Prone Restraint & Positional Asphyxia: The Tragic Death of Joshua Van Malssen (2026)

A tragic incident at Perth Underground Station has sparked a crucial conversation about the use of force and its potential consequences. The death of a young man, Joshua Van Malssen, has left a lasting impact on his family and the community, prompting an inquest to uncover the truth.

The inquest revealed a series of unfortunate events that led to Joshua's untimely demise. It all began with an alleged verbal altercation between Joshua and staff at the train station, resulting in his arrest by Public Transport Authority (PTA) officers. What followed was a cascade of events that ultimately claimed his life.

During the arrest, officers restrained Joshua in a face-down position, a move that, according to the coroner, likely contributed to his death. The officers' monitoring of Joshua's condition was described as "poor," and it wasn't until he stopped breathing that they realized something was amiss. By then, it was too late.

But here's where it gets controversial: the coroner found that the arrest itself was justified and appropriate. So, what went wrong?

According to the doctors who conducted the post-mortem, a combination of factors led to Joshua's cardiac arrest and subsequent death. His pre-existing medical conditions, including complex heart disease and asthma, combined with his obesity and alcohol consumption, created a perfect storm. The physical stress of the altercation, coupled with his restraint in the prone position, proved to be too much for his body to handle.

And this is the part most people miss: the coroner's recommendations. While the arrest was deemed appropriate, there were clear areas for improvement. The PTA has been advised to enhance their training, particularly when it comes to monitoring individuals restrained in the prone position. Additionally, the coroner suggested assessing whether the handcuffs used are suitable for people of larger builds.

Furthermore, the coroner emphasized the need to update the PTA Defensive Tactics Manual to highlight the risks associated with the prone position. The PTA was also encouraged to collaborate with the WA Police to ensure their policies regarding positional asphyxia are applicable to their operations.

In a heartfelt statement, Joshua's mother expressed her family's devastation and shared her belief that with better funding, support, and training, this tragedy could have been avoided. She emphasized the importance of proper restraint techniques, especially for individuals with disabilities, mental health issues, or substance abuse problems.

This case serves as a stark reminder of the delicate balance between law enforcement and individual rights. It raises important questions: Could this death have been prevented? Are the current training protocols sufficient? And most importantly, how can we ensure that such tragedies never occur again?

What are your thoughts on this matter? Do you believe the coroner's findings and recommendations are enough to prevent similar incidents in the future? We invite you to share your opinions and engage in a respectful discussion in the comments below.

Prone Restraint & Positional Asphyxia: The Tragic Death of Joshua Van Malssen (2026)

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