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Coroner's Finding: Decision in relation to Martin 'Marjorie' Harwood

Deceased

Martin (Marjorie) Luke Harwood

Demographics

38y, female

Date of death

2018-07-01

Finding date

2025-04-11

Cause of death

end stage renal failure (Stage 5 chronic kidney disease)

AI-generated summary

Ms Harwood, a 38-year-old transgender woman with end-stage renal disease, died of natural causes following refusal of dialysis. Her mother claimed the death was suicide prompted by fear of returning to prison following an alleged 2017 rape. The coroner found no credible evidence of a 2017 sexual assault in prison, no contemporaneous reports or institutional documentation, and noted Ms Harwood had long been equivocal about undertaking dialysis due to her difficulty maintaining strict regimens amid substance use and psychiatric illness. Declining life-saving treatment for a terminal natural disease does not constitute suicide. The coroner declined coronial jurisdiction, finding the death was due to natural causes and not reportable.

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

Specialties

nephrologygeneral medicinepsychiatryemergency medicinepalliative care

Clinical conditions

end stage renal failurechronic kidney disease Stage 5acute pulmonary oedemacommunity-acquired pneumonianormocytic anaemiaeating disorderalcohol use disorderhepatitis Crectal prolapsepersonality disorder

Procedures

colostomy formationloop colostomy closure

Contributing factors

  • long-standing progressive kidney disease
  • acute pulmonary oedema
  • community-acquired pneumonia
  • normocytic anaemia
  • multiple comorbidities including eating disorder, alcohol excess, marijuana use, hepatitis C
  • refusal of dialysis treatment
  • inability to commit to strict dialysis regimen
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.

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