59y · Male·Multiple injuries
Martin Carl Quiterio, a 59-year-old man with longstanding schizophrenia and suspected autism spectrum disorder, died on 3 January 2024 when he jumped from the 14th floor of a car park in West Perth. …
31y · Male·compression of the neck secondary to hanging
Rory Van Geleuken, a 31-year-old with longstanding major depressive disorder, generalised anxiety disorder, autism spectrum disorder, and ADHD, died by hanging. He had received menta…
9y · Male·Motor vehicle accident related multi trauma
Michael Ormsby, a 9-year-old boy with severe autism spectrum disorder and intellectual disability requiring constant supervision, died from multi-trauma injur…
35y · Male·The available evidence does not allow for any finding to be made as to the cause…
…cted means on 13 September 2022 at Vaucluse, NSW. He had multiple psychiatric diagnoses including bipolar disorder, autism spectrum disorder, obsessive compulsive disorder, and social anxiety disorder. His mental health …
19y · Male·Hanging
Kyle Horne, a 19-year-old with high-functioning autism, died by hanging on 15 March 2018 following relationship breakdown. He presented to his GP on 8 March 2018…
15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…
HM, a 15-year-old boy with suspected autism spectrum disorder and depression, died from spontaneous gastric perforation with early peritonitis seconda…
18y · Male·neck compression due to hanging
…ly discharged with inadequate community follow-up. A critical gap existed in services for high-functioning autism spectrum disorder—he was ineligible for disability services (IQ >70) yet too complex for standard mental h…
16y · Male·Gunshot wound to the head
A 16-year-old boy with autism spectrum disorder and history of self-harm died from a self-inflicted gunshot wound. He had attended Heads…
3y · Male·consistent with drowning in a boy with autism (on historical grounds)
Christian, aged 3 years 11 months with autism spectrum disorder and a significant tendency to abscond, died by drowning in the Yarra River after escapin…
23y · Male·Plastic bag asphyxia in setting of irrespirable atmosphere induced by nitrogen g…
…rd, a 23-year-old with a complex history of mental illness including depression, anxiety, ADHD, and likely autism spectrum disorder, died by nitrogen gas inhalation in September 2024. He had multiple prior suicide attemp…
18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…
An 18-year-old female with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating severe mal…
18y · Male·Heroin toxicity
Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported …
Unknown·Multiple injuries (road crash)
…ssion but discontinued psychological care in August 2014. The family's two boys had Fragile X Syndrome and autism; concerns about their care appear to have driven the act. The coroner found these deaths deliberately caus…
41y · Male·ligature strangulation
A 41-year-old man with intellectual disability, autism spectrum disorder, and psychosis died by ligature strangulation using his shoelaces in an acute mental hea…
31y · Male·Aspiration Pneumonia
Peter Bain, a 31-year-old man with severe intellectual disability, autism, and multiple comorbidities, died from aspiration pneumonia. He was admitted to ICU following deterioratio…
44y · Female·hypothermia in the setting of methylated spirits ingestion
Angela Tulloh, a 44-year-old NDIS participant with autism, intellectual disability, and borderline personality disorder, died from hypothermia following ingestion o…
28y · Male·hanging
…t pattern. Key lessons include the challenges of engaging high-functioning individuals with developmental disorders, and the need for coordinated care across fragmented services.
8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…
An eight-year-old boy with autism spectrum disorder (level 1) died from ischaemic bowel due to strangulated small bowel obstruction from a r…
15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa
…r two years with escalating food refusal, self-harm, and suicidal behaviour. Key clinical lessons: eating disorder services require integrated medical-psychiatric teams; brief admissions without ensuring sustained oral e…
15y · Male·Electrocution
JH, a 15-year-old with Autism Spectrum Disorder and Major Depressive Disorder, died by electrocution at home on 16 September 2019. He ha…
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