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NSW2026-08-07

Inquest into the death of Amanawel Ayai

23y · Male·complications of bowel obstruction by adhesions

A 23-year-old man in lawful custody at Parklea Correctional Centre presented on 7 January 2022 with severe chest pain, abdominal pain, vomiting, and dehydration, with a significant history of previous abdominal surgery a…

correctional healthgeneral practicediagnosticcommunicationmetoclopramide
TAS2026-07-23

Coroner's Finding: Geard, Maurice

82y · Male·hypostatic pneumonia following recovery from left hip hemiarthroplasty due to fr…

Maurice Geard, an 82-year-old prisoner serving a 12-year sentence for sexual assault convictions, died on 19 March 2026 at Risdon Prison from hypostatic pneumonia following hip surgery. On 6 March 2026, he fell from a ch…

correctional healthgeriatric medicine
WA2026-07-22

Inquest into the Death of Kyen Steven TOLLETT

Male·ligature compression of the neck (hanging)

Kyen Tollett, remanded at Casuarina Prison, died by hanging on 10 October 2024. He had a well-documented history of relationship-triggered suicidality and received high-quality psychiatric care and counselling throughout…

psychiatrycorrectional healthcommunicationsystemsertraline
NSWhospital2026-07-13

Inquest into the death of Wen Liang Zhang

57y · Male·Metastatic lung adenocarcinoma

Wen Liang Zhang was a 57-year-old remand prisoner diagnosed with metastatic lung adenocarcinoma shortly after arrest on 26 September 2025. He declined chemotherapy and radiotherapy, choosing palliative pain management in…

oncologypalliative careoxycodone
VICcommunity2026-07-10

Finding into death of GRA

23y · Male·Plastic bag asphyxia

GRA was a 23-year-old who died by suicide on 13 August 2024. He had depression, anxiety, and suicidal ideation since age 21. The mental health team (HOPE) discharged him in April 2023 when thoughts improved, recommending…

psychiatrycorrectional healthsystemcommunicationfluoxetine
NSW2026-07-10

Inquest into the death of Fredrick Elrezz

32y · Male·Hanging (deliberately self-inflicted)

Fredrick Elrezz, 32, died by hanging in segregation at Parklea Correctional Centre on 25 September 2020. Arrested on 1-2 September after stabbing police in an apparent suicide-by-cop attempt, Fred explicitly stated his i…

correctional healthpsychiatrycommunicationsystem
NSW2026-07-10

Inquest into the death of CG

61y · Male·Exsanguination from sharp force injuries to both arms, dissecting the veins of t…

CG, aged 61, died in Parklea Correctional Centre on 18 May 2024 from hemorrhage due to self-inflicted sharp force injuries. The coroner found multiple clinical and system failures contributed substantially to the death. …

general practiceemergency medicinesystemcommunicationoxycodone
QLDhospital2026-07-08

Inquest into the death of Phillip Graeme Abell

51y · Male·Complications of stage 4 hepatocellular carcinoma

Phillip Graeme Abell, aged 51, died from stage 4 hepatocellular carcinoma (HCC) with underlying cirrhosis and hepatitis C infection. Imprisoned at Woodford Correctional Centre, Mr Abell was diagnosed with infiltrative HC…

hepatologygastroenterologycommunicationoxycodone
QLD2026-07-08

Inquest into the death of Francis Lex Deemal

70y · Male·Chronic kidney disease, with atherosclerotic cardiovascular disease and type 2 d…

Francis Lex Deemal, a 70-year-old Indigenous man from Hope Vale, Cape York, died at Mareeba Hospital on 2 August 2023 from chronic kidney disease, with atherosclerotic cardiovascular disease and type 2 diabetes as contri…

correctional healthnephrologyinsulin
QLD2026-07-07

Inquest into the death of Clifford Raymond Grogan

68y · Male·Atherosclerotic cardiovascular disease

Clifford Raymond Grogan, a 68-year-old First Nations man, died from atherosclerotic cardiovascular disease while in custody at Lotus Glen Correctional Centre on 11 May 2023. He had significant pre-existing cardiac diseas…

cardiologygeneral medicine
NSWhospital2026-06-24

Inquest into the death of Alan Frederick Cornish

77y · Male·Congestive cardiac failure with an antecedent cause of ischaemic cardiomyopathy …

