Arthur Smith, 91, fatally shot his wife of 68 years before taking his own life. He had recently undergone cardiac surgery and expressed concerns about losing independence and being forced into care. The couple faced financial stress, property maintenance challenges, and Mr Smith's rapidly declining health. While aged care services were being arranged following his hospital discharge, there were no identified warning signs of imminent violence. The coroner found no evidence Mrs Smith was aware of or consented to Mr Smith's actions. This case highlights how elderly couples experiencing health decline, financial stress, and resistance to relocation may be at risk, though clinical services involved were focused solely on health needs without family violence prevention consideration.
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