Coronial

38 results for complex_trauma

VICcommunity2016-12-14

Finding into death of Jake James-Kotsanas

23y · Male·Haemorrhage from incised wounds to the neck and wrists

Jake James-Kotsanas, 23, died from haemorrhage from self-inflicted knife wounds to his neck and wrists while experiencing a drug-induced psychotic episode following acute methylamphetamine intoxication. He had a complex …

psychiatrytoxicologymethamphetamine
VIChome2011-07-26

Finding into death of Kevin Gary Dow

47y · Male·Blunt head injury

Kevin Dow, a 47-year-old Aboriginal man, died from severe blunt head trauma following a violent assault by his partner's son during a domestic altercation. The assault was the culmination of ongoing family violence withi…

systemcommunication
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 her death, there were …

paediatricsemergency medicinediagnosticsystemheroin
NSWhome2023-08-22

Inquest into the death of George Campbell

17y · Male·hydrocarbon toxicity (petrol inhalation)

George Campbell, an Aboriginal youth with complex trauma, ADHD, and emerging volatile substance misuse, died aged 17 from hydrocarbon toxicity after inhaling petrol. While living with supportive kinship carers (Paul and …

paediatricspsychiatrycommunicationsystempetrol
NTcommunity2025-04-04

Inquest into the death of Kailab

15y · Male·multiple injuries caused by a motor vehicle accident

Kailab Moir, a 15-year-old Aboriginal boy with FASD, complex trauma, and ADHD, died in a single-vehicle rollover while a passenger in a stolen vehicle. He had been in out-of-home care since age 5 with approximately 35 di…

paediatricspsychiatrydiagnosticsystemalcohol
TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Despit…

psychiatryintensive carediagnosticsystem
NSW2022-12-15

Inquest into the death of YAKAMURRO - Findings

15y · Male·Neck compression due to hanging

Yakamurro, a 15-year-old First Nations boy in Territory Families care, died by hanging in NSW in December 2018. The coroner found multiple systemic failures contributed to his death. Key failures: inadequate family consu…

systemcommunication
NT2016-06-08

Inquest into the death of Madeline Downman

17y · Female·self-inflicted hanging

Madeline (Maddy) Downman, 17-year-old Aboriginal girl in state care, died by hanging at a residential facility. She had complex psychiatric needs including depression, trauma, self-harm, and substance abuse, with four ye…

psychiatrypaediatricscommunicationsystemmarijuana
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

A 15-year-old girl in out-of-home residential care died from accidental overdose of heroin and methylamphetamine (speedballing) in her bedroom while a known drug user was present. She had complex trauma from childhood ab…

emergency medicinetoxicologydelaysystemheroin
VICcommunity2015-04-13

Finding into death of KJ

18y · Female·Multiple injuries due to impact by train

KJ was an 18-year-old girl who died by suicide by train on 30 November 2012, six months after a suicide attempt. She had a complex trauma history, including childhood sexual abuse aged 6, and subsequently developed depre…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
NSWcommunity2018-04-30

Inquest into the death of Tahlia Peden

17y · Female·Hanging

Tahlia Peden, a 17-year-old Ngunnawal woman, died by hanging ten days after being sexually assaulted. She was assessed by Wagga Sexual Assault Service but a critical breakdown in the referral pathway meant Goulburn SAS n…

psychiatryemergency medicinecommunicationsystem
QLD2024-03-07

BROWN Samuel Timothy

20y · Male·Head injury from motor vehicle collision

Samuel Timothy Brown, age 20, died from severe head injury sustained in a motor vehicle collision on 25 November 2012. He was found lying on the Gold Coast Highway with a blood alcohol level of 0.241% (approximately 4 ti…

emergency medicineintensive carealcohol
VIC2016-11-17

Finding into death of Neil Lawrence Williamson

35y · Male·Intraoral shotgun wound

Neil Lawrence Williamson, aged 35, died from a self-inflicted intraoral shotgun wound on 4 April 2015 at Ravenswood rest stop after a lengthy police negotiation. He had a history of depression, childhood sexual abuse, an…

psychiatryforensic medicinealcohol
NSW2022-10-24

Inquest into the death of GL

69y · Male·neck compression due to hanging

GL, a 69-year-old Chinese national, died by hanging in Long Bay Correctional Centre's Medical Services Unit on 12 April 2022. He was incarcerated following the murder of his wife in September 2020 and had become a parapl…

psychiatrygeriatric medicine
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 trauma-infor…

paediatricspsychiatrydiagnosticcommunicationcannabis
NTcommunity2025-07-07

Inquest into the death of Kumanjayi Walker

19y · Male·fatal gunshot wounds to the chest and back from three rounds fired by Constable …

Kumanjayi Walker, a 19-year-old Warlpiri/Luritja man with complex trauma history, was fatally shot three times on 9 November 2019 during an attempted arrest in Yuendumu. The coroner found the death was avoidable and resu…

emergency medicinegeneral practicediagnosticprocedural
WAhome2013

Inquest into the Death of Deniro, Alen

28y · Male·Gunshot wound to the head

Alen Deniro died by suicide on 5 May 2011 after learning of his de facto partner's death from terminal lung cancer. Psychiatrists appropriately assessed him as high suicide risk and initiated involuntary detention proced…

psychiatrygeneral medicinecommunication
VIChome2025-05-23

Finding into death of Shirley Annette Kidd

67y · Female·Head injuries

Shirley Kidd, aged 67, died from head injuries inflicted by her grandson Hayden during a cannabis-induced psychosis. Hayden had experienced severe childhood abuse by his stepfather and subsequently developed mental healt…

psychiatrygeneral practicesystemcannabis
VIChome2024-05-14

Finding into death of PJQ PJQ

18y · Female·Multidrug toxicity (GHB, amphetamines, benzodiazepines)

PJQ was an 18-year-old in state care who died from multidrug toxicity (GHB, amphetamines, benzodiazepines) after being discharged early from a residential rehabilitation program. She had complex trauma history, PTSD, and…

paediatricspsychiatrysystemdelayGHB
QLD2015-10-09

(P) a thirteen year old girl

13y · Female·Multiple injuries due to motor vehicle accident

A 13-year-old Aboriginal girl in residential care absconded with a vehicle after an extended violent altercation with youth workers and died in a high-speed motor vehicle crash. She had extensive trauma history, PTSD, re…

paediatricspsychiatrysystemdelay

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