Alan Frederick Cornish, aged 77, died in lawful custody at Long Bay Hospital on 1 September 2025 from congestive cardiac failure with ischaemic cardiomyopathy, complicated by chronic kidney disease, COPD, and type 2 diab…

cardiologygeriatric medicineremdesivir
NSW2026-06-19

Inquest into the death of Patience Kuzmins

23y · Female·Methylamphetamine toxicity

Patience Kuzmins, 23, died in custody at Silverwater Women's Correctional Centre on 10 November 2022 from methylamphetamine toxicity caused by an internally concealed package. The coroner found that Patience was not stri…

correctional healthforensic medicinediagnosticproceduralmethamphetamine
NSW2026-06-11

Inquest into the death of Dictor Dongrin

29y · Male·Cardiac arrhythmia in the context of alcohol withdrawal and chronic alcohol misu…

A 29-year-old man died from cardiac arrhythmia in the context of severe alcohol withdrawal at a correctional facility. Initial assessment correctly identified moderate-to-severe withdrawal (AWS score 8) with seizure hist…

addiction medicinecorrectional healthdiagnosticmedicationalcohol
WA2026-06-08

Inquest into the Death of Mason SHAHZAD

40y · Male·ligature compression of the neck (hanging)

Mason Shahzad, a 40-year-old sentenced prisoner serving 30 years for serious family violence offences, died by ligature hanging in his cell at Acacia Prison on 11 November 2024. He had a history of depression, PTSD, and …

psychiatrycorrectional healthescitalopram
SA2026-06-02

Coroner's Finding: Taylor, Nathan James

40y · Male·Unascertained

Nathan James Taylor, aged 40, died in Port Lincoln Prison on 24 March 2022 while in custody pending trial on witness interference charges. He had significant medical history including infective endocarditis with tricuspi…

cardiologygeneral medicinediagnosticsystempaliperidone
NSWhospital2026-06-01

Inquest into the death of Michael Anthony Guider

73y · Male·Thromboembolism on a background of a spindle cell tumour

Michael Anthony Guider, aged 73, was an inmate in NSW correctional custody when he developed progressive shortness of breath and lower limb swelling. He presented to Prince of Wales Hospital on 6 September 2024 and was f…

cardiologycorrectional health
ACTcommunity2026-05-26

Inquest into the death of Donald Morley

93y · Male·Complications of invasive squamous cell carcinoma of the scalp

Donald Morley, aged 93, died at Claire Holland House hospice on 12 July 2024 while serving a nine-year sentence for murder. He was under 24/7 custodial supervision. The cause of death was complications of invasive squamo…

palliative carepsychiatry
NSW2026-05-20

Inquest into the death of Mr Edward Curic aka Grahovac

49y · Male·Diabetes Mellitus and the Consequences thereof

Mr Edward Curic (49) died at Long Bay Correctional Complex on 21 May 2022 from diabetes mellitus and complications. He had poorly controlled Type 2 diabetes for 30 years with severe complications including bilateral ampu…

correctional healthgeneral medicinemethadone
NSWhospital2026-05-15

Inquest into the death of Robert Bell-Williams

71y · Male·metastatic papillary renal cell carcinoma

Robert Bell-Williams, aged 71, died from metastatic papillary renal cell carcinoma while in lawful custody at Long Bay Hospital on 1 February 2024. Imprisoned since 2012, he was diagnosed with renal cell carcinoma in 202…

oncologypalliative carecabozantinib
NSWhospital2026-05-14

Inquest into the death of Meirion Thomas Morris

67y · Male·Complications of chronic obstructive pulmonary disease

A 67-year-old man with end-stage chronic obstructive pulmonary disease was serving a lengthy prison sentence in Corrective Services NSW custody at Long Bay Hospital's Aged Care and Rehabilitation Unit. In early October 2…

correctional healthpalliative caremorphine
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