Coronial

11 results for interpersonal violence risk

NSWhospital2017-04-19

Inquest into the death of Heidi COX

58y · Female·consequences of acute subdural haemorrhage

Heidi Cox, 58, died from acute subdural haemorrhage after suffering interpersonal violence, likely at the hands of her long-term partner Karl Bingle. She was found unconscious at their…

emergency medicineintensive carequetiapine
VICmental health2019-12-17

Finding into death of Thien Cong Pham

27y · Male·ligature strangulation

…dmissions for medication non-compliance and psychotic relapse. The co-patient, classified as extremely high-risk for interpersonal violence, was released from seclusion after only three days despite documented difficulty…

psychiatrycorrectional healthsystemdelayclozapine
VIChome2025-11-04

Finding into death of Kon Maximos

62y · Male·Shotgun injury to the head

…mos, aged 62, died from a self-inflicted shotgun wound to the head on 15 October 2023. He was in acute interpersonal crisis following marital separation, family estrangement over infidelity, and police intervention for …

psychiatrypsychologydiagnosticcommunicationmirtazapine
NSWcommunity2021-01-29

Inquest into the death of Deborah Spencer

56y · Female·Blunt head injury, with hyoid bone fracture being a significant condition contri…

…ner could not determine whether her fatal injuries resulted from an accidental alcohol-related fall or interpersonal violence. Key clinical lessons include the challenges in interpreting hyoid fractures and intracranial…

emergency medicineintensive care
VICcommunity2023-10-09

Finding into death of Benjamin Paul Ray

Head and chest injuries from ballistic trauma (shotgun wounds)

…es. This case highlights the importance of police responsiveness to reports of order breaches and potential risk escalation in community conflict situations.

paroxetine
VIChome2025-01-31

Finding into death of FCP

45y · Female·Drowning whilst inebriated (ethanol)

…The coroner found she intentionally took her own life. The finding emphasizes systemic failures in family violence identification and response by Victoria Police, particularly the misidentification of FCP as the aggresso…

psychiatryemergency medicinesystemcommunicationalcohol
NSW2025-11-27

Inquest into the deaths of Lilie James and Paul Thijssen

21; 23y · Female; male·Lilie: multiple blunt force injuries to the head and neck. Paul: multiple blunt …

…erate planning of the attack. The coroner found this was premeditated homicide in the context of domestic violence and gendered violence. No prior warning signs were evident to colleagues or friends. Critical lessons inc…

QLD2012-11-13

Biddulph, Jayde Stephen Donovan

30y · Male·Traumatic cerebral contusions with subarachnoid and intraventricular haemorrhage…

…fight with another inmate, Ryan Dwyer, on 16 December 2009. The coroner found systemic failures in prisoner risk assessment and information management at Capricornia Correctional Centre. Biddulph had disclosed a relation…

communicationsystem
VIChome2016-05-25

Finding into death of Sarah Louise Cafferkey

22y · Female·multiple stab injuries

…During his parole, critical information about his unchanged violent attitudes, lack of empathy, and ongoing risk factors was not communicated to the Adult Parole Board. An Offending Behaviour Program report documented hi…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
VIChospital2023-10-05

Finding into death of Ruby-Lee Gold

28y · Female·Multiple injuries sustained in a fall from height

Ruby-Lee Gold, a 28-year-old with schizoaffective disorder and polysubstance abuse, died from multiple injuries sustained falling from an overpass after absconding from Sunshine Hospital's emergency department. She was r…

psychiatryemergency medicinesystemdelaydiazepam
SAcommunity2005-03-14

Coroner's Finding: Cooper Kunmanara

Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…

Four separate inquests into the deaths of Kunmanara Ward (19), Kunmanara Ken (35), Kunmanara Ryan (25), and Kunmanara Cooper (27) on the Anangu Pitjantjatjara Lands between May 2003 and March 2004. Three deaths were by h…

psychiatrygeneral practicedelaycommunicationpetrol

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