Coronial

191 results for domestic violence homicide

WAhome

Inquest into the Death of Satwant KAUR

57y · Female·Multiple penetrating (stab) injuries to the body and neck

…at least four separate dates. The coroner found that while the stepson bore direct responsibility for the homicide, systemic failures in threat assessment and inter-agency communication created preventable conditions ena…

communicationsystemmethamphetamine
VIChome2016-04-21

Finding into death of Kelly Ann Thompson

43y · Female·Stab wounds to the chest

… did not establish that these failures directly caused the death. The case reveals serious gaps in family violence risk assessment, inter-agency information sharing, and police adherence to established procedures and pol…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
QLDcommunity2015-02-27

Brogden, Jay Anthony

21y · Male·Undetermined but of a suspicious nature

Jay Anthony Brogden, 21, disappeared on 21 April 2007 from Cannonvale, Queensland after assaulting his ex-partner Patricia Heath at a family barbeque. He left a friend's residence on foot and has never been seen again. T…

systemdelaycannabis
VIChome2023-11-20

Finding into death of Caitlin Mary O'Brien

31y · Female·Compression of the neck

… via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk management. Alfred Health clinicians had documented extensive family violence histor…

psychiatryemergency medicinediagnosticcommunicationcannabis
VICcommunity2025-09-01

Finding into death of Ms FSZ

32y · Female·Compression of the neck

…k (strangulation) on 24 April 2019. This coronial finding identifies multiple systemic failures in family violence response and support services. Key clinical/systemic lessons: (1) Mental health services discharged NLU w…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VIChospital2023-05-29

Finding into death of Kaleb Baylis-Clarke

<1y · Male·Head injury in the setting of chronic subdural haemorrhage

Kaleb Baylis-Clarke, a 17-week-old infant, presented to hospital on 14 January 2016 with a head lump, vomiting, raised fontanelle and reduced milk intake. Cranial ultrasound showed fluid in subdural spaces. MRI on 15 Jan…

paediatricsneurosurgerysystem
VIChome2016-05-25

Finding into death of Sarah Louise Cafferkey

22y · Female·multiple stab injuries

… was not communicated to the Adult Parole Board. An Offending Behaviour Program report documented his pro-violence attitudes, cognitive distortions, and hostility toward women, but this was not shared with the parole boa…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
NSWhome2022-03-30

Inquest into the deaths of Stacey DOCHERTY and Seth DOCHERTY

Unknown·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…

…ate contact during a critical period, particularly during a poorly managed caseworker handover. While the homicide-suicide could not have been predicted, earlier multidisciplinary coordination, more robust psychiatric ov…

psychiatrygeneral practicemedicationcommunicationalprazolam
WA2002-05-03

Inquest into the Death of Gerhardus Theron

39y · Male·Ligature Compression of the Neck (Hanging)

Gerhardus Theron, 39, died by suicide in a remand centre on 25 June 2000 by ligature compression of the neck. He had murdered his wife on 28 April 2000 while their four children were present, and was remanded in custody.…

psychiatrycorrectional healthsystemanti-depressants
NSWhospital2025-05-01

Inquest into the death of DB

2y · Female·sequelae of blunt force head and spinal cord injuries

DB, aged 2 years 9 months, died from blunt force head and spinal cord injuries inflicted by her mother's boyfriend after DCJ closed its case in August 2015. The coroner found DCJ made multiple critical failures: acceptin…

paediatricsemergency medicinediagnosticsystem
NSWhome2025-08-08

Inquest into the death of Jacob

<1y · Male·Non-accidental infliction of significant force to the head/face and gum region, …

Jacob, a premature infant born at 29 weeks, was discharged from neonatal care at 11 weeks old and presented to hospital three days later with a subarachnoid haemorrhage and periorbital bruising. Despite being assessed as…

paediatricsforensic medicinediagnosticsystemmethamphetamine
1910

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