Finding into death of Ozlem Karakoc
Deceased
Ozlem Karakoc
Demographics
34y, female
Date of death
2017-07-14
Finding date
2022-10-06
Cause of death
Drowning
AI-generated summary
Ozlem Karakoc, aged 34, died by drowning on 14 July 2017 at her home in Dandenong, Victoria. She was murdered by her former intimate partner, Murat Davsanoglu, who held her underwater in a bathtub. Ms Karakoc had mild intellectual disability, a history of mental illness (depression, bipolar disorder, schizoaffective disorder, PTSD), and had experienced prolonged family violence from Mr Davsanoglu including controlling, emotional, and financial abuse. In the months before her death, she reported family violence to multiple services including Monash Health, Child First, and City of Greater Dandenong Family Support Services, but the extent of her ongoing contact with Mr Davsanoglu and associated risk was not fully assessed or escalated. The coroner noted that improved family violence risk assessment frameworks (MARAM) have since been implemented across prescribed agencies to strengthen identification and management of family violence risk.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
Contributing factors
- Family violence perpetrated by intimate partner
- Controlling and emotionally abusive behaviour
- Financial abuse
- Inadequate family violence risk assessment across multiple services
- Lack of communication between services regarding family violence risk
- Incomplete disclosure of ongoing contact with perpetrator
- Mental health vulnerabilities
- Intellectual disability
Coroner's recommendations
- Implementation of the new Family Violence Risk Assessment and Risk Management Framework (MARAM) across prescribed agencies
- Mandatory training requirements for clinicians and allied health staff on family violence identification and risk assessment
- Improved communication and information-sharing between services regarding family violence risk
- Strengthened procedures for assessing ongoing contact and risk when family violence is disclosed
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