Deaths

Disability and NDIS-related deaths documented in coronial inquest findings, the Profound Autism Network review, and similar official reviews.

Each case is manually curated and cites a primary source document — a coroner's finding or an official review. This is not a complete record of every death; it grows as cases are added.

Kumanjayi Johnson, 45

NTCoroner's findingDirect provider/system failure found

Content note: exposure

Source: Finding into the death of Kumanjayi Johnson (Northern Territory Coroner's Court)

Bridie Gilligan, 42

QLDCoroner's inquestSystemic failures found — no causation finding

Content note: choking

Source: Findings of the inquest into the death of Bridie Gilligan (Coroners Court of Queensland)

Didbala Anzac, 17

NTCoroner's inquestSystemic failure — a contributing factor

Content note: suicide, trauma

Source: Inquest into the death of Didbala Anzac (Northern Territory Local Court (Coroner))

Kelvin Forrest, 53

NSWCoroner's inquestSystemic failures found — no causation finding

Content note: fall from height

Source: Findings into the death of Kelvin Forrest (NSW Coroners Court)

Paul Joseph Milward

QLDCoroner's inquestDirect provider/system failure found

Content note: choking

Source: Findings of inquest — Paul Joseph Milward (Coroners Court of Queensland)

Paul Shen Vun Wong, 40

WACoroner's inquestDirect provider/system failure found

Content note: neglect, isolation

Source: Inquest into the death of Paul Shen Vun Wong (Coroners Court of Western Australia)

Peter Jonathon Rex Bolton, 36

WACoroner's inquestSystemic failures found — no causation finding

Content note: suicide, involuntary detention

Source: Inquest into the death of Peter Jonathon Rex Bolton (Coroners Court of Western Australia)

Samaan Salah Tilmiz Elsamin, 21

WACoroner's inquestOpen finding — no causation finding

Source: Inquest into the death of Samaan Salah Tilmiz Elsamin (Coroners Court of Western Australia)

William Charles Heddergott

VICCoroner's findingSystemic failures found — no causation finding

Content note: murder, domestic and family violence

Source: Finding into death without inquest — William Charles Heddergott (COR 2020 006253) (Coroners Court of Victoria)