Coronial

254 results for family violence and abuse

VICcommunity2025-05-09

Finding into death of PLM

40y · Female·Stab wounds to the chest and abdomen

A 40-year-old woman was fatally stabbed by her former intimate partner who had an extensive history of family violence offending and multiple breaching intervention orders. Despite multiple service contacts in the da…

systemcommunicationalcohol
WAhospital2024-05-23

Inquest into the Death of Baby BE (Name Subject to Suppression Order)

0y · Female·brain death complicating head and neck injury

…n at least two occasions: once around 6 May 2019 (evidenced by a bruise identified by health professionals) and fatally on 20 May 2019. The case reveals critical systemic failures in child protection. A 'sentinel bruise…

paediatricsneonatologydiagnosticcommunicationmethamphetamine
VIChome2023-11-20

Finding into death of Caitlin Mary O'Brien

31y · Female·Compression of the neck

…ea Sturt via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk management. Alfred Health clinicians had documented extensive family violenc…

psychiatryemergency medicinediagnosticcommunicationcannabis
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…

…e girls aged 15-17 years died by hanging in remote NT communities, all with documented histories of sexual abuse, domestic violence, STIs, injuries, and severe trauma. All were known to government agencies. Fionica was …

paediatricspsychiatrydiagnosticcommunicationalcohol
VIChome2013-04-12

Finding into death of Cody Jackson

15y · Male·asphyxiation by hanging

Cody Jackson, aged 15, died by asphyxiation from hanging in March 2009. He had a troubled family background with exposure to violence, substance abuse, and criminal activity. Cody was involved with multi…

psychiatrypsychologysystemdelay
VIChospital2021-12-13

Finding into death of Baby A

1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…

…eeks before death, likely inflicted by his mother's partner. Critical clinical lessons include: incomplete family violence information sharing to Child Protection delayed appropriate risk assessment; hospital clinicians …

paediatricsemergency medicinesystemcommunicationmethamphetamine
WAhospital2018-06-25

Inquest into the Death of LCTM

0y · Male·complications of head injury

…rately by his teenage 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…

neonatologypaediatricscommunicationsystem
TAShome2025-08-28

Coroner's Finding: de-identified XY

10y · Male·catastrophic brain injury with multiple brain bleeds

…he perpetrator violently shook the infant, thrust his finger into the child's mouth causing palatal injury, and threw them into a cot. This case highlights the vulnerability of infants in out-of-home care settings and t…

paediatricsneurosurgery
NTcommunity1999-11-24

Inquest into the death of Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto

Unknown·Four deaths: three by self-inflicted hanging, one by multiple injuries from fall

Four Aboriginal Tiwi Islanders died in 1998 from suicide by hanging (three cases) and by falling from a power pole (one case). The inqu…

alcohol
VIChospital2025-07-30

Finding into death of MHT

86y · Male·Complications of blunt force trauma in a man with cardiac amyloidosis and athero…

An 86-year-old man with dementia, cardiac amyloidosis and atherosclerotic cardiovascular disease died from complications of blunt force trauma sustained in an assaul…

emergency medicineneurosurgerysystemcommunicationondansetron
VICcommunity2014-12-18

Finding into death of Allan George Whyte and Maureen Joyce Braddy

Unknown·unknown

Allan George Whyte (17) and Maureen Joyce Braddy (16) disappeared on 23 November 1968 after attending a dance at the YMCA Hall in Bendi…

diagnosticsystem
VIChome2024-01-11

Finding into death of Madeline Jane Howe

20y · Female·Complications of neck compression in the setting of partial suspension

…y 2019 following partial suspension. She had experienced significant trauma including parental separation, family violence, and her brother's death by suicide eight months prior. She was under care of North East and Bord…

psychiatryemergency medicinecommunicationsystemfluoxetine
SAhome2003-09-25

Coroner's Finding: SAMMUT-SMITH Jason Peter

16y · Male·fresh water drowning

…old boy, died by fresh water drowning on 1 December 2001. The coroner found extensive evidence of physical abuse inflicted over months, including numerous bruises, abrasions, and injuries consistent with repeated blunt …

forensic medicineemergency medicinesystemdelaydiazepam
SAaged care2011-09-19

Coroner's Finding: RICHARDSON Margaret Joan

63y · Female·ischaemic heart disease

…ng home where she was detained under a Guardianship Board order. She had a long history of chronic alcohol abuse and cognitive impairment. The coroner found no evidence of inadequate care at the nursing home or hospital…

cardiologygeriatric medicine
VIChome2021-03-19

Finding into death of Kim Melissa Hall

36y · Female·combined effects of baclofen toxicity and blunt head injury

Kim Melissa Hall, 36, died from combined baclofen toxicity and blunt head injury sustained during falls while acutely intoxicated. She had severe alcohol dependence treat…

general practiceaddiction medicinemedicationbaclofen
TAShome2018-08-31

Coroner's Finding: Green, Paul William

66y · Male·carbon monoxide poisoning due to inhalation of exhaust gases from a lawn mower

Paul William Green, a 66-year-old retired engineer with longstanding depression, anxiety, PTSD, and chronic alcohol abuse, died by intentional carbon monoxide poisoning from…

psychiatrygeneral practicecommunicationsystemantidepressant medication
TAScommunity2025-07-02

Coroner's Finding: de-identified LM

41y · Male·multiple blunt force injuries sustained in a fall from height from the Tasman Br…

A 41-year-old man with a long history of alcohol and illicit drug abuse, poor mental health with suicidal ideation, and a history of Mental Health Act orders di…

psychiatryforensic medicinesystemalcohol
VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

A 16-year-old Aboriginal girl died by hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, complex psychosocial needs, learning difficulties,…

paediatricsaddiction medicinesystemcommunicationinhalant
QLDhospital2017-12-01

Girven, Bianca – Non-inquest findings

22y · Female·Hypoxic-ischaemic encephalopathy due to asphyxia (mechanical asphyxiation by nec…

…ion by her boyfriend with schizophrenia. The boyfriend was under mental health service care at Princess Alexandra Hospital. The coroner found his mental health treatment was not appropriate, with key failures including:…

psychiatryemergency medicinediagnosticcommunicationclozapine
NSWhome2014-08-29

Inquest into the death of Kate MALONYAY

32y · Female·Injuries caused by asphyxiation and blunt force trauma to the head inflicted by …

…d her ex-boyfriend Elliott Coulson as responsible. Key evidence included: Coulson's possession of her phone and credit card post-mortem; DNA evidence from intimate swabs showing sexual contact within 24-48 hours of deat…

forensic medicinesystem
178913

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