Coronial

49 results for sexual abuse and trauma

TAShospital2022-07-01

Coroner's Finding: CL de-identified

33y · Female·hanging

A 33-year-old woman with major depressive disorder and a history of suicide attempts died by hanging five days after discharge from hospital following a carbon mo…

psychiatryemergency medicinediagnosticcommunicationsertraline
NThospital2017-01-13

Inquest into the death of Michael Smedley

0y · Male·Traumatic head injury

A five-month-old boy died from traumatic head injury. Initial medical disagreement about whether injuries were from accidental fall or non-accid…

paediatricsforensic medicinediagnosticcommunication
VICcommunity2024-10-04

Finding into death of T K

18y · Female·Mixed drug toxicity

TK, an 18-year-old woman with borderline personality disorder, chronic suicidality, and a history of childhood trauma, died from mixed drug toxicity following intentional overdose. She had multip…

psychiatrygeneral practicesystemdelaytramadol
QLD2023-09-19

AJO - findings

34y · Male·Hanging

A 34-year-old remand prisoner died by hanging in his cell at Arthur Gorrie Correctional Centre. He had a history of child sexual

psychiatrycorrectional healthcannabis
WAcommunity2021-03-25

Inquest into the Suspected Death of Jason Marcus LAWSON

32y · Male·unascertained; most likely exposure after walking in bushland

…son, a 32-year-old man with a complex psychiatric history including depression, anxiety, polysubstance use, and previous suicide attempts, disappeared on 11 December 2003, one week after discharge from an acute psychiat…

psychiatrypsychologycommunicationdelaycitalopram
WAhospital2010-02-04

Inquest into the Death of Hudson

20y · Male·Ligature compression of the neck (hanging)

Allan Kevin Hudson, a 20-year-old male with a history of depression, suicidality, substance abuse and previous sexual trauma, died by hanging on 13 August 2006 at Sir Charles Gairdner Hospital's psychiatr…

psychiatryemergency medicinediagnosticcommunicationcarbamazepine
VIC2024-06-19

Finding into death of X Y

17y · Female·Neck compression by hanging (suicide)

…on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as the child's legal guardian. Critical failures included: inadeq…

paediatricspsychiatrycommunicationsystemvenlafaxine
VIChome2023-03-16

Finding into death of Mr W

32y · Male·Hanging

Mr W, a 32-year-old man with lifelong anxiety, previous suicide attempts, and childhood trauma, died by hanging on 5 April 2019. He had been receiving care from a psychologist (Dr C.) a…

psychiatrypsychologycommunicationescitalopram
VIChome2025-11-24

Finding into death of Suk Ching Annie Ng

64y · Female·Blunt Force Trauma to the Head in the Setting of Prolonged Lie; Metastatic Breas…

Annie Ng, aged 64, died from blunt force head trauma sustained in her home on 27 February 2024, with death occurring 9 March 2024 at Royal Melbourne Hospital. …

oncologygeneral practicesystem
VICcommunity2015-05-07

Finding into death of Krisinda Carmen Smart

15y · Female·toxicity to heroin

…tunity to conduct a LEAP database check that would have revealed her DHS status, multiple welfare warrants, and drug history. The DHS failed to obtain a safe custody warrant despite clear concerning indicators, includin…

paediatricsemergency medicinediagnosticsystemheroin
WAcommunity2002-07-19

Inquest into the Death of Elizabeth Ann Studd

33y · Female·Immersion (drowning) by suicide

Elizabeth Ann Studd, a 33-year-old woman with longstanding borderline personality disorder, died by drowning in the Swan River on 28 August 1999. She had a severel…

psychiatrygeneral practicealprazolam
NSWhome2014-08-29

Inquest into the death of Kate MALONYAY

32y · Female·Injuries caused by asphyxiation and blunt force trauma to the head inflicted by …

…h resulted from asphyxiation (likely from manual neck compression/strangulation) combined with blunt force trauma to the head. The coronial inquest identified her ex-boyfriend Elliott Coulson as responsible. Key evidence…

forensic medicinesystem
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

A 15-year-old girl in out-of-home residential care died from accidental overdose of heroin and methylamphetamine (speedballing) in her bedroom while a known drug user was present. She had complex trauma

emergency medicinetoxicologydelaysystemheroin
NSW2025-07-24

Inquest into the death of PF

45y · Male·Hanging

PF, aged 45, died by hanging in custody at South Coast Correctional Centre following bail refusal and adverse legal advice. The coroner found his death was intentional self-harm. Although PF had a significant …

psychiatrypsychologydelay
NTcommunity2020-12-15

Inquest into the death of Master W, Miss B and Master JK

volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…

…ines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote Aboriginal communities in the NT between 2018-2019. All three were known to government agencies …

psychiatryaddiction medicinediagnosticsystempetrol
NSWhome2023-04-14

Inquest into the death of Stanley Leonard RUSSELL

45y · Male·gunshot wound to the chest with associated significant blood loss

…hot dead by NSW police executing a bench warrant at his home on 9 November 2021. He had suffered childhood sexual abuse, his brother died by suicide in custody, and he feared incarceration due to prior self-harm episodes…

forensic medicineemergency medicinediagnosticcommunicationmethamphetamine
VIC2026-02-03

Finding into death of Jacqueline Courtenay Hunter Pringle

23y · Female·Injuries sustained in a fall from a height

…gle, 23, died from injuries sustained in a fall from the 60th floor of an apartment after consuming alcohol and MDMA at Crown Casino. She had a complex psychiatric history including major depression, anxiety, PTSD, and

psychiatrypsychologycommunicationdiagnosticalcohol
SAprison2021-06-28

Coroner's Finding: STACHOR Joshua Marek

30y · Male·Hanging

Joshua Stachor, aged 30, died by hanging in Yatala Labour Prison on 19 November 2017. He was a remand prisoner on charges of domestic violence. The coroner found critical failures in his admission assessment o…

correctional healthgeneral practicediagnosticcommunicationprochlorperazine
VICmental health2022-12-13

Finding into death of Jamie Andrew Kowalewsky

27y · Male·Global cerebral ischaemic injury in the setting of hanging

Jamie Kowalewsky, a 27-year-old with long-standing mental health issues including depression, substance abuse (ICE and cannabis), and previous suicide atte…

psychiatryintensive carecommunicationlorazepam
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

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