Coronial

22 results for family violence exposure in children

VIChospital2021-12-13

Finding into death of Baby A

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

…c injury following cardiorespiratory arrest of unknown cause in the setting of detected methylamphetamine exposure. He had multiple healing traumatic injuries (rib fractures, wrist fracture, mesenteric injury, scrotal br…

paediatricsemergency medicinesystemcommunicationmethamphetamine
VIC2015-10-30

Finding into death of Darcey Iris

4y · Female·Injuries sustained in fall from height

…ary 2009 during a parenting dispute. Her mother had disclosed to GPs fears that the father could harm the children, but these disclosures did not trigger mandatory reporting as they did not meet the threshold for signifi…

general practicepaediatricscommunication
QLDcommunity2024-02-15

TE PAA Aaliyah; ROBERTSON Cayenne Murial; COOLWELL Rayvenna Tyrone; BAREFOOT

Unknown·Multiple injuries sustained as passengers in a motor vehicle collision

…, need for early intervention addressing trauma and socioeconomic disadvantage, and culturally appropriate family notification procedures for First Nations families. The deaths highlight systemic factors affecting young …

forensic medicineemergency 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 involve…

paediatricspsychiatrydiagnosticcommunicationcannabis
WAhome2020-07-16

Inquest into the Death of CHILD RM

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

…n 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 the chi…

paediatricspsychiatrysystemcommunicationalcohol
VIChome2024-01-25

Finding into death of Lachlan John Howe

13y · Male·Hanging

Lachlan John Howe, aged 13, died by hanging at his home on 18 May 2018 after being transported to Royal Children's Hospital. He had experienced significant family violence from his father, including emotional abuse, co…

paediatricspsychiatrycommunicationsystem
VIChome2023-10-17

Finding into death of J H

15y · Male·Electrocution

…om 16 prior notifications, did not adequately investigate the mother's known alcohol abuse and history of violence towards children, relied on a child's report rather than direct assessment, and did not ensure community …

psychiatrypaediatricssystemcommunicationfluoxetine
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 dea…

psychiatrypaediatricsdiagnosticcommunicationalcohol
VIChome2024-04-29

Finding into death of Mr A

32y · Male·Neck compression in the setting of hanging

Mr A, a 32-year-old male with a history of family violence perpetration, mental illness (bipolar disorder, schizophrenia, PTSD), substance misuse, and prior…

psychiatrygeneral practicecommunicationsystemalcohol
VIChome2015-05-08

Finding into death of Divesh Sharma

5y · Male·unascertained

…airment and mood changes following a motor vehicle collision in December 2011, appears to have exposed the family to chloroform before suffocating them, then died by suicide. The family had unrecognised history of contro…

rehabilitation medicineneurologycommunicationsystemchloroform
TAShome2025-06-24

Coroner's Finding: Infant W and Infant P

Infant W: asphyxia due to accidental overlay by parent in unsafe sleeping enviro…

… in an adult bed with excessive bedding; Infant P (1 month) died in similar circumstances with additional exposure to cigarette smoke. Both cases revealed critical failures by Child Safety Services: delays in case alloca…

paediatricspsychiatrydiagnosticcommunicationmethadone
SAhome2015-04-09

Coroner's Finding: VALENTINE Chloe Lee

4y · Female·closed head injury with contributing extensive subcutaneous and intramuscular ha…

… Chloe over her nearly 4.5-year life. Major failures identified include: systemic non-compliance with the Children's Protection Act (particularly section 20(2) regarding mandatory drug assessments), failure to utilise av…

paediatricsforensic medicinediagnosticsystemmethamphetamine
VIChome2015-05-08

Finding into death of Preetika Sharma

35y · Female·homicide by smothering/suffocation, possibly facilitated by chloroform exposure

This tragedy involved the deaths of Preetika Sharma (35), her two children (Divesh, 5; Divya, 3), and her husband Nilesh, who killed his family and then himself. Mr Sharma exposed …

rehabilitation medicinegeneral practicediagnosticsystemchloroform
TAShome2015-05-27

Coroner's Finding: Pearce, Jasmine Rose

0y · Female·suffocation under bedding

Jasmine Rose Pearce, aged 11 months, died from suffocation under bedding in her family home on 27 January 2013. Her parents engaged in sexual activity on the bed where Jasmine was sleeping whil…

paediatricsemergency medicinesystemdelaycannabis
QLD2015-03-24

E, aged 14 - Non-inquest findings

14y · Male·hanging

…died by suicide by hanging at his school. He had experienced childhood trauma including neglect, domestic violence, and parental separation. He was living with his paternal grandmother after leaving his mother's care in …

psychiatrygeneral practicediagnosticmarijuana
VIChome2015-05-08

Finding into death of Nilesh Sharma

36y · Male·Hanging (Mr Sharma); Homicide by smothering/suffocation or chloroform exposure (…

…ment. Multiple healthcare professionals assessed both Mr and Ms Sharma post-collision but did not identify family violence risks or suicide risk. Cultural factors including gender role expectations, reluctance to disclos…

rehabilitation medicineneurologycommunicationsystemchloroform
NSWhome2025-03-03

Inquest into the death of Harmony

15y · Female·hanging

… 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 closed cases due to "…

paediatricspsychiatrysystemdelaycannabis
ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

…aseworkers closing investigations despite unaddressed concerns and non-disclosure of abuse by traumatised children; failure to pursue Section 862 information requests (mental health, drug, criminal records); over-relianc…

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
TAShome2017-06-26

Coroner's Finding: Johnstone, BJay

0y · Male·Traumatic head injury

…ry inflicted by his father Simon Johnstone in a household environment. BJay suffered multiple episodes of violence including head trauma, rib fractures, femur fractures, and a skull fracture over the 19 days at home befo…

paediatricsemergency medicinediagnosticsystemcannabis
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

…y revealed no obvious cause, but documented face-down positioning, respiratory infection, passive smoking exposure, and unsafe sleep environment. Critical failures by Child Safety Services included: premature closure of …

paediatricsforensic medicinesystemdelaymorphine

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