3y · Male·smothering
…y her psychiatrist on 28 January 1998 (two days before the death). The psychiatrist found no evidence of psychosis or suicidal/homicidal ideation at that consultation. The coroner found no grounds to criticise the psych…
29y · Male·neck compression due to hanging
Nicholas Edward Bell, aged 29, died by hanging in Mobilong Prison on 29 April 2015. He had a documented history of mental illness, previous suicide attempts, substance abuse (methamphetamine, heroin, alcohol), and was as…
33y · Female·Mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, du…
…clinical failures were identified, but this case highlights the complexity of managing severe postpartum psychosis and its long-term consequences.
43y · Male·methylamphetamine and heroin toxicity
…heroin toxicity while on home detention bail. He had a complex psychiatric history including depression, psychosis, PTSD, and polysubstance use disorder, with previous suicide attempts and admissions. He was engaged wit…
37y · Female·head injury sustained in motor vehicle collision (pedestrian)
A 37-year-old involuntary psychiatric patient with paranoid psychosis absconded from the low-dependency psychiatric unit at Maroondah Hospital and deliberately stepped in fro…
Female·unascertained
Two Indigenous women from the Pilbara disappeared in late 1998 without trace: Veronica Lockyer (33 years old) and her infant daughter Adell Partridge (7 months old). Veronica was last seen at a Centrelink office in South…
45y · Male·gunshot wound to the chest
DP, a 45-year-old with a history of methylamphetamine use and drug-induced psychosis/schizophrenia, attended Quakers Hill Police Station on 19 January 2016 with a knife intending to provoke…
19y · Female·multiple injuries sustained in a train incident
JVM was a 19-year-old with major depressive disorder, anxiety, and possible first-episode psychosis who died by suicide after jumping in front of a …
28y · Male·hanging
Aaron Nathan Stagg, 28-year-old man with likely Asperger's Syndrome and emerging paranoid psychosis, died by hanging on 5 March 2010 after a period of disengagement from mental health services. He was ref…
62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …
In September 2013, Mr John Evans (62) killed his wife Jillian after he experienced psychosis manifesting as delusions about chemical infestation of their home. The coroner found Mr Evans was psycho…
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 had been experiencing suicidal ideation…
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 bottle. She was under Community Treatment Order with E…
15y · Female·neck compression due to hanging
…ina Hotich from July-November 2011, presenting with suicidal ideation, self-harm, and moderate-to-severe depressive symptoms. Despite evidence of clinical deterioration, risk escalation, and concerning features (possible…
50y · Female·unascertained
Margery Joyce Taylor, aged 50, disappeared on 7 September 1978 from Warren, NSW. She had a long history of bipolar disorder and depression with prior psychiatric hospitalisations. Two months before disappearance, she was…
42y · Female·Neck compression due to self-suspension
Joanne Finch, a 42-year-old woman remanded in custody on charges related to her son's death, died by hanging in her cell at Dame Phyllis Frost Centre on 24 July 2018. She had chronic suicidal ideation with periods of acu…
20y · Unknown·Traumatic brain damage complicating gunshot wound to the head
Two young adults aged 20 died from gunshot wounds to the head on 29-30 May 2001 in what appears to be a murder-suicide involving Peter Klingner and his girlfriend Cheree Dinsdale. Klingner had paranoid schizophrenia with…
42y · Male·Hanging (self-inflicted) while suffering from serious mental illness
… at Bathurst Correctional Complex (9–10 September 2009) while in custody. He had serious mental illness (psychosis, depression) requiring antipsychotic and antidepressant medication. The coroner found systemic failures …
41y · Male·Hanging
Timothy Casey, a 41-year-old remand prisoner with a history of major depressive disorder and drug/alcohol dependence, died by hanging in Port Phillip Prison in March 2008. The coroner …
34y · Male·Asphyxia consistent with plastic bag asphyxia
…chotic medication 14 days before death; clinical review by a psychologist 6 days later found no signs of psychosis or depression. The coroner found suicide was not foreseeable to prison or mental health staff. Key syste…
Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain
Two young UK backpackers, Mia Ayliffe-Chung (20) and Thomas Jackson (30), were fatally stabbed at a Queensland hostel on 23 August 2016 by a French backpacker, Smail Ayad, who was psychotic and cannabis-intoxicated. Ayad…
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