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That the death occured as a result of cardiorespiratory failure as a result of pneumonia from the aspiration of fluids in the chest cavity following brain damage. The deceased was found to have contributed to his death by his excessive intake of alcohol and his neglect of his own nourishment. The attending doctor at the hospital and the police forensic surgeon were also found to have acted…

The death was the result of coronary atherosclerosis. There is no evidence which creates any suspicion that there was a causal link between the deceased being held in custody and his death.

The deceased was travelling with a friend in a car on Kloeden St, Ceduna at around 1:30am on the morning of Sunday 2 July. The car was approached by police who later stated that they were attending to a break-in in the street. The officers ran a warrant check on the pair. The friend was allowed to go but the deceased was arrested on warrants for non-payment of fines and a non-appearance on an…

1.1 This Report uses findings of coronial inquests as a means of auditing the implementation of the recommendations of the Royal Commission into Aboriginal Deaths in Custody.

The deceased had been arrested for driving under the influence of alcohol and for driving while disqualified. He was placed in what the Coroner described as an enclosed cell, in which occupant vision is impossible, at around 3.00am and told he would remain there for a period of four hours.

The deceased was in the psychiatric unit at Long Bay Prison. He approached a nurse on 25 July 1989 at 2.30pm and stated he was feeling ill. She gave him advice as to the illness and provided him with medication. He later approached another nurse and said he wanted to return to his cell. The nurse checked with a prison officer and he was taken to his cell at about 3.30pm. At 4.10pm he was…

Explore a report prepared for the Aboriginal and Torres Strait Islander Commission into the deaths in custody of Indigenous juveniles.

Explore an appendix of government-implemented abbreviations in relation to a report in to Indigenous Deaths in Custody.

Explore a report for the Office of the Aboriginal and Torres Strait Islander Social Justice Commissioner in relation to Indigenous deaths in custody.

Learn about the comparison of Indigenous and non-Indigenous deaths in custody.