90 results for “sexual abuse”
33y · Female·Immersion (drowning) by suicide
…. She had a severely traumatic childhood characterised by emotional neglect, overly severe discipline, and sexually inappropriate behaviour by her older brother. Despite considerable efforts at rehabilitation in adulthoo…
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.) and GP (Dr S.) since December 2018, …
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 history of …
4y · Female·Injuries sustained in fall from height
…losures did not trigger mandatory reporting as they did not meet the threshold for significant physical or sexual abuse. The coroner found no breach by treating GPs but noted gaps in family violence training and awarenes…
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 coroner found DCJ made multiple critical failures: acceptin…
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 attempt, was voluntarily admitted to a low dependency psychiatric…
32y · Female·Injuries caused by asphyxiation and blunt force trauma to the head inflicted by …
…d: Coulson's possession of her phone and credit card post-mortem; DNA evidence from intimate swabs showing sexual contact within 24-48 hours of death; fingerprints and DNA found throughout the flat; text messages imperso…
15y · Female·hypoxic brain damage due to multiple drug toxicity
…e (speedballing) in her bedroom while a known drug user was present. She had complex trauma from childhood abuse, a history of drug use and absconding, and was awaiting trial to give evidence about sexual assault. Gordo…
0y · Female·head and neck injuries
A 4-month-old girl (Baby H) died from head and neck injuries caused by violent shaking inflicted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physi…
5y · Female·aspiration of vomit with microscopic early pneumonia, in a child with a history …
A five-year-old girl with cerebral palsy and epilepsy resulting from non-accidental head injuries at two months old died from aspiration of vomit with early pneumonia. Critical lessons: bruising in non-ambulant infants i…
38y · Female·Hanging in the setting of multiple blunt force injuries
Samantha Joy Fraser, a 38-year-old psychologist, was murdered by her estranged husband Adrian Basham in July 2018 despite an active family violence intervention order. The coronial investigation identified systemic failu…
0y · Female·brain death complicating head and neck injury
A five-month-old girl died from catastrophic brain injuries caused by violent shaking on 20 May 2019. Medical evidence established she was shaken by an adult on at least two occasions: once around 6 May 2019 (evidenced b…
57y · Female·Asphyxia - Inhalation of liquefied petroleum gas (LPG)
Mrs R, a 57-year-old woman with bipolar disorder, borderline personality disorder, and depression, died from asphyxia by inhalation of liquefied petroleum gas. On 31 March 2024, family unable to contact her requested a p…
61y · Male·Hanging
Stanley Bruce Weaver, a 61-year-old firefighter with a history of depression and previous suicide attempts, died by hanging at his workplace on 26 August 2019. His wife had reported concerns about medication stockpiling …
81y · Male·Hanging
An 81-year-old man with depression, cardiac disease, and prior anti-depressant treatment died by hanging while awaiting trial on child sex offence charges. The coroner identified this death as part of a cluster of five c…
53y · Male·severe burns
Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threatening to self-immolate d…
23y · Female·stab wound of the chest
Kunmanara May, aged 23, was killed by her partner SK in a domestic violence homicide in 2015. Multiple agencies—South Australia Police, Families SA, Aboriginal Family Support Service, and Centacare—knew of escalating vio…
12y · Male·Suicide by hanging
…fety officers, one of whom was untrained and inexperienced, investigated a notification of suspected child sexual abuse and arranged placement with a third party within days. The boy expressed distress about the move and…
35y · Male·self-inflicted gunshot wound to the head
… October 2023 in Milner, NT. The death occurred in context of escalating coercive control including verbal abuse, property control, and physical detention. Over seven months, Eileen made multiple police reports and soug…
47y · Male·Ligature compression of the neck (hanging)
…th, aged 47, died by hanging in Casuarina Prison on 9 April 1998. He was a sentenced prisoner convicted of sexual offences, serving a 10-year sentence. His appeal was adjourned and legal aid was refused, causing signific…
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