2,619 results
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…
Male·RP: fatal pressure to the neck; DJ: neck compression
Two remand inmates died in separate incidents at the Metropolitan Remand and Reception Centre after being placed with mentally ill cellmates exhibiting acute psychosis. RP died in 2010 from injuries inflicted by cellmate…
85y · Female·aspiration of gastric contents following vomiting
Joan May Hughes, age 85, died on 16 June 2014 from aspiration of gastric contents following vomiting. She was admitted to the Roy Fagan Centre with psychotic depression and was under a Mental Health Act treatment order. …
40y · Male·Carbon Monoxide Poisoning
Paul Taouk, a 40-year-old with schizophrenia and substance use disorder, died from carbon monoxide poisoning after absconding from a community mental health clinic on 23 December 2015. He had been assessed as unsafe and …
27y · Male·Injuries sustained in descent from height
A 27-year-old man with schizophrenia was brought to Northern Hospital ED by police under Mental Health Act section 351 after threatening suicide and injecting testosterone. The Emergency Department doctor (Dr K.) assesse…
43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …
Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…
58y · Male·Heroin toxicity
58-year-old man with chronic back pain, paranoid schizophrenia, and decades-long prescription opioid and benzodiazepine abuse died from heroin toxicity. He had been successfully withdrawn from opioids (MS Contin, Endone)…
44y · Male·Hanging
A 44-year-old man died by hanging in a prison cell two days after reception. Despite disclosing a history of depression and recent heavy methamphetamine use, he was not prescribed his usual escitalopram medication, was p…
30y · Male·Head injuries sustained from intentional motor vehicle collision with oncoming t…
A 30-year-old man with untreated long-standing mental health difficulties died by intentionally driving his vehicle into an oncoming truck on 5 September 2017. He had experienced relationship stress, demonstrated poor em…
52y · Female·Plastic bag asphyxia and asphyxia in the setting of an irrespirable environment
Diane Bell, a 53-year-old woman with delusional disorder and chronic suicidal ideation, died by argon gas inhalation in June 2017. She had been under care of North West Area Mental Health Service with a Community Treatme…
26y · Male·Asphyxia in the setting of an irrespirable environment
A 26-year-old man died by asphyxiation using helium gas in a serviced apartment. He was experiencing acute stressors including relationship breakdown, pending fraud-related legal charges, and isolation from family. The c…
82y · Female·bilateral pulmonary thromboembolism due to left calf deep vein thrombosis
Jean Harrap, 82, died from bilateral pulmonary embolism secondary to left calf deep vein thrombosis while detained under a Mental Health Act Inpatient Treatment Order. She presented to ED with altered mental state, self-…
84y · Male·dilated cardiomyopathy with cardiomegaly due to pulmonary hypertension and valvu…
An 84-year-old man with advanced cardiac disease (dilated cardiomyopathy, pulmonary hypertension, atrial septal defect) and chronic schizophrenia died of natural causes while subject to a Mental Health Act detention orde…
24y · Female·injuries sustained in descent from height
A 24-year-old woman with intellectual disability and borderline personality disorder died from injuries sustained in descent from height from a sixth-floor balcony. She had threatened suicide from the same balcony on 8 M…
48y · Female·Combined toxic effect of prescription and non-prescription medications including…
Lauren Johnstone, aged 48, died from the combined toxic effects of prescription and non-prescription sedative medications including oxycodone, tramadol, codeine, zopiclone, doxylamine and fluoxetine. She had undergone mu…
46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…
Andrea Sewell, a 46-year-old woman with Osmotic Demyelination Syndrome (ODS) and acute psychiatric illness, died from hypoxic brain injury following a choking episode during a meal in a psychiatric intensive care unit (P…
56y · Male·disseminated malignancy – known non-small cell carcinoma of lung
Colin George Graham, a 56-year-old Aboriginal man with severe COPD and lung cancer, died of disseminated non-small cell carcinoma while in prison custody receiving palliative care. The coroner found his medical care was …
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…
59y · Female·Hypoxic-ischaemic encephalopathy due to acute upper airway obstruction
Glenda Rae Field, aged 59, died from hypoxic-ischaemic encephalopathy due to acute upper airway obstruction by food bolus while eating dinner at her aged care facility. She was a resident at Clearview Manor, a locked car…
31y · Female·incised wounds to the neck and arms
A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May 2014. She had made a suicide attempt at a beach two days ea…
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