Coronial

278 results for intimate partner violence

VIChome2008-06-04

Finding into death of Kath Bergamin

37y · Female·unlawful killing

…'s vehicle the day after her disappearance. The case illustrates failure to recognise escalating domestic violence risk, inadequate police response to breach reports, and the dangers faced by women leaving abusive relati…

psychiatrygeneral practicesystemcommunicationcitalopram
VIChome2025-11-04

Finding into death of Kon Maximos

62y · Male·Shotgun injury to the head

…sis following marital separation, family estrangement over infidelity, and police intervention for family violence. Critical clinical and systemic failures included: inadequate mental health assessment despite explicit s…

psychiatrypsychologydiagnosticcommunicationmirtazapine
VIChome2016-09-13

Finding into death of Sally Brooks

48y · Female·Head injuries

…rgical intervention. Her estranged husband was later convicted of her murder. The coroner examined family violence risk factors including controlling behaviour, custody disputes, and separation trauma. Clinical context i…

forensic medicineneurosurgerycommunicationsystem
NTcommunity2006-10-23

Inquest into the death of Jodie Palipuaminni

27y · Female·Intracranial haemorrhage with associated blunt head, chest and abdominal trauma

A 27-year-old Aboriginal woman was killed by her violent partner while he was on parole with conditions explicitly prohibiting contact with her. Despite documented escala…

correctional healthforensic medicinesystemcommunication
NSWcommunity2025-12-09

Inquest into the deaths of Lynette Thompson and Alan Fletcher

58y · Female; male·Lynette: Thermal injuries (extensive burns) and complications thereof; Alan: Nec…

Two related deaths from domestic violence murder-suicide. Lynette Thompson (58, Aboriginal woman) died from severe burns inflicted by her partner A…

communicationsystempetrol
VIChome2021-08-03

Finding into death of V T

75y · Female·Multiple injuries including stab wounds to the chest

A 75-year-old woman was fatally stabbed by her son during a family violence incident. Her son had a 20-year history of schizophrenia and schizoaffective disorder with poor medicatio…

psychiatrygeneral practicecommunicationsystem
VIChome2023-02-01

Finding into death of Michael Andrew Power

31y · Male·Stab wound to the neck

Michael Power, aged 31, was fatally stabbed in the neck by his de facto partner Stacey Edwards on 22 November 2016 following an escalating pattern of bidirectional family violence. Whil…

systemcommunicationmethamphetamine
VIChome2011-06-06

Finding into death of Catherine Anne Viergever

61y · Female·Gunshot injury to head

Catherine Anne Viergever, aged 61, died from a gunshot injury to the head inflicted by her husband on 29 March 2010 at their Mount Macedon home. Contributing factors included sertraline toxicity, benzodiazepine use, and …

psychiatrytoxicologysertraline
VIChome2023-06-08

Finding into death of Mayumi Spencer

29y · Female·Cocaine toxicity

…e been called within minutes. The death occurred in the context of a relationship characterised by family violence perpetrated by Dr S., including physical abuse, emotional abuse, coercive control, and an allegation of n…

emergency medicinetoxicologydelaysystemcocaine
VIChome2021-05-15

Finding into death of Ms ZT

27y · Female·Multiple sharp force injuries

…ultiple sharp force injuries. The coroner's investigation revealed a prolonged pattern of severe domestic violence, physical abuse, emotional control, and social isolation. Multiple service providers—including Campbell P…

communicationsystem
VIChome2021-11-20

Finding into death of Mark Leslie Missen

56y · Male·Multiple blunt force trauma to the head and neck

…ns the homicide of Mark Leslie Missen (56 years old) by his son Nathan in January 2016 following a family violence incident. The autopsy revealed death from multiple blunt force trauma to the head and neck. The case invo…

systemcommunicationmethamphetamine
NThome2003-02-26

Inquest into the death of Reba Lakuwanga

41y · Female·intra-abdominal haemorrhage caused by a ruptured spleen due to blunt force traum…

…afety or assessing the boyfriend's fitness to care for her. Critical failures included: ignoring domestic violence protocols, failing to follow up on information from neighbours about prior violence, not investigating th…

proceduralcommunicationalcohol
NSWhome2020-06-05

Inquest into the death of BG

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

…y infidelity, visa status concerns, and responsibility for Amelia's death. His communications to a former partner on 10–11 January contained expressions consistent with suicidal ideation. Clinical lessons centre on reco…

psychiatryemergency medicinedelay
TAS2020-07-02

Coroner's Finding: Neubert, Olga

37y · Female·Contact gunshot wound to the head

…citors about obtaining protective orders on 21 April 2015. Her solicitors advised that obtaining a family violence order through the Magistrates Court would take a month or two, and recommended she seek a police family v…

communicationsystem
TAShome2023-08-11

Coroner's Finding: Dobson, Barbara Maree

45y · Female·mixed drug toxicity including heroin and methylamphetamine

…on 24 February 2020. Police attended her location after she breached a trespass notice and interim family violence order by visiting her violent partner's home. Officers found her highly intoxicated and unable to stand o…

emergency medicineforensic medicinedelaysystemheroin
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—Miss Yunupiŋu (2018), Ngeygo Ragurrk (2019), Kumarn …

paediatricsemergency medicinediagnosticcommunicationalcohol
VIChome2010-07-21

Finding into death of MF

29y · Female·Multiple stab wounds to the neck

A woman was fatally stabbed 12 times in the neck by her husband during an escalating family violence situation. She had disclosed family violence to Victoria Police on multiple occasions and to her General …

general practiceforensic medicinecommunicationsystem
NSWhome2024-12-12

Inquest into the death of Ms K

43y · Female·suffocation

…, was killed by her husband through suffocation on 7 March 2017 after years of coercive control, physical violence, and emotional abuse. A critical police response on 17 August 2016 when Ms K reported car vandalism faile…

general practicepsychologycommunicationsystemalcohol
VIC2013-08-19

Finding into death of TH

2y · Female·Blunt force injury to the abdomen

A two-year-old girl died from blunt force injury to the abdomen, sustaining internal injuries including pancreatic rupture, jejunal rupture, and liver trauma with significant intra-abdominal hemorrhage. Evidence indicate…

paediatric surgeryemergency medicinedelaysystem
VICcommunity2024-04-23

Finding into death of Carolyn Mary James

3y · Female·Effects of fire deliberately set by mother in motor vehicle

…er services had adequate contact with the family prior to the incident. Evidence revealed multiple family violence risk factors including potential coercive control by the father, social isolation, and emotional abuse. W…

general practicepsychiatrydiagnosticsystem

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