunity2024-09-03

Inquest into the Suspected Death of Werner SCHOENHOFER

Male·Unknown - likely shark attack injuries, but could also be drowning or head traum…

Werner Schoenhofer, an experienced German windsurfer, disappeared on 20 January 1997 while windsurfing in dangerous conditions at Point Moore, Geraldton, Western Australia. His windsurfing board and shredded wetsuit with…

WAmental health2024-08-28

Inquest into the Death of Peter Jonathon Rex BOLTON

36y · Male·ligature compression of the neck (hanging)

A 36-year-old man with schizoaffective disorder, traumatic brain injury, and substance use disorder died by ligature while an involuntary inpatient in a locked mental health ward. He was on hourly observations and had re…

psychiatryemergency medicinehaloperidol
WAhospital2024-08-28

Inquest into the Death of Matthew John PICKIN

56y · Male·Complications, including sepsis, of left leg infection (operated), in a man with…

Matthew John Pickin, a 56-year-old prisoner with metastatic lung adenocarcinoma, died from sepsis complicating a left leg infection. His lung cancer was appropriately investigated following haemoptysis in October 2021, w…

respiratory medicineoncologysystemdexamethasone
WAcommunity2024-08-14

Inquest into the Suspected Death of Frank Edward RODIER

16y · Male·Drowning (unascertained - may include contributing injuries from jagged rocks)

Frank Rodier, aged 16, was washed off rocks into the sea while rock fishing at 'the Caves' near Red Bluff, Carnarvon on 25 May 1975. He and a companion went down to a lower rock ledge to retrieve a tangled fishing line w…

WAcommunity2024-08-13

Inquest into the Death of Amy Rebecca DEANE-JOHNS

48y · Female·Combined drug toxicity (predominantly methadone)

Amy Rebecca Deane-Johns, aged 48, died from combined drug toxicity predominantly involving methadone that she had taken without knowledge or authorization. She had a long history of mental illness with 18 inpatient admis…

psychiatrymethadone
WAhospital2024-08-09

Inquest into the Death of Lindsay WOODS

48y · Male·metastatic high-grade neuroendocrine carcinoma, treated palliatively

Lindsay Woods, a 48-year-old Aboriginal man with chronic paranoid schizophrenia, organic psychosis, and ischaemic heart disease, died from metastatic high-grade neuroendocrine carcinoma. He was subject to a custody order…

psychiatryoncologyclozapine
WAhome2024-07-31

Inquest into the Death of Joseph Charles ABELA

34y · Male·Gunshot injuries to chest and left shoulder

Joseph Abela, a 34-year-old with chronic paranoid schizophrenia and polysubstance use, died from gunshot wounds inflicted by police during a mental health welfare check on 25 October 2021. Critical clinical failures prec…

psychiatrycorrectional healthdiagnosticsystemhaloperidol
WAcommunity2024-07-19

Inquest into the Death of Trevor Henry Albert McDONALD

83y · Male·unascertained; most likely exposure while prospecting

Trevor Henry Albert McDonald, an 83-year-old man with spinal stenosis, high blood pressure, cardiac arrhythmia, and recent hip replacement, disappeared while prospecting near Norie Station, Western Australia on 7 August …

WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

Phillip Veltman, 49, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on…

psychiatryemergency medicinecommunicationsystemketamine
WA2024-07-10

Inquest into the Death of Kevin John KEATH

76y · Male·metastatic prostate cancer with terminal palliative care

Kevin John Keath, aged 76, died from metastatic prostate cancer while serving a life sentence at Casuarina Prison. He received holistic, compassionate, and appropriate healthcare throughout his incarceration, including r…

oncologypalliative caresystemdelay
WA2024-07-10

Inquest into the Death of Jason Anthony THOMPSON

54y · Male·metastatic lung cancer with terminal palliative care

Jason Anthony Thompson, a 54-year-old long-term prisoner at Casuarina Prison, died from metastatic lung cancer. He collapsed on 17 February 2023 with suspected opioid overdose but was not transferred to hospital for appr…

emergency medicineoncologydelaynaloxone
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