Five Italian tourists have lost their lives after a scuba diving excursion in the Maldives went catastrophically wrong, with only one member of the group surviving after making a last-minute decision that almost certainly saved her life.

The group had travelled to Vaavu Atoll near Alimatha island, where they planned to descend around 160 feet into an underwater cave from their yacht, the Duke of York. All but one of the divers went ahead with the dive. A female student from the University of Genoa, whose name has not been released, had fully prepared to join them but changed her mind at the last moment and remained on board the boat. The others never came back up.

The five victims were Monica Montefalcone, a marine biology professor at the University of Genoa, and her 20-year-old daughter Giorgia Sommacal. The remaining three were identified as Muriel Oddenino from Turin, Gianluca Benedetti from Padua, and Federico Gualtieri from Borgomanero.

The surviving student is now described as the only direct survivor of that day and is considered a key witness in helping investigators piece together exactly what happened in those final moments before the accident. It is not yet known why she chose not to dive, though reports suggest she had been due to fly home to her family the following day.

Search and recovery efforts were launched immediately but were suspended the following day due to severe weather conditions closing in on the area. Local police have opened a formal investigation into the incident.

Experts have since offered a number of theories as to what may have caused such a devastating outcome. Pulmonologist Claudio Micheletto suggested the most likely explanation was something going wrong with the oxygen tanks, potentially leading to oxygen toxicity, a condition also known as hyperoxia. He described death from oxygen toxicity as one of the most dramatic and sudden deaths that can occur during a dive.

Alfonso Bolognini, president of the Italian Society of Underwater and Hyperbaric Medicine, pointed to a different but equally deadly possibility. He explained that inside a cave at a depth of 50 metres, a single problem or panic attack affecting one diver can rapidly become catastrophic for an entire group. In such a confined and disorienting environment, there is very little margin for error.

The incident has sent shockwaves through Italy's diving and academic communities, with Monica Montefalcone in particular being described as a respected figure in the world of marine biology. The fact that she was diving alongside her own daughter makes the tragedy all the more devastating.

Investigations are ongoing and the full circumstances of what happened inside that underwater cave are yet to be established. What is beyond doubt is that one split-second decision to stay on the boat changed everything for the sole survivor, who will now spend the rest of her life carrying the memory of a day that took five of her companions.