Coronial

577 results for homicide

VIChome2017-02-14

Finding into death of Indianna Price-Mihayo

3y · Female·Undetermined, consistent with suffocation or drowning

…ent Framework (CRAF) when Ms Price disclosed concerns about Mr Mihayo being 'triggered' by a recent child homicide (Luke Batty's death). Staff advised Ms Price to 'rely on her gut instinct' rather than providing comprehe…

systemcommunication
VICmental health2019-12-17

Finding into death of Thien Cong Pham

27y · Male·ligature strangulation

A 27-year-old male with treatment-resistant schizophrenia died from ligature strangulation by a co-patient at a secure forensic mental health facility. The deceased had multiple admissions for medication non-compliance a…

psychiatrycorrectional healthsystemdelayclozapine
VIChome2016-05-25

Finding into death of Sarah Louise Cafferkey

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…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
VIChome2024-11-13

Finding into death of Noeline Michelle Dalzell

49y · Female·stab wound to the neck

Noeline Dalzell, a 49-year-old Aboriginal woman, was fatally stabbed in the neck by her partner James Fairhall on 4 February 2020 after 17 years of escalating family violence. Multiple systems failed to protect her and h…

paediatricscorrectional healthcommunicationsystem
VIChome2020-08-24

Finding into death of Brittany Harvie

22y · Female·Complications of blunt force trauma to head, neck and chest

Brittany Harvie, aged 22, was killed by her de facto partner Mataio Aleluia in June 2015 following a 15-minute violent assault involving repeated punching to the head, neck and chest. She died from complications of blunt…

forensic medicinepsychiatrycommunicationsystemcannabis
VIChome2017-07-12

Finding into death of Risto Pedevski

79y · Male·Head and neck injuries from blunt force trauma

Mr Risto Pedevski, a 79-year-old man, was fatally assaulted by his son George in November 2014 during a dispute over a gas hot water system. George had a long-standing diagnosis of schizophreniform disorder and paranoid …

psychiatrygeriatric medicinediagnosticcommunicationantipsychotic medication
SAcommunity2006-12-13

Coroner's Finding: ELDRIDGE Michael and GERARD David

Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…

Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed Dav…

psychiatryemergency medicinecommunicationsystemzuclopenthixol deconate
SAhome2021-04-15

Coroner's Finding: WOODFORD Gayle Elizabeth

56y · Female·multiple blunt force injuries deliberately inflicted

Gayle Elizabeth Woodford, a 56-year-old registered nurse working in Fregon, APY Lands, was abducted and murdered on 23 March 2016 by Dudley Davey, who had a long history of violent sexual offences dating back to age 14. …

occupational and environmental healthemergency medicinesystemcommunication
NSWhome2024-12-12

Inquest into the death of Ms K

43y · Female·suffocation

Ms K, aged 43, was killed by her husband through suffocation on 7 March 2017 after years of coercive control, physical violence, and emotional abuse. A critical police response on 17 August 2016 when Ms K reported car va…

general practicepsychologycommunicationsystemalcohol
QLDhome2012-11-14

Galeano, Antonio Carmelo

39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…

Antonio Carmelo Galeano died in police custody on 12 June 2009 after a protracted struggle and multiple taser activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergen…

emergency medicinepsychiatryproceduralcommunicationamphetamine
SA2017-02-17

Coroner's Finding: MCPHERSON Lewis Mike

18y · Male·Gunshot wound to chest

An 18-year-old man (Lewis McPherson) was fatally shot by a 17-year-old (Liam Humbles) on New Year's Eve 2012. The coroner found the death was preventable. Humbles had illegally possessed a handgun for months, dealt drugs…

communicationsystemcannabis
VICcommunity2025-09-01

Finding into death of Ms FSZ

32y · Female·Compression of the neck

FSZ, a 32-year-old woman, was killed by her intimate partner NLU through compression of the neck (strangulation) on 24 April 2019. This coronial finding identifies multiple systemic failures in family violence response a…

psychiatryemergency medicinediagnosticcommunicationolanzapine
NThome2026-03-20

Inquest into the death of Ralph Donald

35y · Male·self-inflicted gunshot wound to the head

Ralph Donald, aged 35, died by suicide after attempting to kill his ex-partner Eileen Gibbons on 3 October 2023 in Milner, NT. The death occurred in context of escalating coercive control including verbal abuse, property…

psychiatryaddiction medicinesystemcommunication
VICcommunity2022-12-01

Finding into death of Gabriel Messo

30y · Male·Gunshot wounds to the chest

Gabriel Messo, a 30-year-old man with bipolar affective disorder, died from gunshot wounds inflicted by Victoria Police on 16 July 2020 after violently assaulting his mother at John Coutts Reserve. Clinical lessons inclu…

psychiatryemergency medicinecommunicationsystem
NSWcommunity2025-08-08

Inquest into the death of Stephen Douglas

62y · Male·Multiple sharp force injuries intentionally inflicted by client during home visi…

Stephen James Douglas, a 62-year-old community mental health nurse, was killed on 28 November 2019 by his client Peter Kemball during a home visit. Kemball had chronic schizophrenia and was experiencing psychosis with de…

psychiatrygeneral practicediagnosticsystempaliperidone
VIChome2023-11-20

Finding into death of Caitlin Mary O'Brien

31y · Female·Compression of the neck

Caitlin O'Brien, a 31-year-old nurse, was murdered by her intimate partner Shea Sturt via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk…

psychiatryemergency medicinediagnosticcommunicationcannabis
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

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

…ia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. The coroner found that Aboriginal suicide rates increased dramatically in 2006 (100% increase), with dea…

public healthpsychiatrysystemdelayalcohol

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