35y · Female·neck and chest injuries and drowning due to intentional fall/jump from Tasman Br…
…jumping from the Tasman Bridge on 4 June 2020 while subject to a Mental Health Act treatment order for schizophrenia, borderline personality disorder, and bipolar disorder. She had a long history of mental illness, poly…
31y · Female·plastic bag asphyxia
Kirstan McRae-Jansen, a 31-year-old woman with chronic schizophrenia, borderline personality disorder, and substance abuse, died by plastic bag asphyxia using an LPG bottl…
46y · Male·cause of death cannot be determined
Trevor Besgrove, a 46-year-old man with complex mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, was found deceased in his Bicheno …
Female·multiple injuries from motor vehicle collision (for all five deceased)
… and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Personality Disorder and schizophrenia), domestic violence concerns, and custody disputes. The crash occ…
48y · Male·unascertained
Abdurahman Faid, a 48-year-old man with chronic schizophrenia and acquired brain injury from cerebral malaria, died unexpectedly in hospital on 31 December 2018 whi…
48y · Male·Ischaemic Heart Disease
…ft anterior descending coronary artery narrowing). He had family history of early cardiac disease, prior borderline QTc prolongation on ECG, asthma, schizophrenia, and poly-substance abuse history. He reported nocturnal …
16y · Male·Multiple injuries as a result of high speed impact (train)
James Kuti, a 16-year-old in child protection care with schizophrenia and cannabis use, died by suicide when he jumped in front of a train. He was receiving comprehensive m…
67y · Female·Sudden unexpected death in epilepsy in a woman with schizophrenia and cardiomega…
A 67-year-old woman with epilepsy, schizophrenia, and cardiomegaly died suddenly and unexpectedly at home in disability accommodation. The coroner dete…
31y · Female·drowning, deliberately self-inflicted with intention of ending life
Maria Rebekah Wright, a 31-year-old woman with severe borderline personality disorder and chronic suicidality, died by drowning at Howrah Beach, Tasmania on 14 August 20…
34y · Male·Hypoxic/ischaemic brain injury following resuscitated cardiac arrest and hanging
Stuart Brant Garten, a 34-year-old man with complex psychiatric diagnoses including borderline personality disorder, post-traumatic stress disorder, and schizophrenia, died by hanging in the courtyar…
57y · Male·aspiration pneumonia secondary to small bowel obstruction
A 57-year-old man with chronic schizophrenia, intellectual disability, and history of bowel obstruction presented with faecal vomiting and signs of…
27y · Male·Not determined; olanzapine toxicity suspected but regarded by expert evidence as…
…00 while detained at Glenside Hospital under the Mental Health Act 1993. He was a patient with chronic schizophrenia, borderline intelligence, and a history of drug-seeking behaviour. On 5 February 2000, he suffered an …
53y · Male·asphyxia due to upper airway occlusion by a foreign body (blanket)
A 53-year-old man with complex psychiatric disorder (schizophrenia, depression, intellectual disability) died by asphyxiation after stuffing a blanket into his mouth whi…
25y · Female·Injuries sustained in a single vehicle motor vehicle incident in which Ms Dent w…
…er absconding from hospital on 6 October 2018. She had a 19-year history of psychiatric admissions for schizophrenia, borderline personality disorder, and substance use disorder, with acquired brain injury. While under …
34y · Female·multiple drug toxicity
…r-old woman with chronic suicidality and complex mental health conditions including bipolar II disorder, borderline personality disorder, and PTSD, died from multiple drug toxicity on 7-8 February 2017, two days after ho…
40y · Female·Complications of WHO Class III Obesity
Cindy Jane Martin, a 40-year-old Aboriginal woman with treatment-resistant schizophrenia, WHO Class III obesity, and obstructive sleep apnoea, died of sudden cardiac complications seven days …
23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging
…tal while detained as an involuntary mental health patient. She had a complex psychiatric history with schizophrenia and borderline personality disorder, substance use, and intellectual disability. Critical clinical les…
32y · Female·Compression of the neck
FSZ, a 32-year-old woman, was killed by her intimate partner NLU through compression of the neck (strangulation) on 24 April 2019. This coronial finding identifies multiple systemic failures in family violence response a…
36y · Female·head injury
A 36-year-old woman was killed by a young man with early-onset schizophrenia after a chance encounter. The death resulted from a complex series of missed opportunities in mental h…
28y · Male·Overdose of Clozapine
A 28-year-old man with schizophrenia and substance abuse history died from clozapine overdose. Key clinical failures included: inadequate a…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.