Deceased
Jolanta Boyd
Demographics
48y, female
Date of death
2018-06-18
Finding date
2020-05-11
Cause of death
Multiple injuries sustained when struck by a train
AI-generated summary
Jolanta Boyd, a 48-year-old woman with documented mental health conditions including suicidal ideation, alcohol use disorder, and anxiety, died by suicide on 18 June 2018 when she jumped in front of a train at Windsor railway station. She had multiple recent contacts with health services including Barwon Health and Alfred Hospital following a train strike incident on 25 May 2018 that injured her leg. At discharge from Alfred Hospital on 15 June 2018, she had appropriate psychiatric assessment and referrals arranged. The coroner found that medical services provided were reasonable and appropriate. However, systemic failures were identified regarding family violence responses: health and police staff failed to adequately document and respond to her disclosed family violence from her ex-partner, and information sharing protocols did not account for risks when the alleged perpetrator was listed as next of kin. The coroner did not characterize these failures as definitive opportunities lost to prevent her death.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
45y · Male·Multiple stab wounds
Dion White-Cotterell, 45, was stabbed to death (83 wounds) on 28 February 2019 by his neighbour Benjamin Moore in an unprovoked attack outside their townhouse in Parramatta. Moore, suffering acute schizophrenia relapse w…
44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…
Elizabeth Ferris, a 44-year-old woman with schizoaffective disorder and polysubstance use disorder, died from hypoxic ischaemic encephalopathy following cardiac arrest in the setting of presumed drug toxicity. She was fo…
36y · Male·Drowning
Gary Dale Sargeant, a 36-year-old Royal Australian Air Force member, died by drowning after absconding from Edinburgh Health Centre during an acute mental health crisis. Critical clinical failures included: a clinical ps…
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 —