295 results
50y · Male·Drowning
Theodore Johansen, a 50-year-old man with a history of anxiety and depression, presented to his GP on 28 October 2014 with active suicidal ideation and a detailed plan to drown himself using a block and chain. He was app…
56y · Female·Acute combined drug toxicity
A 56-year-old woman died from acute combined drug toxicity following a fall in her bathroom on 12 March 2015. She had recently transitioned from oxycodone to tramadol for chronic pain management due to concerns about opi…
45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…
Stanley King, a 45-year-old man with severe psychosis, coronary artery disease, and obesity, died from cardiorespiratory arrest triggered by antipsychotic-induced laryngeal dystonia. Admitted involuntarily for acute psyc…
29y · Male·unknown, probably immersion
Shane Flanders, a 29-year-old man with a complex psychiatric history including personality disorder, substance abuse, previous suicide attempt, and drug-induced psychosis, disappeared on 28 January 2016 after being relea…
39y · Male·ligature compression of the neck (hanging)
A 39-year-old man with schizoaffective disorder and substance abuse died by suicide following arrest for criminal damage. While treated under a Community Treatment Order, he had poor medication compliance and ongoing dru…
0y · Male·complications of head injury
A premature newborn died from severe head injuries inflicted deliberately by his teenage father in hospital on 15 February 2014. The father had a well-documented history of violence, substance abuse, criminality and had …
20y · Male·ligature compression of the neck (hanging)
Isiah Kearing, a 20-year-old Aboriginal man, died by hanging approximately 3 hours after being arrested by police for disorderly conduct at a community hall. He had expressed anger and humiliation about being arrested, f…
78y · Male·unascertained
Giuseppe Del Borrello, a 78-year-old man, disappeared from Yanchep National Park on 1 January 1979 during a family picnic and was presumed dead. The coroner concluded he died around the time of his disappearance, but the…
47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…
A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot environm…
60y · Female·effects of fire in a woman with alcohol effect
A 60-year-old woman with chronic paranoid schizophrenia died in a domestic fire on 26 July 2014. The day before, her son sought help from police and mental health services after noticing signs of mental health deteriorat…
31y · Male·bronchopneumonia and hypoxic brain injury following ligature compression of the …
31-year-old Moses Sokiri died on 26 October 2014 from bronchopneumonia and hypoxic brain injury following suicide by hanging at Greenwood train station on 12 October 2014. The deceased was in acute mental health crisis w…
41y · Male·Fulminant sepsis (Klebsiella pneumoniae) with multi-organ failure complicating s…
A 41-year-old man with newly diagnosed severe Crohn's colitis was prescribed 6-mercaptopurine (6-MP) after only 5 days of hospital treatment. He had a homozygous TPMT gene deficiency (present in ~0.3% of population) that…
28y · Female·ligature compression of the neck
Mary Van Der Walt, a 28-year-old with depression, anxiety, and borderline personality disorder, died by hanging on 21 April 2014. Two police officers responding to her initial '000' call found her unresponsive and pulsel…
39y · Male·multiple injuries from motor vehicle collision
A 39-year-old man with chronic paranoid schizophrenia on a Community Treatment Order died by suicide in a head-on motor vehicle collision. He had been appropriately managed on depot antipsychotic medication with generall…
42y · Male·Multiple injuries sustained in motor vehicle crash
A 42-year-old man with schizoaffective disorder subject to a Community Treatment Order died in a single-vehicle motor crash in rural Western Australia. He had poor insight, chronic medication non-adherence, and a pattern…
50y · Male·coronary artery atherosclerosis causing sudden fatal cardiac arrhythmia
Ejub Mehinovic, a 50-year-old man with treatment-resistant paranoid schizophrenia managed on clozapine, died from coronary artery atherosclerosis causing sudden fatal cardiac arrhythmia. He was under a Community Treatmen…
47y · Female·Multiple injuries from being struck by a train
A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiatric t…
34y · Male·ligature compression of the neck (hanging)
Troy William Murray, a 34-year-old man with a long history of substance abuse (primarily amphetamine and alcohol), psychiatric illness, and multiple previous suicide attempts, died by hanging on 11 March 2012. He had bee…
49y · Male·ligature compression of the neck (hanging)
Barry Matt Stuart, a 49-year-old prisoner at Hakea Prison, died by suicide via ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essen…
20y · Male·ligature compression of the neck (hanging)
Jayden Stafford Bennell, a 20-year-old Aboriginal man and sentenced prisoner at Casuarina Prison, died by ligature compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric h…
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