Coronial

26 results for child sexual abuse trauma

VIChome2023-01-23

Finding into death of Cody Morrella Watson

19y · Female·Hanging

Cody Watson, 19, died by hanging following childhood sexual abuse, family violence, and inadequate trauma-informed care. She disclosed abuse at 15, subsequ…

general practicepsychiatrysystemdelayvenlafaxine
VIC2015-10-05

Finding into death of Catherine Jane Bernard

17y · Female·multiple injuries due to impact by train

A 17-year-old girl with major depressive disorder, a history of self-harm and overdoses, parent-child conflict, and a disclosed history of childhood sexual abuse died by suicide on her first day of Year 12. C…

emergency medicinepsychiatrycommunicationsystemtemazepam
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…

… teenage 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. Fionic…

paediatricspsychiatrydiagnosticcommunicationalcohol
VIChome2012-09-07

Finding into death of RGF

34y · Male·Firearm injury to the head and neck

A 34-year-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 sexua…

paediatricsforensic medicinecommunicationsystem
QLDhome2022-06-17

CJ - Non-inquest findings

14y · Male·Hanging

A 14-year-old boy died by hanging after extensive exposure to domestic and family violence and child abuse, primarily from his father. Child Safety Services involvement began in infancy but failed to apply a…

paediatricspsychiatrydiagnosticcommunicationcannabis
VIChospital2016

Finding into death of Zakiya Crystal Lisa Thomas

15y · Female·Hanging

…Base Hospital following a family argument about repaying a borrowed $300. She had disclosed experiences of childhood sexual abuse by her uncle, physical and emotional abuse by her step-father, family violence, and suici…

psychiatrypaediatricscommunicationsystemcitalopram
VIC2016-11-17

Finding into death of Neil Lawrence Williamson

35y · Male·Intraoral shotgun wound

…n 4 April 2015 at Ravenswood rest stop after a lengthy police negotiation. He had a history of depression, childhood sexual abuse, and had prepared his death meticulously including creating a will and video messages. On…

psychiatryforensic medicinealcohol
NSWhome2022-03-30

Inquest into the deaths of Stacey DOCHERTY and Seth DOCHERTY

38 and 3y · Female and male·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…

Stacey Docherty, a 38-year-old woman with complex post-traumatic stress disorder and borderline personality disorder resulting from childhood sexual abuse, killed her 3…

psychiatrygeneral practicemedicationcommunicationalprazolam
NThospital2017-01-13

Inquest into the death of Michael Smedley

0y · Male·Traumatic head injury

A five-month-old boy died from traumatic head injury. Initial medical disagreement about whether injuries were from accidental fall or non-accid…

paediatricsforensic medicinediagnosticcommunication
WAcommunity2020-06-02

Inquest into the Suspected Death of Christen Lee FOGARTY

22y · Male·Unknown - Open Finding

…n Australia on 25 July 2002. He had recently experienced distress following an incident involving unwanted sexual advances from a cousin, leading to withdrawal and expressed desire to go somewhere he wouldn't be found. T…

delay
VIC2017-08-01

Finding into death of Maria Liordos

16y · Female·Mixed drug toxicity

Maria Liordos, a 16-year-old in state care with complex trauma, substance abuse, mental health issues and high-risk behaviours, died from mixed drug toxicity. The corone…

paediatricspsychiatrycommunicationsystemheroin
WAhome2020-07-16

Inquest into the Death of CHILD RM

17y · Female·ligature compression of the neck (hanging)

…uicide on 16 April 2017 after being discharged from secure care. She had experienced complex developmental trauma, family violence, sexual abuse, and severe alcohol-related liver disease. Critical gaps were identified in…

paediatricspsychiatrysystemcommunicationalcohol
VIChome2024-07-05

Finding into death of BC J

32y · Female·Neck compression in the setting of self-suspension

…ocumented history of intimate partner violence died by self-suspension. She had reported ongoing physical, sexual and psychological abuse to police on 12 May 2020 and was assessed under mental health legislation, disclos…

psychiatryforensic medicinecommunicationsystemvenlafaxine
QLD2023-09-19

AJO - findings

34y · Male·Hanging

…-old remand prisoner died by hanging in his cell at Arthur Gorrie Correctional Centre. He had a history of child sexual offences and mental health issues including depression and past self-harm. Initial risk assessments…

psychiatrycorrectional healthcannabis
VICcommunity2015-05-07

Finding into death of Krisinda Carmen Smart

15y · Female·toxicity to heroin

Krisinda Carmen Smart, aged 15, died from heroin toxicity on 20 January 2008. She was a child in care of the Department of Human Services subject to a Custody to Secretary Order. In the days before he…

paediatricsemergency medicinediagnosticsystemheroin
NT2016-06-08

Inquest into the death of Madeline Downman

17y · Female·self-inflicted hanging

…e care, died by hanging at a residential facility. She had complex psychiatric needs including depression, trauma, self-harm, and substance abuse, with four years of unstable placements (26 total) and fragmented mental h…

psychiatrypaediatricscommunicationsystemmarijuana
VIC2024-06-19

Finding into death of X Y

17y · Female·Neck compression by hanging (suicide)

… found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as the child's legal guardian. Critical failures included: inadequate cultural connection and support, poor case manage…

paediatricspsychiatrycommunicationsystemvenlafaxine
NTcommunity2020-12-15

Inquest into the death of Master W, Miss B and Master JK

volatile substance abuse (inhalation of petroleum vapour, aviation fuel, deodora…

This inquest examines three children (Master W aged 12, Miss B aged 17, Master JK aged 13) who died from volatile substance abuse in remote …

psychiatryaddiction medicinediagnosticsystempetrol
NSWhospital2025-05-01

Inquest into the death of DB

2y · Female·sequelae of blunt force head and spinal cord injuries

… audio Helpline recordings to assist caseworkers in assessing complaint credibility. Key lesson: statutory child protection responsibility cannot be delegated; systemic failures in assessment, supervision, and decision-…

paediatricsemergency medicinediagnosticsystem
WAhospital2021-02-09

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

0y · Female·head and neck injuries

…y department on 10 May 2017 with facial bruising, which physicians incorrectly assessed as accidental. The child health nurse and emergency doctors were not provided complete clinical history and lacked awareness of ear…

emergency medicinepaediatricsdiagnosticcommunication

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