Coronial

137 results for complex trauma

NSWhome2015-10-23

Inquest into the death of Mary-Anne TURNER

58y · Female·Unknown - cause and manner of death remain undetermined

…g depression, and recent psychosocial stressors (relationship separation, family conflict). No evidence of trauma, foul play, or suicide intent was identified. The case highlights risks of social isolation, untreated men…

pathologytoxicologymethadone
QLDmental health2026-01-29

Inquest into the death of Tiesha Marie Derbyshire

18y · Female·Mixed drug toxicity

Tiesha Marie Derbyshire, an 18-year-old with complex mental health conditions including eating disorder, PTSD, and borderline personality disorder, died from …

psychiatrygeneral practicecommunicationsystempropranolol
SAhospital2020-12-18

Coroner's Finding: FROST Gary Desmond

57y · Male·Right acute subdural haematoma following a fall

…ing a fall while in supported residential care. He experienced multiple falls over several weeks with head trauma. On 11 February 2019, after falling backwards and striking his head despite wearing a helmet, he developed…

emergency medicineneurosurgery
NTcommunity2020-12-15

Inquest into the death of Fionica James, Katurah Mamarika, Layla Leering

Female·self-inflicted hanging (Fionica and Layla); hanging but circumstances open (Ketu…

… communities, all with documented histories of sexual abuse, domestic violence, STIs, injuries, and severe trauma. All were known to government agencies. Fionica was pursued by an adult male who threatened her family wit…

paediatricspsychiatrydiagnosticcommunicationalcohol
QLD2007-03-01

McGeary, Corey Allan

20y · Male·Self-inflicted hanging

…kely precipitated by the stressful transfer. Key clinical lessons: (1) Vulnerable prisoners with chronic, complex psychiatric comorbidity should be flagged and require mental health consultation before destabilising eve…

psychiatrypsychologycommunicationsystemolanzapine
QLDaged care2024-12-10

Non-inquest findings into the death of Mr O.

79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…

…with haemothorax. Critical issues included: staff administered aspirin and rivaroxaban despite obvious rib trauma and bruising (potentially exacerbating bleeding); delayed ambulance response; and omission of bed/chair se…

geriatric medicineemergency medicinediagnosticmedicationaspirin
QLDcommunity2008-08-28

Maslen, Samantha Anne

25y · Female·Neck injuries (fracture/dislocation of upper cervical spine with spinal cord inj…

Samantha Maslen, a 25-year-old woman with depression and complex social factors, was killed during a police pursuit following an alleged petrol station theft. She was a f…

systemdiagnostic
WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

Fazel Chegeni Nejad, a 34-year-old Iranian asylum seeker, died from ligature compression of the neck in the jungle near Christmas Island immigration detention centre on 8 November 2015. He had spent 1,477 days in detenti…

psychiatrygeneral practicesystemcommunicationmirtazapine
QLDcommunity2019-08-02

Ms D - Non-inquest findings

47y · Female·Overdose of hydromorphone

A 47-year-old woman died from an intentional overdose of prescribed hydromorphone while residing at a domestic violence refuge. She had a history of depression, previous suicide attempts, and was in crisis following sepa…

psychiatrygeneral practicediagnosticcommunicationhydromorphone
VIChospital2016-06-24

Finding into death of Graeme John Jennings

65y · Male·staphylococcal sepsis (secondary to Staphylococcus aureus infection seeding rect…

A 65-year-old man presented with quad bike accident injuries and had markedly elevated inflammatory markers (CRP 329–556, WCC 12.3–18) during his first hospital admission. These were suggestive of developing infection, p…

general surgeryemergency medicinediagnosticcommunicationindocid
ACT2019-02-15

AN INQUEST INTO THE DEATH OF BEN CATANZARITI

21y · Male·Head injuries suffered as a result of being struck by a concrete pouring boom wh…

Ben Catanzariti, 21, died from severe head trauma when struck by a collapsing concrete pump boom at a construction site in Kingston, ACT on 21 July 2012. Th…

system
QLDcommunity2026-02-24

Non-inquest findings into the death of Pedro Miguel Ventura Enes

54y · Male·Blunt force head injury due to hit by rock while driving

…l tyres on an earthmoving truck and was ejected at high velocity during acceleration, causing catastrophic traumatic brain injury with unsurvivable injuries including complex fractures, intracranial haemorrhages, and vas…

neurosurgerytrauma surgerysystem
NThospital2024-12-06

Inquest into the death of Baby G

0y · Male·Trisomy 21 with complex cardiac anomalies complicated by pulmonary hypertension,…

Baby G, born with Trisomy 21 (Down Syndrome) and complex cardiac anomalies, died at Royal Darwin Hospital on 18 March 2023 aged 6 months. The coroner found that n…

neonatologypaediatricsdiagnosticsystem
SAhospital2008-01-02

Coroner's Finding: WOOD Jacqueline Moyra

17y · Female·raised intracranial pressure due to hepatic encephalopathy related cerebral oede…

…ations of sexual abuse she had made, combined with her intellectual disability, epilepsy history, and past trauma. No criticism was directed at healthcare workers; the death could not have been predicted despite availabl…

paediatricsintensive carediagnosticparacetamol
NSW2023-07-06

Inquest into the death of RRC

26y · Male·hanging, intentionally self-inflicted

A 26-year-old Aboriginal man died by suicide in custody following discharge from a Risk Intervention Team (RIT) management plan on 19 October 2021. He had self-harmed on 17 October, reporting voices telling him to cut hi…

psychiatrycorrectional healthcommunicationdocumentation
WAcommunity2019-02-07

Inquest into the 13 Deaths of Children and Young Persons in the Kimberley Region

Ligature compression of the neck (hanging) in 12 cases; one open finding

This complex coronial inquest examined 13 Aboriginal children and young persons who died by suicide in the Kimberley R…

psychiatrypaediatricsdiagnosticcommunicationalcohol
NSWhome2025-03-04

Inquest into the death of ML

1y · Female·complications of acute bronchiolitis arising from Respiratory Syncytial Virus (R…

… unsafe housing situation; and inadequate cultural consultation and support for an Aboriginal family with complex trauma. The child had been subject to multiple reports of family violence, parental substance use, neglec…

paediatricscorrectional healthsystemcommunicationmarijuana
QLDhome2022-07-12

Jack - Non-inquest findings

41y · Male·Stab wound to the chest

Jack, a 41-year-old man with extensive history of domestic violence perpetration across multiple relationships, died from a stab wound to the chest inflicted by his partner Sally during a domestic disturbance. Sally had …

forensic medicinecorrectional healthcommunicationsystemmethamphetamine
NSWcommunity2014-01-31

Inquest into the death of Albert CONSTABLE

63y · Male·Multiple blunt force injuries and mechanical asphyxia

…cross to the wrong side of the road, a dangerous decision that resulted in fatal injuries from blunt force trauma and mechanical asphyxia. The driver was not fatigued according to log-book records. Suicide was ruled out …

general practiceforensic medicinemirtazapine
WAhospital2023-06-29

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

11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…

Child R, an 11-year-old Aboriginal girl with congenital anorectal anomalies causing chronic severe constipation, presented to Halls Creek Hospital on 5 January 2017 with severe abdominal pain and vomiting. She died 12 ho…

paediatricsemergency medicinediagnosticcommunicationmacrogol

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