294 results
25y · Male·immersion in water (drowning)
Thomas Dominic Rae, aged 25, disappeared while rock fishing at Shelley Beach, Western Australia on 7 July 2019 and is presumed drowned. He had a history of mental health issues (anxiety, depression, bipolar affective dis…
67y · Female·bronchopneumonia and acute liver failure on a background of liver cirrhosis and …
Valerie Kelly, a 67-year-old woman with cirrhosis, hepatocellular carcinoma, and multiple comorbidities, died at Royal Perth Hospital from bronchopneumonia and acute liver failure. She was in custody at Bandyup Women's P…
54y · Female·combined drug toxicity (heroin, morphine, cannabis, and prescription medications…
Laureen Kaye Reilly, aged 54, died from combined drug toxicity involving heroin, cannabis, and prescription medications including antipsychotics and mood stabilizers. She had complex mental health disorders, acquired bra…
73y · Male·metastatic carcinoma of the lung with palliation
Norman Hazelgrove, a 73-year-old prisoner, died from metastatic lung carcinoma in September 2017. Early in his imprisonment (2013), a chest X-ray showed COPD but this diagnosis was not formally documented or managed desp…
38y · Male·Hallucination, dehydration and exposure, exacerbated by untreated mental illness…
Gordon Colley, a 38-year-old Aboriginal man from the Marto people, disappeared on 7 December 1997 from Mundiwindi Station near Newman, Western Australia. He was known to have mental health issues requiring anti-psychotic…
48y · Female·Ligature compression of the neck (hanging)
Tania Marie Hodgkinson, a 48-year-old Aboriginal woman, died by suicide via ligature compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief fro…
34y · Male·unascertained; most likely immersion after swimming at City Beach
Jose da Silva, a 34-year-old man with a history of schizophrenia and problematic alcohol use, disappeared on 30 April 2017 from Perth, Western Australia. The coroner found he died on or about that date, most likely from …
46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis
Jason Mallett, a 46-year-old man with bipolar affective disorder and schizo-affective disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and myocarditis while an involuntary psychiatric patient…
43y · Male·bronchopneumonia and brain swelling following ligature compression of the neck (…
Bret Lindsay Capper, 43-year-old male remanded in custody at Hakea Prison, Western Australia, died on 14 January 2016 from bronchopneumonia and brain swelling following ligature asphyxiation by hanging. He had antisocial…
38y · Male·Multiple gunshot wounds
Brendan John Lindsay, 38, died from multiple gunshot wounds inflicted by four police officers responding to a hostage situation in Carlisle, WA. Lindsay, intoxicated with methamphetamine and displaying erratic behaviour,…
30y · Male·ligature compression of the neck (hanging)
Paul Strange, aged 30, died by suicide through ligature compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple…
63y · Male·undetermined
James Clarke, a 61-66 year old man institutionalised for approximately 30 years at Whitby Falls Hospital in Western Australia, disappeared on 18 May 1966 and was presumed dead. The coroner established death beyond reason…
69y · Male·Chronic obstructive pulmonary disease and coronary artery atherosclerosis
James Ronald Chi, aged 69, died from chronic obstructive pulmonary disease and coronary artery atherosclerosis at Broome Hospital. He was an involuntary mental health patient with treatment-resistant bipolar disorder and…
52y · Male·multiple organ failure and pulmonary thromboemboli complicating generalised seps…
A 52-year-old man with longstanding refusal of medical care presented with severe cellulitis, sepsis, and previously undiagnosed heart failure secondary to sleep apnoea. He lacked capacity to consent to treatment due to …
38y · Male·Unascertained; death in the waters of the Indian Ocean off Rottnest Island
Matthew James Bale, a 38-year-old man, disappeared from Rottnest Island on 21 March 2016 while on holiday with his wife and parents. He had a history of depression, alcohol and drug addiction, and recent drug-induced psy…
52y · Male·atherosclerotic and hypertensive heart disease
Stephen Thomas Oxley, a 52-year-old man with schizoaffective disorder managed on a Community Treatment Order, died of atherosclerotic and hypertensive heart disease. He had multiple modifiable cardiovascular risk factors…
46y · Male·immersion in the Indian Ocean
Andrew Michael Watson, a 46-year-old elevator technician, disappeared on 11 May 2013 after leaving a nightclub in Northbridge, Perth. His car was found at a dog beach carpark near the ocean. Notes in his car indicated su…
38y · Male·ligature compression of the neck (hanging)
Mark Quenton Fleury, a 38-year-old man with paranoid schizophrenia, died by suicide on 14 February 2016 while subject to a Community Treatment Order. In the final week of his life, he presented to emergency services and …
50y · Female·ligature compression of the neck (hanging)
Annabel Nicol, a 50-year-old woman, died by ligature compression of the neck (hanging) in Bandyup Women's Prison on 15 June 2015. She was a remand prisoner with chronic alcoholism, depression, and suicidal ideation who h…
80y · Male·Bronchopneumonia complicating terminal palliative care in an elderly man with ch…
Aurelio Monterlegre Cruz, an 80-year-old man with complex medical conditions including chronic renal failure, ischaemic heart disease, diabetes, and COPD, died of bronchopneumonia complicating terminal palliative care wh…
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