25y · Male·Unable to be determined
… suggests suicide: a handwritten note expressing long-standing suicidal ideation, recent paternal suicide, sleep disturbance, financial stress, and out-of-character gifting of possessions and money to family members. Hi…
66y · Male·Injuries sustained in fall from height
…ous endoscopic jejunostomy for motor fluctuations, which initially showed good response but caused daytime sleepiness. He was found deceased below his apartment balcony without his walking frame or medication belt. The …
15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)
Joshua Meloury-Kaup, a 15-year-old boy with ADHD, anxiety disorder, and chronic sleep disturbance, died from mixed drug toxicity after ingesting his grandmother's medications (morphine, benzod…
28y · Male·Multiple injuries sustained from fall from cliff
…, died after stumbling and falling from a cliff at Dunningham Reserve, Coogee while experiencing mental disturbance. He had a history of insomnia-related mental health issues (previous psychosis, hospitalisations) and h…
25y · Male·The available evidence does not allow for any finding to be made as to the cause…
…ment. Clinical lessons include the importance of consistent mental health care, recognising warning signs (sleep disturbance, social withdrawal, farewell gestures), maintaining therapeutic continuity when patients disch…
53y · Male·Cardiomegaly in a man with obesity and chronic liver disease
…ly, hypertension, diabetes, and mental health conditions, died suddenly in hospital from cardiac rhythm disturbance. He was admitted to the psychiatric unit for acute mental health crisis (bipolar relapse) and received …
33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…
…addiction and possible schizophrenia attended the ED seeking help while acutely intoxicated, psychotic and sleep-deprived. After initially agreeing to medication, he attempted to leave and was involuntarily detained. Du…
54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…
…from minor trauma. Between mid-February and mid-March 2019, Mr Myhill's seizures increased, he experienced sleep disturbance, and got out of bed repeatedly at night (9-10 times per night). The disability support service…
36y · Male·Unknown; presumed unsurvivable injuries or drowning following intentional cliff …
…ssed him as otherwise well with no suicidal ideation at his last review on 21 June 2019, though they noted sleep disturbance. The coroner found the decision to cease clozapine reasonable but noted the reduction rate cou…
35y · Male·Unknown
Dennis Brooks, 35, a man with paranoid schizophrenia, disappeared from his Katoomba home on 2 May 2016 after exhibiting signs of psychotic relapse. Although his sister reported him missing on 4 May, a coordinated land se…
57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
… NDIS-funded support. In early January 2025, he experienced multiple falls, agitation, hallucinations, and sleep disturbance, prompting hospital admission. During his one-month hospital stay, he developed urinary retent…
14y · Male·head injuries when struck by a train
Mikael Rohan, a 14-year-old with a history of separation anxiety, attachment disorder, and sleep disturbance, died after stepping in front of a train on 16 November 2010. He had recently been distressed …
39y · Female·drowning associated with drug toxicity
…rly in patients with substance abuse history. Risk factors included her use of alcohol and medications for sleep management, and anxiety. The coroner found the death probably accidental, though circumstances remained so…
52y · Male·Multiple injuries
… had been experiencing work-related stress following promotion to a supervisor role, was withdrawn and not sleeping well, but declined to seek medical or mental health assistance despite encouragement from his partner. …
40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…
…sess and manage seizure risk despite clear indicators (recent seizures, medication non-compliance, 72-hour sleep deprivation); (2) inappropriate application of a community mental health management plan to a custodial se…
17y · Female·Hanging
…ognition of psychiatric warning signs in adolescents is essential—Imanthi displayed depression, self-harm, sleep and appetite disturbance, and social withdrawal; (2) GPs assessing adolescent fatigue must screen for unde…
42y · Male·gunshot wounds to the chest and abdomen
Shaun Basil Kumeroa, aged 42, died from gunshot wounds during a police siege in Brisbane. Following a family dispute resolution conference regarding custody of his daughter, Mr Kumeroa assaulted his ex-partner and became…
18y · Male·Sodium nitrite toxicity
Nathan Greenwood, an 18-year-old with a history of anxiety and depression managed in primary care, died from sodium nitrite toxicity after intentionally consuming 30 grams of the substance. He had been under care at his …
63y · Female·Insulin overdose (suicide)
Marcia Maynard, a 63-year-old registered nurse at Woodford Correctional Centre, died by insulin overdose on 3 October 2015 after self-administering the drug at a hotel. She was required to give evidence at an inquest int…
46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)
A 46-year-old teacher, Gavin Lyle Woods, died by suicide after prolonged workplace stress and an undertreated major depressive disorder. He had been a deputy principal at Burpengary State School for only five months. Cli…
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