Coronial

308 results for family crisis

TAScommunity2022-12-15

Coroner's Finding: Wildman, Benjamen

37y · Male·self-inflicted stab wound to the chest

… severity have limited treatment efficacy, particularly in rural settings. Wildman had recently breached a family violence order protecting his former partner. When arrested by Senior Constable Keenan on the Arthur Highw…

psychiatrypsychology
VIChospital2023-05-16

Finding into death of Mathew James Luttrell

43y · Male·Hanging

… died by hanging 19 hours later. The coroner found the hospital failed to seek collateral information from family or MDAS, breached his human rights by deploying restrictive interventions without considering less restric…

psychiatryemergency medicinecommunicationdelayolanzapine
VICcommunity2025-08-27

Finding into death of Harley James Smith

7y · Male·multiple injuries sustained in a motor vehicle collision (passenger)

…ng his partner's death from metastatic cancer three days earlier. While concerning behavioral patterns and family violence were identified in retrospective investigation, there were no overt indicators that would have pr…

paediatricspsychiatrycommunicationsystemmirtazapine
VIChome2020-09-07

Finding into death of Ms MH

29y · Female·Hanging

…sing qualifications, an impending divorce scheduled for the day after her death, and possible cultural and family tensions. A phone call from her mother in India on the day of death appeared to precipitate crisis. The co…

psychiatrypublic health
VIC2021-03-18

Finding into death of Stanley Bruce Weaver

61y · Male·Hanging

…lth CAT Team on 25 July 2019 found no acute risk requiring involuntary treatment. Police served him with a Family Violence Intervention Order and firearms cancellation notice on 24 August 2019, after which he attended hi…

psychiatrygeneral practicesystemdiazepam
VIChome2019-08-12

Finding into death of Traci O'Sullivan

42y · Female·The combined effects of blunt force injuries to the head and penetrating injurie…

…ponsible, but evidence did not reach the required legal threshold. Her death highlights the challenges for family members supporting those with comorbid addiction and mental illness, and the limitations of mental health …

psychiatrytoxicologymethamphetamine
QLDcommunity2011-10-21

Parsons, Anthony John

35y · Male·Gunshot wound to the head

Anthony Parsons died by self-inflicted gunshot wound during a police siege after assaulting his wife and threatening suicide. He had a history of clinical depression since 2002, a previous suicide attempt in 2008, and wa…

psychiatryemergency medicinevenlafaxine
WAhome2022-01-17

Inquest into the Death of Shaun Andrew WILLIS

54y · Male·Ligature compression of the neck (hanging)

Shaun Willis, aged 54, died by hanging at his home on 8 March 2019 following a turbulent separation and family violence history. He was arrested on 7 March for assaulted his ex-wife and served with a Family Violence R…

communicationsystemalcohol
TAShospital2020

Coroner's Finding: Bond, Johnathon Lee

51y · Male·mixed prescription drug toxicity (amisulpride, diazepam and mirtazapine)

A 51-year-old man with schizophrenia, depression and early dementia died from mixed prescription drug toxicity (amisulpride, diazepam, mirtazapine) after a deliberate overdose. He had recently presented to hospital with …

psychiatryemergency medicinesystemdelayamisulpride
NSWhome2021-03-11

Inquest into the death of Chan Chen

35y · Female·Stab wounds to the chest

Chan Chen, 35, was killed by her husband Andrew Luo in their home through stab wounds to the chest. Luo had displayed increasingly erratic behaviour throughout 2019, including delusions of persecution, beliefs that Chen …

general practicepsychiatrydiagnosticcommunicationrisperidone
VICcommunity2020-05-11

Finding into death of Jolanta Boyd

48y · Female·Multiple injuries sustained when struck by a train

…al services provided were reasonable and appropriate. However, systemic failures were identified regarding family violence responses: health and police staff failed to adequately document and respond to her disclosed fam…

psychiatryemergency medicinecommunicationsystemalcohol
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 was identified: when the mother reported missing children …

psychiatrypaediatricscommunicationsystem
VIChome2011-10-18

Finding into death of Peter John Griffin

54y · Male·Hanging (self-inflicted), following the death of Lynette Ann Kent from stab woun…

…following relationship breakdown. The finding documents a 10-year relationship characterised by escalating family violence, controlling behaviour, stalking, and threats. Critical clinical lessons include: the GP who trea…

general practicepsychiatrycommunicationsystem
NSWhome2016-08-11

Inquest into the deaths of Mr TK and Mrs TK

Female·Mrs TK: gunshot wounds to the head and left forearm inflicted by Mr TK; Mr TK: s…

…he intention to end his own life. Despite his documented marital difficulties, Mr TK gave no indication to family, friends, or colleagues of his intentions. The coroner explicitly found the deaths constituted 'a catastro…

NSWcommunity2022-11-04

Inquest into the disappearance and suspected death of Morgan Rae

30y · Male·Unable to be ascertained

…ot reviewed to identify Morgan as high risk; mobile phone triangulation was not attempted immediately; and family input was not adequately valued. PolAir searches and coordinated National Park searches were delayed until…

systemcommunication
VICmental health2015-09-24

Finding into death of Elaine Elizabeth Sykes

58y · Female·Multiple injuries sustained in collision with train (pedestrian)

…milies involved in care. This case highlights the importance of comprehensive post-discharge planning when family caregivers express concerns about adequacy of their role and patient capability.

psychiatrygeneral medicinesystemcommunication
ACThome2010-05-07

Inquest Into The Death Of Lolesio Smith

Male·Self-inflicted gunshot injury to the head

Lolesio Smith, a resident of Turner in the ACT, died on 27 February 2006 at Canberra Hospital from a self-inflicted gunshot injury to the head, occurring one day after the incident. Police attended his residence on 26 Fe…

emergency medicine
SAcommunity2024-08-29

Coroner's Finding: May, Kunmanara

23y · Female·stab wound of the chest

…in a domestic violence homicide in 2015. Multiple agencies—South Australia Police, Families SA, Aboriginal Family Support Service, and Centacare—knew of escalating violence over two years but failed to intervene effectiv…

general practiceforensic medicinediagnosticcommunication
WAcommunity2018-06-22

Inquest into the Death of Isiah Duane KEARING

20y · Male·ligature compression of the neck (hanging)

Isiah Kearing, a 20-year-old Aboriginal man, died by hanging approximately 3 hours after being arrested by police for disorderly conduct at a community hall. He had expressed anger and humiliation about being arrested, f…

forensic medicineemergency medicinesystemalcohol
VIChome2022-06-22

Finding into death of Mr Y

46y · Male·Neck compression by ligature suspension

Mr Y, a 46-year-old man with a history of alcohol use and family violence perpetration, died by suicide via neck compression by ligature suspension in May 2020. He had exp…

general practicepsychiatrycommunicationsystem
178916

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.