Coronial

192 results for child abuse

WAhome2021-02-11

Inquest into the Death of Child T (Name Suppressed)

2y · Male·pneumonia in association with bronchiolitis

Child T, a 2-year-old boy in Department of Communities' care, died from pneumonia in association with bronchioli…

general practicepaediatrics
WAhospital2025-04-17

Inquest into the Deaths of HC and Child HR

terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…

…nation of nearly 24/7 support workers in the home (2020-2021), HC's documented relapse into severe alcohol abuse and unauthorized use of her daughter's medications (particularly clonazepam) in early 2022 prompted placem…

paediatricspalliative care
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

…oning, respiratory infection, passive smoking exposure, and unsafe sleep environment. Critical failures by Child Safety Services included: premature closure of an 'unborn baby notification' without risk assessment despi…

paediatricsforensic medicinesystemdelaymorphine
VIC2013-08-19

Finding into death of TH

2y · Female·Blunt force injury to the abdomen

…uries occurred on the evening/night of 12 May or early morning of 13 May 2005 at the boyfriend's flat. The child was taken to a medical centre around 3:30pm on 13 May already in cardiac arrest. Expert evidence establish…

paediatric surgeryemergency medicinedelaysystem
TAScommunity2024-04-11

Coroner's Finding: de-identified CR

52y · Male·fully suspended hanging

…critical precipitant was an early morning AFP search warrant executed at his residence relating to alleged child abuse material on his electronic device. Within hours, he was evicted and his phone seized. He received a …

duloxetine
VIChome2019-01-08

Finding into death of Fiona Kellie Burke

32y · Female·hanging

…th concerns, and prior suicidal ideation. Critical failings in service coordination were identified: DHHS (child protection) closed its investigation in February 2016 without confirming the perpetrator had left the home…

paediatricspsychiatrycommunicationsystemalcohol
WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

Child MML was an Aboriginal boy born in April 2010 who suffered catastrophic abusive head trauma at eight months…

neurologypaediatricscommunicationsystem
QLDhome2009-10-16

Anderson, Andrew Scott

14y · Male·gunshot wound to the head

Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficult…

psychiatrypaediatricsdiagnosticcommunicationmarijuana
VIChome2015

Finding into death of Zahra Rahimzadegan

46y · Female·Unascertained - death occurred in the course of an assault by her husband; evide…

… domestic homicide on 16 December 2011. The death occurred in the context of a 16-year history of physical abuse, threats, and controlling behaviour. The coroner identified significant service system gaps: couple's coun…

paediatricsforensic medicinecommunicationsystem
TAScommunity2015

Coroner's Finding: Youth Suicide

suicide by hanging or other means

…etween 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 protection risk assessme…

psychiatrypaediatricssystemcommunicationlamotrigine
VIC2024-06-19

Finding into death of X Y

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

… 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: inadequate cultural connection and support, poor case manage…

paediatricspsychiatrycommunicationsystemvenlafaxine
QLDhome2021-05-13

Baby J - Non-inquest findings

0y · Unknown·Category II Sudden Infant Death Syndrome (co-sleeping)

…ding, bed-sharing with parent and sibling, and parental substance use. The coroner found the Department of Child Safety failed to conduct proper investigations despite multiple notifications of domestic violence, drug u…

paediatricsemergency medicinesystemcommunicationmethamphetamine
NSWhome2025-08-28

Inquest into the death of KBS

1y · Male·Blunt force abdominal trauma; laceration of spleen with intra-abdominal haemorrh…

…tures, extensive bruising, and patterned burns consistent with inflicted injuries sustained over time. The child died in the early hours of the morning after receiving a significant blunt force blow to the abdomen. Fami…

paediatricsforensic medicinecommunicationsystemcannabis
NSWcommunity2023-08-25

Inquest into the death of SG

15y · Male·Hanging

A 15-year-old Aboriginal boy with complex trauma history, including physical abuse, parental mental illness, and 40+ child protection reports, disclosed a suicide attempt to his school coun…

psychiatrypaediatricscommunicationsystem
WAhome2014-10-17

Inquest into the Death of Ethan (Subject to a Suppression Order)

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

…Despite stable, loving foster placement since age 4, Ethan remained neurologically vulnerable due to early childhood neglect and abuse (fractured skull at 7 weeks, multiple incidents of parental neglect until age 2). Ex…

psychiatrypsychologymelatonin
QLDhome2008-09-19

12 year old boy at Kowanyama

12y · Male·Suicide by hanging

…in a remote Queensland community died by suicide by hanging following his placement in alternative care by child protection services. The boy had multiple vulnerabilities including fetal alcohol syndrome, intellectual d…

paediatricspsychiatrydiagnosticsystem
SA2023-04-06

Coroner's Finding: Chilcott, Zhane Andrew Keith

13y · Male·Hanging

…. The coroner found multiple systemic failures: inadequate scrutiny of his first placement with LB despite abuse allegations; poor oversight during problematic commercial care; critical failure to financially support hi…

paediatricsgeneral practicesystemcommunication
NSWhome2018-05-25

Inquest into the death of J

0y · Female·Unascertained

A four-month-old girl died in an unsafe sleeping environment while staying with relatives in Sydney. She was placed in a pram in her parents' bedroom and was found not breathing on the morning of 17 August 2014. The exac…

paediatricsgeneral practicesystemdelay
QLDhome2026-04-21

Inquest into the deaths of F and M

33y · Male·Extensive burns sustained when former partner deliberately splashed petrol on hi…

F and M, two parents involved in family law proceedings over their three children, both died in a house fire in March 2022. F (aged 33) died from extensive burns after M (aged 31) delib…

psychiatrypaediatricsdiagnosticsystem
TAShome2022-06-10

Coroner's Finding: Geertsema, Darlene Avis

30y · Female·Injuries inflicted by John Shepherd; pathological cause unable to be determined

…y of serious violence against intimate partners, established motive (Geertsema's plans to leave with their children), and was the last person to see her alive. Key clinical/forensic lessons: early intervention in domest…

alcohol
145610

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