Coronial

192 results for child abuse

SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

Jonathan Mark Hanckel, aged 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While h…

gastroenterologypsychiatry
WAhome2016-07-21

Inquest into the Deaths of Heather GLENDINNING and Jessica Rose CUZENS and Jane Lesley margaret CUZENS

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…

…ating back to 2000. Over the decade preceding her death, multiple agencies—mental health services, police, child protection, and the Family Court—had contact with her but failed to recognize the full extent of her deter…

psychiatrypsychologycommunicationsystemcannabis
WAhome2021-12-15

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

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

Aboriginal child in out-of-home care died by hanging following relationship breakdown. He experienced foetal alcohol spectr…

psychiatrypaediatricssystemdelay
VIChome2026-03-20

Finding into death of HD S

41y · Female·Multiple injuries from assault

…es; and adult safeguarding legislation is needed to coordinate responses to vulnerable adults experiencing abuse. Police missed opportunities to include the victim's child on protection orders, ensure proper referrals t…

communicationsystemcannabis
QLDhospital2012-12-06

Death of an infant

0y · Male·Traumatic head injuries including subdural haemorrhage, intracranial haemorrhage…

…injury. Early recognition of inconsistencies between history and injuries, and appropriate notification of child protection authorities, is critical. The coroner could not determine who inflicted the injuries or precise…

paediatricsneonatology
VIChome2025-03-11

Finding into death of Stephen Peter O'Brien

68y · Male·Head injuries

…ity services to proactively identify hidden carers of adults with mental illness, implement targeted elder abuse awareness campaigns, and develop integrated response models for both victims and perpetrators of elder abu…

general practicepsychologysystemcommunication
QLD2015-10-09

(P) a thirteen year old girl

13y · Female·Multiple injuries due to motor vehicle accident

A 13-year-old Aboriginal girl in residential care absconded with a vehicle after an extended violent altercation with youth workers and died in a high-speed motor vehicle crash. She had extensive trauma history, PTSD, re…

paediatricspsychiatrysystemdelay
QLDhome2019-07-15

Male child aged 20 months - Non-inquest findings

20y · Male·Lung infection on a background of oxycodone intoxication

…kground of oxycodone intoxication after ingesting oxycodone tablets located in his grandparents' home. The child's grandparents had obtained 560 oxycodone tablets in the month preceding his death from Dr S., who prescri…

general practiceforensic medicinediagnosticmedicationoxycodone
NThome2013-05-15

Inquest into the death of Michael Chisholm, Aaliyaha Webb and Julian Chisholm

23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…

Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure wa…

psychiatrypaediatricscommunicationsystem
NT2016-06-08

Inquest into the death of Madeline Downman

17y · Female·self-inflicted hanging

…dential facility. She had complex psychiatric needs including depression, trauma, self-harm, and substance abuse, with four years of unstable placements (26 total) and fragmented mental health care. Despite evidence of …

psychiatrypaediatricscommunicationsystemmarijuana
NSWhome2017-10-13

Inquest into the death of D T

13y · Male·Self-inflicted (manner recorded as intentionally self-inflicted; specific method…

…per screening or follow-up, failed to recognise suicide risk, and showed insufficient empathy or care. The child's school appropriately escalated concerns about educational neglect to child protection authorities. Howev…

general practicepsychiatrydiagnosticcommunicationfluoxetine
VIChospital2019-07-04

Finding into death of Israel Bodean Brenssell-Rimene

0y · Male·unascertained

An 11-month-old boy died at Hamilton Hospital after presenting in cardiac arrest with multiple injuries sustained over weeks. Despite exhaustive post-mortem investigation, the medical cause of death remains unascertained…

paediatricsemergency medicinesystemmethamphetamine
NTcommunity2005-07-19

Inquest into the death of Carlene Coombe

43y · Female·stab wound to the chest; contributing factors were aspiration of stomach content…

…ances that remain unclear. She had a complex history of depression, alcohol dependence, and family crisis (children removed from her care). She was found fatally wounded outside her partner's residence in Darwin in July…

forensic medicinegeneral practicealcohol
QLDhospital2014-06-17

Murray, Vaughan

14y · Male·Undetermined; high suspicion of non-accidental injury, most likely smothering, b…

Vaughan Murray, a 14-week-old infant, died at Ipswich General Hospital with an undetermined cause despite autopsy findings highly suggestive of non-accidental injury. He had five partially healed rib fractures (3-6 weeks…

forensic medicinepaediatricsmarijuana/cannabis
ACThome2019-07-31

Inquest into the death of Cheyse Williams-Empson

3y · Male·unascertained

…led from support services through missed urinalysis appointments and provision of false samples. While the child showed normal development and medical care was appropriate, the mother's continued heroin use—unknown to t…

neonatologyforensic medicinecommunicationsystemheroin
NSWhospital2015-02-13

Inquest into the death of Baby RD

0y · Male·Head injury from non-accidental trauma (forced shaking) occurring on 11 May 2009

…ding days but not recognized; (3) hospital staff must report suspected serious indictable offences against children simultaneously to both police and child protection authorities without delay; (4) ambulance attendance …

paediatricsintensive carediagnosticsystem
WAhospital2018-06-25

Inquest into the Death of LCTM

0y · Male·complications of head injury

…ge father in hospital on 15 February 2014. The father had a well-documented history of violence, substance abuse, criminality and had been in Department of Child Protection care. Pre-birth planning was delayed due to la…

neonatologypaediatricscommunicationsystem
VIChome2022-10-06

Finding into death of Ozlem Karakoc

34y · Female·Drowning

…d experienced prolonged family violence from Mr Davsanoglu including controlling, emotional, and financial abuse. In the months before her death, she reported family violence to multiple services including Monash Health…

psychiatrygeneral practicecommunicationsystemvenlafaxine
WAhome2016-07-21

Inquest into the Deaths of Jessica Rose CUZENS and Jane Lesley Margaret CUZENS and Heather GLENDINNING

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…

Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then t…

psychiatrygeneral practicecommunicationsystemcannabis
NSWhome2021-04-07

Inquest into the deaths of John, Jack and Jennifer EDWARDS

Multiple gunshot wounds to the head, chest, abdomen and extremities (Jennifer); …

Two children, Jack (15) and Jennifer (13), were fatally shot by their father John Edwards at their home on 5 July 20…

diagnosticsystem
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