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VICcommunity2025-12-04

Finding into death of Mr PNF

60y · Male·Neck compression secondary to hanging

A 60-year-old man with Type 2 diabetes and low mood died by hanging within 24 hours of being interviewed by police regarding child sexual abuse allegations. While police identified that suspects are at heightened suicide…

general practicepsychiatrycommunicationsystemfluoxetine
TAScommunity2025-12-03

Coroner's Finding: de-identified JI

54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine

JI, a 54-year-old man with chronic schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following a fall onto a metal grate during an altercation with another resident at support…

psychiatrygeneral practicesystemdiazepam
VIChospital2025-12-02

Finding into death of Benjamin Goossens

54y · Male·Glioblastoma

Benjamin Goossens, a 54-year-old man in custodial supervision for a prior forensic mental health matter, died from glioblastoma at Austin Hospital following palliative care. He had a Grade 2 glioma identified in 2010 tha…

oncologyneurosurgery
NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation

Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him…

emergency medicineneurology
WA2025-11-28

Inquest into the Death of Cleveland Keith DODD

16y · Male·complications of ligature compression of the neck (hanging)

A 16-year-old Aboriginal youth, Cleveland Keith Dodd, died by suicide via hanging in Unit 18, a youth detention centre housed within an adult maximum-security prison in Western Australia. The coroner found Cleveland's de…

psychiatrypsychologyproceduralcommunication
VICcommunity2025-11-28

Finding into death of Niels Gunther Btb: Becker

39y · Male·Unascertained

Niels Gunther Becker, a 39-year-old man with schizophrenia on stable antipsychotic therapy, disappeared while hiking in the Victorian High Country on 26 October 2019. His last communication was a text message sent at 11:…

psychiatrygeneral practicearipiprazole
SAhome2025-11-27

Coroner's Finding: Nguyen, Van Tam

47y · Male·self-inflicted stab wound to the chest with penetration of the left ventricle of…

A 47-year-old man serving his sentence on home detention died from a self-inflicted stab wound to the chest. He had a history of heroin and methamphetamine use and was receiving methadone maintenance and mirtazapine whil…

correctional healthpsychiatryheroin
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

Paul Douglas Gifford, aged 36, died by hanging while on home detention bail. He had a long history of substance abuse (methamphetamine, opioids), mental health issues including borderline personality disorder, childhood …

psychiatryaddiction medicinemethamphetamine
SAhome2025-11-27

Coroner's Finding: Christian, Jake Nicholas

27y · Male·heroin toxicity

A 27-year-old man died from heroin toxicity while on home detention bail. He had a history of depression, anxiety, and substance use (cannabis, methamphetamine, heroin). During home detention, he was compliant, engaged w…

psychiatrygeneral practiceheroin
SAhome2025-11-27

Coroner's Finding: Brown, Logan Reece

25y · Male·hanging

Logan Brown, a 25-year-old man on home detention bail, died by hanging. He had a complex psychiatric history including borderline personality disorder, polysubstance use disorder, and chronic suicidal ideation dating fro…

psychiatrygeneral practicemethamphetamine
QLDrural property, community2025-11-21

Inquest into the deaths of Matthew Joseph Arnold; Rachel Clare McCrow; Alan Thomas Brendan Dare; Gareth Daniel Train; Nathaniel…

Constable Arnold: single gunshot wound to the chest. Constable McCrow: gunshot w…

On 12 December 2022, two Queensland Police Constables (Matthew Arnold, Rachel McCrow) and a civilian (Alan Dare) were fatally shot at 251 Wains Road, Wieambilla by Gareth and Nathaniel Train while responding to a missing…

emergency medicinepsychiatrycommunicationsystem
VICcommunity2025-11-18

Finding into death of Darren John Atkinson

50y · Male·Mixed alcohol and drug toxicity (clozapine, paracetamol, caffeine); cardiac hype…

A 50-year-old man with treatment-resistant schizoaffective disorder died from mixed alcohol and drug toxicity (clozapine, paracetamol, caffeine) combined with cardiac hypertrophy. He ceased his antipsychotic medication o…

psychiatryemergency medicinecommunicationsystemclozapine
VIC2025-11-12

Finding into death of Wendy Ann McCabe

40y · Female·hypoxic ischaemic encephalopathy due to ligature compression of the neck

Wendy McCabe, a 40-year-old woman with a history of depression, anxiety, substance use and previous self-harm, died of asphyxiation from ligature compression after fashioning a noose from a standard blanket in her police…

correctional healthemergency medicineproceduralcommunicationmethadone
VICmental health2025-11-11

Finding into death of Graziano Birgi

86y · Male·Oesophageal perforation

An 86-year-old man with treatment-resistant paranoid schizophrenia residing in a secure psychiatric unit died from oesophageal perforation. He experienced two unwitnessed falls on 20 October 2024 and declined post-fall m…

psychiatrygeriatric medicine
VICcommunity2025-11-11

Finding into death of Veronica Norah Cheney

43y · Female·undetermined

Veronica Cheney disappeared on 1 March 1945 at age 43 from Melbourne. She had a significant psychiatric history including hospitalisation for psychosis and auditory hallucinations at Royal Park and Mont Park asylums in 1…

psychiatrypathology
VIChospital2025-11-10

Finding into death of Jason Hosier

39y · Male·mixed drug toxicity (methadone, benzodiazepines, olanzapine, zopiclone)

Jason Hosier, a 39-year-old man with complex mental health and substance use history, died from mixed drug toxicity following discharge from Sunshine Hospital. He was subject to an inpatient temporary treatment order and…

emergency medicinepsychiatrycommunicationsystemmethadone
VIChome2025-11-04

Finding into death of Kon Maximos

62y · Male·Shotgun injury to the head

Kon Maximos, aged 62, died from a self-inflicted shotgun wound to the head on 15 October 2023. He was in acute interpersonal crisis following marital separation, family estrangement over infidelity, and police interventi…

psychiatrypsychologydiagnosticcommunicationmirtazapine
NSWcommunity2025-11-03

Inquest into the death of JF

60y · Female·multiple injuries

JF, a 60-year-old woman with recurrent major depressive disorder and a history of suicide attempts, died by suicide at Redhead Headland on 12 February 2024. Despite three prior psychiatric hospitalizations and documented…

psychiatrygeneral practicesystemmirtazapine
NSWcommunity2025-10-31

Inquest into the disappearance and suspected death of Sana Salman

34y · Female·not able to be determined - body not found

Sana Salman, a 34-year-old woman with bipolar disorder and schizoaffective disorder, went missing on 1 September 2022 after being discharged from Northern Beaches Hospital on 22 August 2022. She had been admitted for a p…

psychiatrysystemcommunicationclozapine
QLD2025-10-29

Inquest into the death of Selesa Tafaifa

44y · Female·Cardiac arrest in the context of several contributory factors (physical exertion…

Selesa Tafaifa, a 44-year-old woman with Samoan heritage, died in custody at Townsville Women's Correctional Centre on 30 November 2021 during physical restraint by correctional officers, including application of a safet…

forensic medicineemergency medicineproceduralsystemmixtard 30/70 insulin
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