396
Total cases
67%
Preventable or possibly preventable
70%
With coroner recommendations
26%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
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 …
35y · Male·Methylamphetamine toxicity; chronic hepatitis as contributing factor
Phi Long Dang, a 35-year-old Vietnamese man remanded at Fulham Correctional Centre on drug trafficking charges, died from methylamphetamine toxicity on 4 August 2024. During a visit on 3 August, he likely ingested a ball…
40y · Male·Gunshot wound to neck
Benjamin Freear, aged 40, died from a gunshot wound to the neck sustained during a police siege on 8 December 2019 in rural Queensland. He had been diagnosed with ADHD in April 2018 and prescribed dexamphetamine by psych…
18y · Male·drowning in a motor vehicle accident
MK, 18 years old, died by drowning after his car entered Isabella Pond following a motor vehicle accident. Witnesses observed him inhaling from a balloon-shaped object while driving through a roundabout. A large nitrous …
51y · Female·Unintentional prescription drug poisoning due to central nervous system depressi…
A 51-year-old woman with chronic pain, depression, and longstanding medication misuse died from unintentional prescription drug poisoning. She had been prescribed high-risk combinations of opioids and benzodiazepines ove…
48y · Male·cardiac arrhythmia which occurred in the context of physical exertion and hypoxi…
Phillip Walton, a 48-year-old with schizophrenia well-managed on clozapine for nearly 20 years, suffered an acute psychotic episode likely precipitated by cannabis use at a circus. After aggressive behaviour requiring po…