332 results
61y · Female·Drowning due to asphyxia from saltwater ingestion
Ms Elizabeth Ann Higgins, aged 61, drowned at Little Howrah Beach on 14 March 2011. The coroner found she was an inexperienced swimmer who entered water beyond her depth. While her son-in-law Mr Lacroix shouted loudly at…
20y · Female·stab wound to the neck
Adriana Donato, 20, was stabbed to death by her former partner James Stoneham in August 2012. Clinical psychologist Dr G. failed to adequately explore violent ideation when James expressed wanting to harm an unnamed pers…
15y · Male·Hanging (redacted in original but indicated by reference to method of suicide)
A 15-year-old boy with depression died by suicide. He had a difficult relationship with his parents and was reluctant to engage with mental health services. A clinical psychologist assessed him as low-moderate suicide ri…
33y · Female·Hanging
A 33-year-old woman with a history of depression, anxiety, and personality difficulties died by hanging on 14 February 2014, two days after separating from her partner. She had been under the care of a psychiatrist, Dr M…
40y · Male·Injuries sustained in a fall from height
Daniel McKindley, 40, died from injuries sustained in a fall from the 16-metre platform of Poppet Head Lookout tower in Bendigo. He had depression and anxiety treated by his GP with antidepressants (mirtazapine then sert…
53y · Male·Gunshot wound to the head
RC, a 53-year-old man with longstanding depression, died by suicide on 15 April 2014. He was under care of Campbelltown Community Mental Health (CoMHET) when a critical clinical failure occurred: a handwritten progress n…
73y · Male·Stab wound to the neck
Harold Nolan, 73, was fatally stabbed in the neck by his ex-wife Renee Nolan while asleep at home. Ms Nolan was his full-time carer following his 2013 stroke and was experiencing severe carer fatigue, mental health deter…
50y · Female·Hanging
Jacinta Dwyer, a newly appointed magistrate with limited criminal law experience, developed severe anxiety and depression within months of taking office in February 2017. Despite supportive interventions from senior judg…
24y · Male·mixed ethanol and prescription drug toxicity
Nathan Lunson, aged 24, died from mixed ethanol and prescription drug toxicity following an impulsive overdose. He had longstanding borderline personality disorder, polysubstance dependence, chronic suicidal ideation, an…
48y · Female·Head injuries
Ms Brooks, a 48-year-old woman, sustained fatal head injuries at home on 1 July 2011, dying on 11 July after neurosurgical intervention. Her estranged husband was later convicted of her murder. The coroner examined famil…
58y · Female·Stab wounds to chest
A 58-year-old woman died from stab wounds inflicted by her husband during a domestic violence incident. The marriage had been deteriorating with documented controlling and abusive behaviour including isolating her from f…
22y · Male·Head and neck injuries sustained in a train incident
Nicolas Russell Miles, aged 22, died from head and neck injuries after deliberately lying on railway tracks in front of a moving train on 12 January 2015. He had a history of anxiety, psychosis, and attention deficit dis…
36y · Male·Multiple injuries from motor vehicle collision
Sunil Beniwal died in a deliberate motor vehicle collision on 14 December 2014, shortly after killing his estranged wife Deepshikha Godara by strangulation and stabbing. The death was preceded by a seven-year history of …
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 health difficult…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…
Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…
17y · Female·self-inflicted hanging
Madeline (Maddy) Downman, 17-year-old Aboriginal girl in state care, died by hanging at a residential facility. She had complex psychiatric needs including depression, trauma, self-harm, and substance abuse, with four ye…
22y · Female·multiple stab injuries
Steven James Hunter, a serious violent offender with a prior 1988 murder conviction, was released on parole on 30 April 2011. During his parole, critical information about his unchanged violent attitudes, lack of empathy…
27y · Female·Pentobarbitone toxicity
A 27-year-old veterinary nurse with a 5-year history of depression died from pentobarbitone toxicity self-administered at her workplace. She had two previous suicide attempts (2010, 2011) both involving alcohol. On the e…
42y · Male·gunshot wounds to the chest and abdomen
Shaun Basil Kumeroa, aged 42, died from gunshot wounds during a police siege in Brisbane. Following a family dispute resolution conference regarding custody of his daughter, Mr Kumeroa assaulted his ex-partner and became…
Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…
Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma Street Centre mental health services in Western Australia. Rub…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.