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ACTmental health2026-08-12

Inquest into the death of Ms UT

37y · Female·morbid obesity with dilated cardiomyopathy and obstructive sleep apnoea

Ms UT, a 37-year-old woman with treatment-resistant schizophrenia, died of morbid obesity with dilated cardiomyopathy and obstructive sleep apnoea. She was prescribed clozapine, an effective but potentially cardiotoxic a…

psychiatrycardiologyclozapine
QLDcommunity2026-08-11

Inquest into the death of James Michael Watson

34y · Male·Multiple gunshot wounds

James Michael Watson, aged 34, died from multiple gunshot wounds sustained during a police altercation outside the Greek Club in South Brisbane on 11 October 2022. He had long-standing mental health issues and polysubsta…

forensic medicinetoxicologymethamphetamine
NSWmental health2026-08-11

Inquest into the death of Raeputa Tangatapoto

55y · Male·Unascertained natural causes

A 55-year-old man with chronic treatment-resistant schizophrenia died at Forensic Hospital while lawfully detained on 26 December 2024. He had presented to Prince of Wales Hospital on 17 December with chest pain, tachyca…

psychiatryforensic medicineclozapine
WAcommunityNew2026-08-07

Inquest into the Death of Bradley Craig BUSWELL

41y · Male·combined drug toxicity

Bradley Craig Buswell, 41, died from combined drug toxicity (olanzapine, mirtazapine, doxylamine) on 31 March 2025 at his home in Eaton. He had treatment-resistant schizophrenia with chronic psychotic symptoms including …

psychiatrygeneral practiceolanzapine
VIChomeNew2026-08-06

Finding into death of Margaret Mary Broderick

62y · Female·Complications of WHO Class III obesity in a woman with epilepsy

Margaret Mary Broderick, 62, with intellectual disability, autism, schizophrenia (managed on clozapine), epilepsy, and severe obesity (BMI 48.2), lived in specialist disability accommodation provided by Scope Australia i…

general practicepsychiatry
WAhome2026-08-04

Inquest into the Death of Paul Shen Vun WONG

40y · Male·Carbon monoxide toxicity

Paul Shen Vun Wong, a 40-year-old man with treatment-resistant schizophrenia and schizoaffective disorder, died from carbon monoxide toxicity at his Rockingham home in April 2023 while subject to a Community Treatment Or…

psychiatrygeneral medicinecommunicationsystemolanzapine
VICaged care2026-07-29

Finding into death of Lynette Patricia McHarry

69y · Female·Exacerbation of chronic obstructive pulmonary disease and ischaemic heart diseas…

Lynette McHarry, aged 69, died on 15 August 2024 at Casey Hospital following complications from a preventable medication error at Mooraleigh Hostel residential aged care facility. On 4 August, she was mistakenly administ…

geriatric medicinegeneral practicemedicationsystemclozapine
WAhome2026-07-28

Inquest into the Death of Travis John WALDER

32y · Male·multiple injuries

Travis Walder, 32, died by suicide on 24 August 2023 after being struck by a train. He had schizophrenia and opioid use disorder with prior suicide attempts. On 23 August, he became acutely agitated and psychotic at his …

psychiatryemergency medicinecommunicationsystemmethamphetamine
VICcommunity2026-07-27

Finding into death of DH I

37y · Male·Multiple injuries sustained in a train incident

A 37-year-old Aboriginal man with chronic opioid use disorder and co-occurring mental health issues presented to Royal Melbourne Hospital's Mental Health, Alcohol and Other Drugs Hub after being found slumped in Melbourn…

emergency medicineaddiction medicinesystemheroin
VIChome2026-07-24

Finding into death of Wayne Douglas Scott

51y · Male·High blood alcohol and positional asphyxia in a man with cerebral palsy and acqu…

Wayne Douglas Scott, 51, died from high blood alcohol and positional asphyxia at his home in Lalor, Victoria. He had cerebral palsy, low vision, dysarthria, depression, and acquired brain injury from a drug overdose more…

general practicepsychiatryalcohol
VICcommunityNew2026-07-23

Finding into death of Andre Alistair Hei

44y · Male·Neck compression; Hanging

Andre Alistair Hei, a 44-year-old Māori man, died by suicide via hanging on 11 March 2025 at Fitzroy Town Hall. He had a complex psychiatric history including depression, complex PTSD, methamphetamine use disorder, and c…

psychiatryaddiction medicinesystemmethamphetamine
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
NSWcommunity2026-07-17

Inquest into the death of John Aramathuparambil John

62y · Male·complications of chronic alcohol misuse and olanzapine toxicity

John Aramathuparambil John, a 62-year-old with chronic alcohol dependence and depression, was arrested for trespass following a confused intrusion into a home on 6 June 2023. Police noted confusion and apparent intoxicat…

psychiatryaddiction medicinediagnosticcommunicationolanzapine
VIChome2026-07-14

Finding into death of Philip Charles Arnott

70y · Male·Multiple organ failure secondary to bronchopneumonia and acute pancreatitis in a…

Philip Arnott, a 70-year-old man with schizophrenia, died from multiple organ failure secondary to bronchopneumonia and acute pancreatitis. He had taken the maximum recommended dose of paliperidone since 2015. Between Ja…

general medicinepsychiatrymedicationdiagnosticpaliperidone
NSW2026-07-13

Inquest into the death of BS

34y · Male·Hanging

BS, a 34-year-old man with PTSD and depression from previous custodial assault, was remanded on drug importation charges at MRRC during COVID-19 restrictions. Critical clinical failures included: (1) 118-day delay in psy…

psychiatryforensic medicinediagnosticmedicationparacetamol
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
SAhome2026-07-07

Coroner's Finding: Morland-Shearer, Debra

64y · Female·choking on food on a background of Alzheimer's disease and antipsychotic therapy

Debra Jayne Morland-Shearer, aged 64, died on 11 January 2023 from choking on food while living in supported community care under a Guardianship Order. She had Alzheimer's disease, mild dysphagia diagnosed in November 20…

speech pathologypsychiatryquetiapine
QLDhospital2026-07-07

Inquest into the death of Maxwell John Beever

83y · Male·Metastatic melanoma

Maxwell John Beever, aged 83, died from metastatic melanoma on 8 July 2022 while in custody at Robina Hospital. A suspicious skin lesion was documented on 26 February 2021 but not investigated until 26 June 2021, delayin…

emergency medicinegeneral medicinedelaydiagnosticoxycodone

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