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Coroner's Finding: GW de-identified

Deceased

GW

Demographics

68y, male

Date of death

2019-12-15

Finding date

2022-11-25

Cause of death

traumatic brain injury due to a gunshot wound to the head

AI-generated summary

A 68-year-old man with history of depression, heavy smoking, excessive alcohol consumption, and prior bowel cancer shot himself fatally with a licensed firearm. He had been assessed as 'fit and proper' to hold his firearms licence 8 months prior, despite four drink-driving convictions, untreated depression since 2008, and false/incomplete disclosures on his licence application. The coroner identified significant concerns with the firearms licensing assessment process: inadequate consideration of repetitive alcohol-related offending, failure to seek medical reports despite concerning signs, and insufficient response to applicant dishonesty. The death was preventable through stricter firearms licensing protocols and better assessment of suicide risk factors including access to means.

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

Contributing factors

  • untreated depression since 2008
  • excessive alcohol consumption
  • repeated drink-driving convictions (4 offences)
  • fear of cancer diagnosis
  • access to licensed firearm
  • inadequate firearms licensing assessment
  • failure to disclose mental health and criminal history on licence application
  • high blood alcohol concentration at time of incident (0.301g/100ml)
  • financial debt
  • lack of recent medical contact and treatment

Coroner's recommendations

  1. Firearms Services should review its decision-making policies and processes in respect of granting firearms licences in cases where an applicant has been convicted of multiple drink-driving offences or other alcohol-related offences
  2. Firearms Services should review its decision-making policies and processes in respect of cancellation of a firearms licence where the holder knowingly supplies false or misleading information in connection with the application
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. All court orders for redaction and non-publication are respected; documents with technically defective redaction have been excluded from the database entirely. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction —