Coronial

40 results for child abuse and neglect

WAhome2021-12-15

Inquest into the Death of Child J (Name Subject to Suppression Order)

15y · Male·ligature compression of the neck (hanging)

Aboriginal child in out-of-home care died by hanging following relationship breakdown. He experienced foetal alcohol spectr…

psychiatrypaediatricssystemdelay
WAhome2021-04-16

Inquest into the Death of Child LDW (Name Subject to Suppression Order)

3y · Female·tramadol toxicity

… tramadol toxicity after accessing prescribed opioid medication left unsecured in her carer's bedroom. The child was removed from her mother's care due to neglect and substance abuse and placed with her step-father. Alt…

paediatricsforensic medicinesystemdelaytramadol
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

Two Indigenous young men, JE (16 years) and JJ (16 years), both died by hanging within four months during a suicide cluster in Mackay, Queensland in 20…

psychiatryemergency medicinediagnosticcommunicationalcohol
SAhome2022-04-21

Coroner's Finding: Rigney, Amber Rose and Mitchell, Korey Lee

Unknown·Amber Rose Rigney: external airway occlusion with compression of the neck; Korey…

Two children, Amber Rose Rigney (6) and Korey Lee Mitchell (5), were murdered on 30 May 2016 by their mother's partn…

paediatricssystemdelayice/methamphetamine
NSWhospital2025-05-01

Inquest into the death of DB

2y · Female·sequelae of blunt force head and spinal cord injuries

DB, aged 2 years 9 months, died from blunt force head and spinal cord injuries inflicted by her mother's boyfriend after DCJ closed its case in August 2015. The coro…

paediatricsemergency medicinediagnosticsystem
QLDhospital2013-07-05

Brennan, Phil John Richard

13y · Male·Staphylococcus aureus bronchopneumonia due to perinatal hypoxic-ischaemic brain …

Phil Brennan was a 13-year-old boy with severe cerebral palsy and epilepsy who died from Staphylococcus aureus bronchopneumonia. He presented with breathing difficulties one…

general practicepaediatricsdiagnosticdelay
NThome2017-06-09

Inquest into the death of Baby S

0y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest as a consequence of…

…Aboriginal female, Baby S, died from hypoxic-ischaemic encephalopathy caused by respiratory viral infection and pneumonia with cardiac arrest. She was in care of Territory Families after removal from her mother, Ms Char…

paediatricsforensic medicine
WAhome2020-07-16

Inquest into the Death of CHILD RM

17y · Female·ligature compression of the neck (hanging)

…ing discharged from secure care. She had experienced complex developmental trauma, family violence, sexual abuse, and severe alcohol-related liver disease. Critical gaps were identified in the child protection system: t…

paediatricspsychiatrysystemcommunicationalcohol
VIChome2021-05-15

Finding into death of Ms ZT

27y · Female·Multiple sharp force injuries

Ms ZT, a 27-year-old Lebanese woman, was murdered by her husband Mr BR on 17 June 2016 through multiple sharp force injuries. The coroner's investigation revealed a prolong…

communicationsystem
QLDhospital2014-06-17

Murray, Vaughan

14y · Male·Undetermined; high suspicion of non-accidental injury, most likely smothering, b…

…3-6 weeks old) consistent with chest compression/squeezing, facial bruising suggesting possible smothering, and evidence of previous lung haemorrhage. Both parents gave conflicting accounts; the father claimed the infan…

forensic medicinepaediatricsmarijuana/cannabis
NSWhome2024-12-04

Inquest into the death of HB

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

…d to hospital twice in two weeks with suspicious injuries: facial injuries on 7 June attributed to a puppy, and more extensive facial injuries on 13 June attributed to bumping into her mother's chest. At both presentati…

paediatricsemergency medicinesystemcommunication
VICcommunity2015-05-07

Finding into death of Krisinda Carmen Smart

15y · Female·toxicity to heroin

Krisinda Carmen Smart, aged 15, died from heroin toxicity on 20 January 2008. She was a child in care of the Department of Human Services subject to a Custody to Secretary Order. In the days before he…

paediatricsemergency medicinediagnosticsystemheroin
QLD2015-10-09

(P) a thirteen year old girl

13y · Female·Multiple injuries due to motor vehicle accident

… girl in residential care absconded with a vehicle after an extended violent altercation with youth workers and died in a high-speed motor vehicle crash. She had extensive trauma history, PTSD, reactive attachment disor…

paediatricspsychiatrysystemdelay
NSWhospital2023-06-23

Inquest into the death of Baylen Pendergast

21y · Male·Complications of blunt head injury resulting from at least two separate acts of …

… months old, died from complications of blunt head injury sustained in two separate traumatic incidents (17 and 28 November 2013). The coroner found injuries were non-accidental and resulted from significant force. Crit…

paediatricsemergency medicinediagnosticcommunication
ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

… to death by his father Graham Dillon in February 2016. The inquest examined how multiple agencies—police, child protection, education, and health services—failed to protect him despite numerous concerning reports spann…

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
NSWcommunity2024-04-18

Inquest into the death of Baby Q

0y · Female·unascertained

A nine-month-old First Nations child (Baby Q) was killed by her psychotic father in November 2018. The family, transient and homeless, were kno…

paediatricspsychiatrysystemcommunication
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 wa…

psychiatrypaediatricscommunicationsystem
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…

…l inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. The coroner…

public healthpsychiatrysystemdelayalcohol
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
NSWhome2023-08-22

Inquest into the death of George Campbell

17y · Male·hydrocarbon toxicity (petrol inhalation)

George Campbell, an Aboriginal youth with complex trauma, ADHD, and emerging volatile substance misuse, died aged 17 from hydrocarbon toxicity after inhaling petrol. While liv…

paediatricspsychiatrycommunicationsystempetrol

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.