2,604 results
42y · Male·Gunshot wound to the head
Michael Sweeney, aged 42, died from a self-inflicted gunshot wound to the head on 8 February 2013 while on parole. He attended his ex-partner's home in violation of a Domestic Violence Order to see their infant son. Afte…
71y · Male·Sepsis due to bronchopneumonia and sacral ulcer
Mr John Knight, aged 71, died from sepsis secondary to bronchopneumonia in a psychiatric inpatient unit after five months admission for frontotemporal dementia management. His complex behavioural and cognitive decline re…
34y · Male·Hanging
A 34-year-old man died by suicide by hanging whilst on remand in a correctional facility. He had disclosed his father's suicide 12 years earlier during initial assessment, but was not identified as self-harm risk. In the…
46y · Male·asphyxia by hanging
Peter Zovak, a 46-year-old with substance use history, presented to mental health services in November 2013 with first-episode psychosis. After initial hospital assessment and two CAT Team visits, his case was closed on …
28y · Male·neck compression due to hanging
Mark Payne, 28, a remand prisoner at Yatala Labour Prison, hanged himself in his cell on 2 June 2011 using a canvas smock. He had made recent threats of self-harm and was placed under camera observation in G Division. Th…
80y · Male·Drowning
An 80-year-old man with severe depression, suicidal ideation, and probable vascular dementia died by drowning after leaving a psychiatric ward. He was appropriately treated with ECT, medication, and placed on an ITO. How…
23y · Male·open finding - not determined
A 23-year-old man with intellectual disability and chronic schizophrenia disappeared into bushland in 1982 and was presumed deceased. Clinical lessons include the importance of comprehensive discharge planning for vulner…
16y · Male·Hanging (ligature compression of neck)
Two Indigenous young men, JE (16 years) and JJ (16 years), both died by hanging within four months during a suicide cluster in Mackay, Queensland in 2008. JE's death was impulsive, occurring after paint sniffing and alco…
62y · Female·unascertained
Suzanne Berg, a 62-year-old woman with schizophrenia, died in her home between January and May 2013 with an unascertained cause. She had a long history of disengaging from treatment despite having medication-controlled d…
23y · Male·Hanging
Majang Ngor, a 23-year-old man in custody at Thomas Embling Hospital's Argyle Unit following arrest for serious criminal offences, died by hanging in a disabled bathroom on 24 June 2013. He was admitted under the Mental …
49y · Male·Multiple injuries from a fall from height
Craig Doherty, a 49-year-old man with Bipolar Affective Disorder and significant alcohol use, died by suicide on 14 January 2013. He had been admitted involuntarily to hospital in August 2012 for quetiapine overdose and …
26y · Male·Neck compression from hanging
A 26-year-old man died by hanging in his correctional centre cell on 26 October 2011. He had a history of mixed personality disorder, anxiety, opiate dependence and previous suicide attempt (age 13), but was not assessed…
33y · Female·multiple injuries sustained when struck by a train
Naomi Mahon, a 33-year-old woman with bipolar affective disorder and substance use issues, died after being struck by a train shortly after absconding from Monash Medical Centre emergency department. She had been brought…
45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis
45-year-old man with bipolar disorder admitted to psychiatric unit involuntarily died from spontaneous lethal arrhythmia due to focal myocardial fibrosis. Critical issue was inadequate visual observations overnight—the p…
33y · Male·Multiple injuries sustained from falling from height (fifth-floor window ledge) …
AB, a 33-year-old male, died on 20 April 2013 after falling from the fifth-floor window ledge of Liverpool Hospital while under police negotiation. He had been transferred from prison to immigration detention on 9 April …
75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…
Krizan Vuksan, a 75-year-old man with chronic schizophrenia, hypertension, and cardiac risk factors, died from acute myocardial infarction secondary to ischaemic heart disease while residing in a mental health aged care …
64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …
A 64-year-old man with schizophrenia was fatally stabbed in the eye by his roommate at a supported residential services facility. The roommate had a 12-year history of making specific threats to kill, including eye-pokin…
21y · Female·Blunt force trauma to the head
Dan Lin, a 21-year-old woman, was killed by her mother-in-law in a violent domestic assault. This death occurred within the context of family violence, with prior documented physical assaults by the perpetrator in July 2…
24y · Male·unascertained
Louis Gerard Le Boeuf, aged 24, disappeared from the Sunbury Training Centre on 23 November 1977. He had severe epilepsy, intellectual disability, and required full support for daily living including assistance with walk…
49y · Female·Hanging
Narelle Clancy, aged 49, absconded from a psychiatric ward within hours of being placed on involuntary status and died by hanging. She had a long history of depression and suicidal ideation following her daughter's suici…
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