36y · Female·multiple stab wounds to the trunk inflicted by a known person
Chloe Heuston, aged 36, died from multiple stab wounds inflicted by a known person with an untreated mental illness. The coroner found that ambiguities in the Mental Health Act 2007 regarding scheduling criteria ma…
87y · Male·multiple stab wounds to the body inflicted by a known person
Nicholas Waterlow, aged 87, was killed by multiple stab wounds inflicted by a known person with untreated mental illness. The coroner found that ambiguities in the Mental Health Act 2007 may have hindered appropriate in…
59y · Female·Sharp force injuries to the neck
…nd, Mr Dursun Yildiz, using a small axe at their home in Dallas, Victoria. The perpetrator had undiagnosed mental illness characterised by delusional beliefs that his life was at risk and auditory hallucinations. No disc…
38y · Male·Internal haemorrhage complicating large calibre gunshot wounds to the neck
…ed severe head injury in childhood with confirmed organic brain damage, depressive episodes, and untreated mental illness. In the week before his death, he showed increasing evidence of psychotic illness (paranoid ideati…
27y · Male·undetermined
Peter Christofidis, a 27-year-old man with a significant history of mental illness including depression and early schizophrenia, disappeared on 14 March 1983 after driving from his …
43y · Male·hanging
…d 43, died by hanging in June 2020 in bushland near South Nietta, Tasmania. He had a documented history of mental illness with a previous suicide attempt. He disappeared from his family farm leaving a note for his wife. …
22y · Male·Hanging
…renia and substance use disorder died by hanging in prison custody. He had been recently discharged from a mental health hospital to police custody following an alleged assault of another patient. Within a month of priso…
52y · Male·hanging
Luis Lopez, a 52-year-old man with schizophrenia managed by NorthWestern Mental Health Service, died by hanging on 10 February 2015. On 9 February, mental health clinicians expressed con…
51y · Male·multiple injuries sustained by a high velocity fall from a height
…experienced Sergeant McCarthy engaging him for over an hour using de-escalation techniques consistent with mental health crisis training. Despite McCarthy's attempt to physically intervene when he assessed imminent dange…
71y · Female·starvation
A 71-year-old woman with chronic mental illness died of starvation in her home in Tasmania. Police attended on 9 December 2021 for a welfare check…
36y · Female·Effects of fire (schizophrenic psychotic episode); for children: effects of fire…
…an 18-year history of schizophrenia requiring five involuntary psychiatric admissions, was discharged from mental health services in September 2007 to primary care without confirmed engagement with a GP. Toxicology showe…
Sally-Anne Wills: multiple stab wounds to the chest; Christopher Polden: single …
…wn to intelligence agencies and had no criminal history, though family members reported possible untreated mental health concerns including reported auditory hallucinations and paranoid ideation following family separati…
46y · Male·Multiple blunt traumatic injuries sustained in motor vehicle crash; manner deter…
…ot delayed outpatient appointments. The coroner found the death was deliberate suicide driven by untreated mental illness and noted that suicide among males aged 45–65 is a major public health issue.
57y · Male·multiple injuries from motor vehicle collision
…ed 57, died in a motor vehicle collision on 17 January 2011 while evading apprehension under the Victorian Mental Health Act. He had schizoaffective disorder managed with lithium and olanzapine under a Community Treatmen…
36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…
…sychiatric symptoms (paranoia, delusions) likely triggered by amphetamine use. He had signs of undiagnosed mental illness and was showing concerning behavioral changes in the weeks prior. Critical clinical lessons includ…
31y · Male·Drowning
Nathan Markl, a 31-year-old man with a history of mental illness, intellectual impairment, and substance use disorder, died by drowning in Narrabri Creek on 7 July…
47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…
…y and wellbeing. The coroner emphasised systemic issues: lack of facilities for young people with combined mental illness and brain injury, funding constraints, and inter-agency responsibility gaps between mental health …
26y · Male·unascertained; suspected suicide by firearm
…egional Victoria. He had a history of substance abuse (heroin, OxyContin, cannabis) from age 21 and severe mental illness from 2009, including paranoid ideation and command hallucinations suggesting suicide. He was presc…
63y · Female·Multiple stab wounds to neck and chest
…by Daryl Cook on 23 July 2016, one day after his release from prison. Cook suffered from serious untreated mental illness, evidenced by extensive prison records documenting paranoia, hallucinations, aggression and self-h…
59y · Male·Multiple blunt injuries following a fall from a cliff
A 59-year-old man with a long history of illicit drug use, homelessness, and untreated mental health symptoms died by suicide after jumping from a cliff. He had refused offers of accommodation and sup…
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