Coronial

11 results for Developmental delays

VIChome2025-07-28

Finding into death of Aluel Ajak

9y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian)

Aluel Ajak, a 9-year-old girl with autism spectrum disorder, severe developmental delay, and moderate intellectual disability, died from injuries sustained when struck by a motor vehic…

paediatricsdisability medicinesystemdelayclonidine
VICcommunity2022-10-13

Finding into death of Krystal Fraser

23y · Female·Death by homicide; medical cause unable to be determined due to body not being l…

…June 2009 near Leitchville, likely as a result of homicide. Evidence shows Krystal was vulnerable with developmental delays, poor self-care abilities, and limited social skills. She left hospital for a supposed party, m…

obstetricscommunicationsystemcannabis
WAhome2023-01-09

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

3y · Male·Pneumonia and respiratory failure in association with metachromatic leukodystrop…

…layed notification to the Coroner of the death in 2013. Key clinical lessons include the importance of developmental screening (early motor delays were noted but not formally assessed), comprehensive investigation of mu…

paediatricsneurologymorphine
VIChospital2026-02-12

Finding into death of Kristy Ann Mitchener

45y · Female·Complications of sepsis secondary to sacral pressure wound in a woman with genet…

Kristy Ann Mitchener, a 45-year-old woman with severe intellectual disability, genetic developmental and epileptic encephalopathy, and oesophageal dysmotility, died from sepsis secondary to a sacral pres…

general practiceemergency medicinesystemcommunicationantibiotics
NSWcommunity2014-04-07

Inquest into the death of Jordan Leigh SARGENT

21y · Female·hypoxic brain injury due to choking on food, with Bardet-Biedl Syndrome as a con…

Jordan Sargent, a 21-year-old with Bardet-Biedl Syndrome causing intellectual disability and developmental delays, died from hypoxic brain injury after choking on a Jaffa lolly while being driven in a minibus …

emergency medicinepathologycommunicationsystem
QLDhospital2025-07-14

Non-inquest findings into the death of a two year old girl whose family was known to Child Safety

2y · Female·Complications of severe anaemia and SARS-CoV2 (COVID-19) infection

…ulties, took almost exclusively milk and yoghurt, and was profoundly anaemic with poor muscle tone and developmental delay. Although Child Development Service identified anaemia risk and recommended GP assessment and ir…

paediatricsemergency medicinediagnosticdelaymethamphetamine
NSWhome2023-10-24

Inquest into the death of AW

2y · Female·effects of fire (smoke inhalation and thermal injury)

AW, a 2-year-old girl with 15a11.2 BP1-BP2 microdeletion syndrome and developmental delays, died on 14 April 2018 in a house fire at her rural NSW home. She died from smoke inhalation an…

paediatricssocial worksystemdelay
NThome2021-11-25

Inquest into the death of Sammy

9y · Female·suicide by hanging

A 9-year-old Aboriginal girl died by suicide while in out-of-home care. She had been removed from her Aboriginal parents at 10 months of age and placed with non-Aboriginal carers despite legislation requiring Aboriginal …

paediatricspsychiatrysystemdelaymethylphenidate
NT2025

Inquest into the death of Kumanjayi Walker

19y · Male·gunshot wounds to chest and abdomen

…ce abuse services contributed to vulnerabilities; failures in early intervention for young people with developmental delays or FASD; and absence of culturally competent, trauma-informed approaches to Aboriginal people i…

public healthpsychiatrycommunicationsystem
SAcommunityNew2026-06-25

Coroner's Finding: Nan Lesley Walker, Ian Rex Walker and Suzanne Mary Skeer

[77, 80, 55]y · ["female", "male", "female"]·Multiple injuries from motor vehicle collision

A motor vehicle collision on the Princes Highway near Suttontown killed three adults when a 16-year-old driver with significant neurological conditions momentarily lost concentration while ascending a hill. The driver ha…

general practicepaediatricssystemcommunication
WAcommunity2019-02-07

Inquest into the 13 Deaths of Children and Young Persons in the Kimberley Region

Ligature compression of the neck (hanging) in 12 cases; one open finding

This complex coronial inquest examined 13 Aboriginal children and young persons who died by suicide in the Kimberley Region between 2012–2016. The coroner found 12 deaths were suicides and one open finding. Common contri…

psychiatrypaediatricsdiagnosticcommunicationalcohol

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