Coronial

125 results for domestic violence perpetrator

QLDhome2020-06-02

Lee, Mason Jet

1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…

…g required face-to-face contacts; failure to investigate Mr O'Sullivan's severe mental health history and violence despite available records; closure of the case to SCAN without implementing recommendations; and catastro…

paediatricsinfectious diseasesdiagnosticsystemmethamphetamine
VIChome2026-01-06

Finding into death of Michelle Margaret Darragh

32y · Female·Stab wound to the back extending into the posterior neck, causing subtotal trans…

…ercive control, financial abuse, obsessive jealousy, and controlling behaviours, though no prior physical violence occurred. Coman had attempted suicide days before the homicide after the relationship ended. Eastern Heal…

psychiatryemergency medicinediagnosticcommunicationsertraline
VICcommunity2025-09-01

Finding into death of Ms FSZ

32y · Female·Compression of the neck

…k (strangulation) on 24 April 2019. This coronial finding identifies multiple systemic failures in family violence response and support services. Key clinical/systemic lessons: (1) Mental health services discharged NLU w…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VICcommunity2021-05-25

Finding into death of Kylie Jane Cay

44y · Female·haemoperitoneum due to ruptured splenic subcapsular haematoma in the setting of …

… coroner identified failures in Ambulance Victoria's assessment processes, lack of appreciation of family violence context, and Community Corrections' failure to monitor the perpetrator's breaches of his community correc…

paramedicineemergency medicinediagnosticcommunication
WA2002-05-03

Inquest into the Death of Gerhardus Theron

39y · Male·Ligature Compression of the Neck (Hanging)

Gerhardus Theron, 39, died by suicide in a remand centre on 25 June 2000 by ligature compression of the neck. He had murdered his wife on 28 April 2000 while their four children were present, and was remanded in custody.…

psychiatrycorrectional healthsystemanti-depressants

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