Coronial

254 results for family violence and abuse

VIChome2024-04-15

Finding into death of Craig Geoffrey Rickard

55y · Male·Hanging

…s Order. He had presented to mental health services multiple times in September 2019 with suicidal ideation and attempts, precipitated by relationship breakdown and alcohol/methamphetamine use. Following release in Dece…

psychiatryemergency medicinesystemcommunicationfluoxetine
TASmental health2026-04-13

Coroner's Finding: de-identified DR

41y · Male·asphyxia due to neck compression following ligature suspension (hanging)

DR was a 41-year-old man with bipolar disorder, severe alcohol dependence, and multiple psychosocial stressors including family violence, homelessness, and financial crisis. In October 2…

psychiatryemergency medicinediagnosticcommunicationolanzapine
NSWhome2025-06-24

Inquest into the death of Jade

3y · Female·Bilateral Bronchopneumonia (Streptococcus Pyogenes/Staphylococcus Aureus) with k…

…reventable. The coroner identified critical failures: DCJ's Muswellbrook CSC lacked capacity to assess the family, leading to referral to Brighter Futures without a safety assessment despite high-risk circumstances inclu…

paediatricspsychiatrydiagnosticcommunicationquetiapine
VIChospital2025-07-30

Finding into death of YTR

78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…

A 78-year-old woman with schizophrenia, depression, and undiagnosed retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutriti…

geriatric medicineintensive caredelaysystemasenapine
SAhome2014-01-31

Coroner's Finding: HADLEY Duke Zenon

2y · Male·Asphyxiation due to neck and/or chest compression

A 2-year-old boy died from asphyxiation due to chest and neck compression inflicted by his mother during an acute manic psychotic episode. The mother had been admit…

psychiatryemergency medicinecommunicationsystemrisperidone
VIC2025-05-14

Finding into death of Dean Jenkins

33y · Male·unascertained

… 33-year-old with a history of drug use, disappeared on 24 August 2016 after being observed acting paranoid and erratically while substance-affected. His remains were found in a burrow near Woorinen in February 2017. Th…

methamphetamine
QLDhome2022-06-27

Langham, Doreen Gail and Hely, Gary Matthew

49y · Female·Doreen Langham: combination of spleen injury and effects of fire; Gary Hely: eff…

…led by her intimate partner Gary Hely in an intimate partner homicide-suicide on 22 February 2021 in Queensland. The death was preceded by extensive domestic violence including physical assaults, coercive control, stalk…

forensic medicinepsychiatrydiagnosticcommunicationcannabis
NSWcommunity2021-12-23

Inquest into the deaths of Judith CHRUPALO and Christopher CLEE

73y · Female·Unknown due to decomposition

Mrs Chrupalo, a 73-year-old woman with physical disability, cognitive impairment and alcohol dependency, was discharged from Dubbo Base Hospital on 8 July 2015 against medical advice despite b…

geriatric medicinepsychiatrydiagnosticcommunication
NSWhome2020-06-05

Inquest into the death of BG

30y · Male·neck compression from ligature strangulation and possible suspension (hanging)

… (wagering ~$11,000 in one week), concurrent relationships complicated by infidelity, visa status concerns, and responsibility for Amelia's death. His communications to a former partner on 10–11 January contained expres…

psychiatryemergency medicinedelay
NTcommunity2024-11-25

Inquest into the death of Kumarn Rabuntja, Kumanjayi Haywood, Miss Yunupingu and Ngeygo Ragurrk

Female·Domestic violence homicides: Miss Yunupiŋu—stab wound to chest; Ngeygo Ragurrk—b…

This landmark coronial finding examines four domestic violence deaths of Aboriginal women in the Northern Territory—M…

paediatricsemergency medicinediagnosticcommunicationalcohol
NSWhome2018-05-25

Inquest into the death of J

0y · Female·Unascertained

…eeping environment while staying with relatives in Sydney. She was placed in a pram in her parents' bedroom and was found not breathing on the morning of 17 August 2014. The exact time of discovery remains unclear, but …

paediatricsgeneral practicesystemdelay
NSWhome2026-05-06

Inquest into death of Laila Philip Samson Lado

30y · Male·unascertained

A 30-year-old male died between 9 and 10 November 2023 with an unascertained cause. His body was discovered on 20 November in significant decompo…

WAhome2016-07-21

Inquest into the Deaths of Heather GLENDINNING and Jessica Rose CUZENS and Jane Lesley margaret CUZENS

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…

This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental hea…

psychiatrypsychologycommunicationsystemcannabis
SAhome2020-12-07

Coroner's Finding: ROBERTS Paul Scott

38y · Male·combined effects of inhalation of products of combustion and incineration

Paul Scott Roberts, aged 38, died from incineration and inhalation of combustion products after setting himself alight during police attendance at his home on home…

communicationalcohol
NThome2013-05-15

Inquest into the death of Michael Chisholm, Aaliyaha Webb and Julian Chisholm

23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…

Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure was identified: when th…

psychiatrypaediatricscommunicationsystem
VIChome2024-11-28

Finding into death of Child 1, Child 2, Child 3, Child 4

Multiple causes: Child 1 - blunt force trauma to chest and abdomen; Child 2 - he…

… involving parents' partners as perpetrators. Children 1-4 died from blunt force trauma, head injury, fire, and neck laceration respectively. Key systemic failures identified: inadequate cumulative harm assessment; insu…

paediatricspsychiatrydiagnosticcommunicationmethamphetamine
SAhome2002-09-06

Coroner's Finding: KEN Kunmanara (2)

27y · Male·hydrocarbon inhalation

This inquest involved three deaths from petrol inhalation (1999-2001) on the Anangu Pitjantjatjara Lands. All three deceased were chronic sniffers (10+ years) who died from respiratory depression/asphyxia with d…

forensic medicinetoxicologysystemdelaypetrol
WAhospital2025-04-17

Inquest into the Deaths of HC and Child HR

terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…

…a whilst in state care following removal from her mother's care. Her mother, HC, had chronic benzodiazepine and opioid dependence, presenting substance-affected whilst caring for her profoundly disabled daughter who req…

paediatricspalliative care
VIChome2023

Finding into death of Mr ZJF

27y · Male·Dextromethorphan toxicity

Mr ZJF, a 27-year-old man with a longstanding history of schizophrenia, polysubstance use disorder, and depression, died from dextromethorphan toxicit…

psychiatrygeneral practicesystemdextromethorphan
WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

…mber 2010, causing severe lifelong neurological impairment including cerebral palsy, uncontrolled seizures, and blindness. The cause of the initial injury remains unknown. He was placed in the care of his devoted patern…

neurologypaediatricscommunicationsystem

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