Coronial

254 results for family violence and abuse

NSW2024-12-19

Inquest into the death of Ian Turner

35y · Male·multi-drug toxicity

…ed PTSD, died from multi-drug toxicity in July 2017. His death followed multiple deployments to Afghanistan and Iraq, domestic violence incidents, disciplinary proceedings, and failed mental health management. Critical …

psychiatrygeneral practicediagnosticcommunicationamitriptyline
SAcommunity2005-03-14

Coroner's Finding: Cooper Kunmanara

Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…

Four separate inquests into the deaths of Kunmanara Ward (19), Kunmanara Ken (35), Kunmanara Ryan (25), and Kunmanara Cooper (27) on the Anangu Pitjantjatjara Lands between May 2003 and March 2004. Three deaths were…

psychiatrygeneral practicedelaycommunicationpetrol
NSWhome2022-03-30

Inquest into the deaths of Stacey DOCHERTY and Seth DOCHERTY

38 and 3y · Female and male·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…

Stacey Docherty, a 38-year-old woman with complex post-traumatic stress disorder and borderline personality disorder resulting from childhood sexual abuse, killed her 3-year-old son Seth befor…

psychiatrygeneral practicemedicationcommunicationalprazolam
SAhome2022-12-16

Coroner's Finding: Reid, Paul

50y · Male·ischaemic heart disease

Paul Reid, a 50-year-old Aboriginal man with severe ischaemic heart disease and poor medication compliance, died of a cardiac arrhythmia during his arrest by South Australian Police. He w…

cardiologyforensic medicinediagnosticsystemalcohol
NThome2001-01-25

Inquest into the death of Eduardo Concepcion

26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …

Eduardo Concepcion, a 26-year-old man experiencing mental health crisis and acute intoxication, died from multiple gunshot wounds inflicted by Northern Territory Police. Following day…

emergency medicinepsychiatrysystemcommunicationmogodons
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

…nsafe bed-sharing environment with her sedated mother while her father, intoxicated by intravenous morphine and methamphetamine, remained nearby. The autopsy revealed no obvious cause, but documented face-down positioni…

paediatricsforensic medicinesystemdelaymorphine
VIChospital2023-05-16

Finding into death of Mathew James Luttrell

43y · Male·Hanging

…ames Luttrell, a 43-year-old Aboriginal man with borderline personality disorder, chronic suicidal ideation and substance abuse, was admitted to Mildura Base Hospital following a suicide attempt on 11 November 2018. He …

psychiatryemergency medicinecommunicationdelayolanzapine
SA2003-03-20

Coroner's Finding: VARCOE Alexander Wayne Keith

24y · Male·hanging

Alexander Varcoe, a 24-year-old Aboriginal man, died by hanging in Yatala Labour Prison while on remand awaiting tr…

psychiatrygeneral practicesystemcommunication
WA2004-12-14

Inquest into the Death of Damien George Garlett

18y · Male·Ligature compression of the neck (hanging)

Damien George Garlett, an 18-year-old Aboriginal remand prisoner at Hakea Prison, died by ligature compression of the neck (hanging) on 4 April 2003. He had a hist…

psychiatrypsychologydiagnosticcommunication
TAScommunity2015

Coroner's Finding: Youth Suicide

suicide by hanging or other means

… died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identified systemic failures in child protec…

psychiatrypaediatricssystemcommunicationlamotrigine
NSWhospital2015-02-13

Inquest into the death of Baby RD

0y · Male·Head injury from non-accidental trauma (forced shaking) occurring on 11 May 2009

…esented with cardiorespiratory arrest after vomiting; imaging revealed bilateral subdural haemorrhages, old and new fractures to ribs and clavicles consistent with prior and recent trauma. Clinical lessons: (1) prematur…

paediatricsintensive carediagnosticsystem
VIC2023-12-01

Finding into death of J ZA

17y · Female·Gamma hydroxybutyrate (GHB) toxicity

…icy requiring 5-minute monitoring intervals for substance-affected sleeping youths, signs of deterioration, and consciousness assessment protocols. Staff handover processes were inadequate, training delivery was insuffi…

communicationsystemgamma-hydroxybutyrate
NThospital2010-08-11

Inquest into the death of Gottlieb Rubuntja

39y · Male·coronary atherosclerosis

… 39-year-old Aboriginal man died from coronary atherosclerosis after police responded to reports of strange and agitated behaviour. His mother and family had requested police assistance; he appeared to be experiencing a…

emergency medicineforensic medicineproceduralcommunication
WA2005-01-14

Inquest into the Death of Hendrik Jan Groothedde

39y · Male·Ligature compression of the neck (hanging)

Hendrik Jan Groothedde, a 39-year-old remand prisoner at Hakea Prison, died by ligature compression of the neck (hanging) on 31 January 2003. He had bee…

psychiatrycorrectional healthcommunicationsystemantidepressants

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