Coronial

192 results for child abuse

QLDhome2020-03-30

Hinder, Nyobi Jade; Hinder, River James & Hinder, Charlie

7y · Female·Explosion caused intentionally by Charlie Hinder; children died instantly from b…

…esulted from an intentional explosion caused by Charlie Hinder in a caravan containing himself and his two children (ages 4 and 7) during marital separation. Charlie had perpetrated coercive controlling domestic violenc…

communicationsystem
NSWhome2025-06-24

Inquest into the death of Jade

3y · Female·Bilateral Bronchopneumonia (Streptococcus Pyogenes/Staphylococcus Aureus) with k…

Jade, a 3-year-old First Nations child, died from bilateral bronchopneumonia with neglect as a significant contributing factor. Her death was who…

paediatricspsychiatrydiagnosticcommunicationquetiapine
NSWcommunity2021-07-30

Inquest into the death of A J

36y · Male·multiple injuries consistent with a fall from a height

…man with severe depression, social isolation, and recent life crises (job loss, marital breakdown, reduced child contact) posted suicidal messages on social media and stood on a cliff ledge. Police negotiators engaged h…

psychiatrycorrectional healthcommunicationdelaysertraline
VIChome2016-03-16

Finding into death of AA (Baby D)

0y · Female·head injuries

Twin infant died of head injuries inflicted by her mother, a previously well-functioning woman suffering unrecognized postnatal depression during the stressful period of managing unsettled twins with colic and poor weigh…

general practicepaediatricsdiagnosticcommunication
VIChospital2021-05-31

Finding into death of Ms Jane

13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity

…later. The coroner found no clinical failures by emergency responders or hospital staff, and no inadequate child protection response or support services provision. Jane had engaged well with counselling, education suppo…

emergency medicineintensive caregamma hydroxybutyrate
VIChome2022-05-23

Finding into death of Mr A

37y · Male·Stab wound to the left kidney

…d not monitor prisoners' phone calls for FVIO breaches such as indirect contact through third parties; and Child Protection failed to communicate case closure to other agencies, preventing coordinated risk reassessment …

general practiceemergency medicinesystemcommunication
VIChome2024-05-14

Finding into death of PJQ PJQ

18y · Female·Multidrug toxicity (GHB, amphetamines, benzodiazepines)

…d early from a residential rehabilitation program. She had complex trauma history, PTSD, and polysubstance abuse. Following early discharge from the Gippsland Youth Residential Rehabilitation Program on 15 February 2022…

paediatricspsychiatrysystemdelayGHB
SAcommunity2024-08-29

Coroner's Finding: May, Kunmanara

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…

general practiceforensic medicinediagnosticcommunication
VIChome2024-11-06

Finding into death of Samantha Joy Fraser

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…

general practicepsychologydiagnosticcommunicationdiazepam
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

…amphetamine (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 assa…

emergency medicinetoxicologydelaysystemheroin
QLDhome2016-02-09

DM

35y · Female·Stab wound to chest penetrating the descending thoracic aorta resulting in catas…

… over 13 years, with multiple police interventions, domestic violence orders, and contacts with health and child safety services. Despite repeated attempts by police, health services, and domestic violence support agenc…

forensic medicineemergency medicinesystemcommunicationamphetamine
TAShospital2015-10-09

Coroner's Finding: Hay, Katrina Maree

35y · Female·Acute right heart failure (cor pulmonale) following intravenous injection of cru…

…nted to hospital with cardiogenic shock, hypertension, and respiratory distress while pregnant. Her unborn child suffered foetal distress and died in utero. Autopsy revealed microcrystalline cellulose (tablet binder) de…

emergency medicineintensive carealprazolam
NThome2026-03-20

Inquest into the death of Ralph Donald

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…

psychiatryaddiction medicinesystemcommunication
WAhome2020-01-16

Inquest into the Deaths of Zaraiyah-Lily HEADLAND and Andreas Hohaia HEADLAND

Unknown·asphyxiation in a child with drug effect

Two young children, aged 5 and 3, died following filicide by their father during a parental separation. The father purchas…

emergency medicinepaediatricssystemdelaydoxylamine
TAShome2013-08-09

Coroner's Finding: Miss N de-identified

20y · Female·injury caused by hanging

…sector adult mental health services for eating disorders on Tasmania's North West Coast, noting that while child and adolescent services were adequate, adults with eating disorders lacked specialised public sector suppo…

psychiatrypsychologysystemdelaymethylphenidate
VIChospital2018-10-05

Finding into death of Baby W

Female·Intrauterine pneumonia and meconium aspiration complicating intrauterine growth …

…ary to intrauterine growth restriction related to maternal amphetamine use. The mother had known substance abuse, prior child protection involvement, and tested positive for amphetamine during pregnancy (October and Dec…

obstetricsneonatologydiagnosticsystemmethamphetamine
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…

… fatally stabbed by her former partner Benjamin Coman on 9 October 2021. She was pregnant with their third child. The relationship involved progressive coercive control, financial abuse, obsessive jealousy, and controll…

psychiatryemergency medicinediagnosticcommunicationsertraline
NTcommunity2022-05-20

Inquest into the death of Reginald Roy

16y · Male·Consequences of high voltage electrical injury due to mental disorder/psychosis

Reginald, a 16-year-old Aboriginal boy with first episode psychosis, intellectual disability, and fetal alcohol spectrum disorder, was admitted to the Youth Inpatient Unit and improved significantly with inpatient care. …

psychiatrypaediatricscommunicationsystemaripiprazole
SA2013-02-14

Coroner's Finding: ROBINSON Shane Andrew

32y · Male·Gunshot wound to head (self-inflicted)

Shane Andrew Robinson, a 32-year-old registered child sex offender and parolee with a long violent criminal history and substance abuse problems, died by self-i…

communicationsystemcannabis
NSWhome2025-03-03

Inquest into the death of Harmony

15y · Female·hanging

Harmony, a 15-year-old girl, died by hanging at a motel on 14 January 2020 in circumstances of longstanding neglect, family violence and school disengagement. The coroner found multiple systemic failures: DCJ closed case…

paediatricspsychiatrysystemdelaycannabis

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