Coronial findings 

To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 1-10 of 27 results

  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - malignant ventricular arrhythmia - heart disease - mandatory inquest - positional asphyxia - use of a taser - use of force - supervision - NSW Police Force - Royal Prince Alfred Hospital - Corrective Service NSW - police
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - death following mental health treatment discharge; whether intention existed to end life; 'malingering"; homelessness as a stressor in mental health; communication when transitioning care; "complex case"; drug and alcohol
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - homicide by a known person in the context of domestic violence - death a result of police operations - provoked shooting - mental health issues - adequacy of care
  • Recommended
    Decision of Deputy State Coroner Lee
    Coronial Law - whether missing person now deceased, date and place of death, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - cause and manner of death - care and treatment - removal of CVC - delirium-hospital system changes
  • Recommended
    Decision of Deputy State Coroner Forbes
    Coronial Law - cause and manner of death, unexpected death of involuntary patient in a mental health facility, undetermined cause of death
  • Recommended
    Decision of Deputy State Coroner Forbes
    Coronial Law - self-inflicted death during a police siege - mandatory inquest
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - cause and manner of death, homicide
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - manner of death, creation and verification of COPS Events re domestic violence incidents, NSW Police Force Domestic Violence Standard Operating Procedures, firearms licensing P650 scheme, "Commissioner's Permits", gun club
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, cause and manner of death, hit and run, rural road, identification of vehicle and mechanism of injury
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