Coronial

191 results for child abuse

VIC2025-04-07

Finding into death of Child A

0y · Male·Unascertained in the setting of a remote head injury

Child A, a six-month-old Aboriginal boy, died from unascertained cause in the setting of a remote head injury su…

forensic medicinepaediatricscommunicationsystemmethamphetamine
TAShome2017-06-26

Coroner's Finding: Johnstone, BJay

0y · Male·Traumatic head injury

…uma, rib fractures, femur fractures, and a skull fracture over the 19 days at home before hospitalisation. Child Protection Services received multiple notifications about risk factors (parental cannabis use, homelessnes…

paediatricsemergency medicinediagnosticsystemcannabis
VIChome2020-11-20

Finding into death of Baby S

1y · Male·head injury

…injuries inflicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and presented with concerning bruises shortly…

paediatricsgeneral practicediagnosticcommunicationheroin
QLDhome2014-12-09

LB - Non-inquest findings

0y · Male·subdural haemorrhage due to blunt force trauma to the head

…haemorrhage, brain tears, and rib fractures sustained over preceding weeks. The Department of Communities, Child Safety and Disability received multiple notifications of concerning parenting behaviours (intoxication whi…

paediatricsemergency medicinesystemdelay
NSWhome2021-03-10

Inquest into the death of Z

2y · Male·traumatic head injury

…rom traumatic head injury inflicted by person(s) unknown after experiencing severe and escalating physical abuse over weeks. Despite 13 reports to FACS (now DCJ) between 2010-2012, including multiple mandatory reports f…

paediatricsemergency medicinediagnosticcommunication
VIChome2025-08-18

Finding into death of JNY

68y · Male·Unascertained

…d to 12 years imprisonment. The coronial investigation revealed extensive family violence history, systems abuse through family law proceedings, and concerning gaps in child protection and police response. Multiple agen…

systemdelaytemazepam
NSWcommunity2020-04-28

Inquest into the death of CD

Male·Chest injuries sustained in a single motor vehicle accident

…ving his vehicle into a tree while evading police arrest on 29 November 2018. CD had been investigated for child sexual abuse material (CSAM) possession and child sexual assault following an ICAC search warrant executio…

WA2019-02-15

Inquest into the Death of Henrick OOSTERBAAN

64y · Male·Unknown - coroner made no finding as to cause of death

A 64-year-old man disappeared in January 2017 after learning of a police investigation into historical child sexual abuse allegations. He left a note indicating his intention to end his life in a remote area near Me…

TAShome2025-08-28

Coroner's Finding: de-identified XY

10y · Male·catastrophic brain injury with multiple brain bleeds

A 10-month-old child died from catastrophic brain injury with multiple brain bleeds inflicted by their mother's boyfriend durin…

paediatricsneurosurgery
SAhome2003-09-25

Coroner's Finding: SAMMUT-SMITH Jason Peter

16y · Male·fresh water drowning

…old boy, died by fresh water drowning on 1 December 2001. The coroner found extensive evidence of physical abuse inflicted over months, including numerous bruises, abrasions, and injuries consistent with repeated blunt …

forensic medicineemergency medicinesystemdelaydiazepam
NThospital2017-01-13

Inquest into the death of Michael Smedley

0y · Male·Traumatic head injury

…ement about whether injuries were from accidental fall or non-accidental trauma delayed investigation. The child presented with extensive bruising, subdural haemorrhage, subarachnoid haemorrhage, retinal haemorrhages, a…

paediatricsforensic medicinediagnosticcommunication
TAShome2018-05-31

Coroner's Finding: Hayes, Teegan Rose Dana

0y · Female·hypoxic brain injury following respiratory arrest due to accidental suffocation …

…following accidental suffocation whilst co-sleeping with her intoxicated mother. The parents were known to child protection services (CPS) due to intellectual disabilities, severe parental alcohol abuse, poor supervisio…

paediatricsintensive caresystemcommunicationalcohol
VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

… hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, complex psychosocial needs, learning difficulties, and disengagement from education. While Child Protecti…

paediatricsaddiction medicinesystemcommunicationinhalant
QLDhome2021-06-18

Palmer, Tiahleigh Alyssa-Rose

12y · Female·Undetermined (asphyxiation or choking)

…choked her. The coroner identified critical systemic failures including: inadequate permanency planning by child protection services (focusing excessively on reunification with her mother rather than Tiahleigh's best in…

paediatricscorrectional healthsystemdelay
VIC2017-08-01

Finding into death of Maria Liordos

16y · Female·Mixed drug toxicity

Maria Liordos, a 16-year-old in state care with complex trauma, substance abuse, mental health issues and high-risk behaviours, died from mixed drug toxicity. The coroner identified sign…

paediatricspsychiatrycommunicationsystemheroin
NTcommunity2009-06-04

Inquest into the death of Kunmanara Forbes

15y · Female·Hanging (self-inflicted)

…n a remote Central Australian community died by suicide following a year marked by petrol sniffing, sexual abuse concerns, and reported suicide attempts. She suffered multiple sexually transmitted infections diagnosed a…

paediatricspsychiatrycommunicationsystem
WAhospital2021-02-09

Inquest into the Death of Baby H (Name Subject to Suppression Order)

0y · Female·head and neck injuries

…y department on 10 May 2017 with facial bruising, which physicians incorrectly assessed as accidental. The child health nurse and emergency doctors were not provided complete clinical history and lacked awareness of ear…

emergency medicinepaediatricsdiagnosticcommunication
VIChome2011-10-31

Finding into death of Rory

4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet

…his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents were chronically dependent on prescription opioids and benzodiazepines, frequently incapacita…

general practicepaediatricssystemdelayoxycodone
NSWhome2024-12-04

Inquest into the death of HB

1y · Female·Multiple injuries (subdural clot, multiple rib fractures, injuries to liver, blo…

…aff found the explanations implausible or concerning. Systemic failures included: inappropriate routing of child protection notifications away from specialist joint investigation response teams; passive acceptance of me…

paediatricsemergency medicinesystemcommunication
VIChome2021-05-15

Finding into death of Ms ZT

27y · Female·Multiple sharp force injuries

…e 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 Page Employment Se…

communicationsystem

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