7y · Male·Blunt force head injury with bilateral acute subdural haemorrhage, hypoxic/ischa…
…his mother's boyfriend Kodi Maybir on 20 May 2013. The coroner identified systematic failures by NSW Police and FACS. Police failed to properly investigate welfare concerns on multiple dates (8, 27, and 31 March 2013), …
0y · Male·failure to thrive due to insufficient caloric intake
…o insufficient caloric intake at 7 weeks old. He was born to a mother with a documented history of severe neglect and physical abuse of multiple children over 5 years, during which Child and Family Services (FACS) had e…
11y · Male·unascertained
An 11-year-old child with Cornelia de Lange Syndrome and severe congenital heart disease died alone at home while his mother wa…
10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…
AA, a 10-year-old boy with morbid obesity and severe obstructive sleep apnoea, died from hypoxic brain injury after a cardiorespiratory arrest. He had be…
Boyd Lyle Scotty Farrer: Ligature compression of the neck (hanging); Esmay Alber…
Five Aboriginal people died in Oombulgurri, a remote East Kimberley community, between March 2005 and April 2006: four by suicide and one in a motor vehicle accident. Boyd Farrer (16), Alicia Rex (15), Paul Mi…
15y · Male·Ligature compression of the neck (hanging)
…Despite stable, loving foster placement since age 4, Ethan remained neurologically vulnerable due to early childhood neglect and abuse (fractured skull at 7 weeks, multiple incidents of parental neglect until age 2). Ex…
4y · Female·closed head injury with contributing extensive subcutaneous and intramuscular ha…
…lentine, aged 4 years 5 months, died on 20 January 2012 from closed head injury with extensive subcutaneous and intramuscular haemorrhage. The fatal injuries resulted from repeated trauma inflicted during a period when …
1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…
… 2016 from abdominal injuries inflicted by his mother's partner, William O'Sullivan, combined with severe neglect. Mason was admitted to hospital in February 2016 with severe perianal injuries and cellulitis, consistent…
2y · Female·head injury
… from severe head injuries sustained on 7-8 July 2009 at her home in St Arnaud, Victoria. She presented to childcare in the weeks before her death with unexplained bruising and injuries to her face and head. Victoria Po…
13y · Male·Self-inflicted (manner recorded as intentionally self-inflicted; specific method…
A 13-year-old boy with depression, migraine, school refusal and family instability died by intentional self-inflicted means. His general practitioner provided inadequate m…
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…
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 …
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 clo…
2y · Male·Unascertained causes; on balance of probabilities, inflicted injuries on evening…
…ears 8 months, died on 13 October 2003 from unascertained causes, likely inflicted injuries resulting from abuse. He had been living with Ms Martyn from September 2003, during which time he was subjected to severe physi…
Female·Sudden Unexpected Death in Infancy (SUDI), otherwise undetermined
Two infants died suddenly and unexpectedly. The first child died at home at 3 months of age in an unsafe sleeping environment with multip…
34y · Male·Firearm injury to the head and neck
…r-old male died from a gunshot wound to the head on 13 March 2008. His stepdaughter, who had been sexually abused by him since age 14 with threats of violence and control, shot him in self-defense during a sexual assaul…
0y · Female·Unascertained
…eeping environment while staying with relatives in Sydney. She was placed in a pram in her parents' bedroom and was found not breathing on the morning of 17 August 2014. The exact time of discovery remains unclear, but …
0y · Female·hypoxic brain injury following respiratory arrest due to accidental suffocation …
…following accidental suffocation whilst co-sleeping with her intoxicated mother. The parents were known to child protection services (CPS) due to intellectual disabilities, severe parental alcohol abuse, poor supervisio…
0y · Male·subdural haemorrhage due to blunt force trauma to the head
…e trauma to the head inflicted by his mother. Autopsy revealed bilateral subdural haemorrhage, brain tears, and rib fractures sustained over preceding weeks. The Department of Communities, Child Safety and Disability re…
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…
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