Coronial
QLDother

Turpin, Robert Noel

Deceased

Robert Noel Turpin

Demographics

23y, male

Date of death

2015-08-20

Finding date

2017-05-04

Cause of death

Hanging

AI-generated summary

Robert Noel Turpin, 23-year-old Aboriginal man, died from hanging after a domestic violence incident in Atherton, Queensland. Following an argument with his partner, he locked himself in a bathroom with a belt while she called police. The 000 operator was informed he had attempted suicide three times in 12 hours and taken a belt to the bathroom. However, attending police officers did not effectively receive or comprehend this critical information over radio dispatch, despite it being broadcast. Officers conducted initial scene assessment before locating him unresponsive in the bathroom approximately 7 minutes after arrival. Although CPR was initiated and he was transported to ICU, brain damage from hypoxia was irreversible. The coroner found no police misconduct but identified a systems failure: critical suicide risk information was not reliably communicated to first responders. Had officers possessed this information via written job card or QLite device, they would have proceeded directly to the bathroom. The case highlights the importance of redundant communication systems for critical information and timely escalation in domestic violence calls involving suicide risk.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • Hypoxic brain damage from ligature asphyxiation
  • Information about suicide threat and belt not reliably communicated to first responders
  • Initial scene assessment delayed focused search for victim
  • Alcohol intoxication (BAC 0.087)
  • Cannabis intoxication
  • Uncooperative witness and lack of cooperation from household occupants
  • Prior domestic violence history and breach of DFVPO residential condition

Coroner's recommendations

  1. The Queensland Police Service continues to prioritise the distribution of QLite devices to front line officers
  2. The Queensland Government provides the Queensland Police Service with the necessary resources to enable the rollout of QLite devices to ensure first response officers have reliable access to job information in real-time, including suicide risk and weapon information
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