Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 51-60 of 83 results

  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - death in custody, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Stone
    Coronial Law - cause of death, cardiac arrythmia during restraint, deceased in care of Department of Communities and Justice, intellectual disability, case management responsibility by Challenge, role each played in overall care, rising levels of
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - cause and manner of death - homicide - unascertained cause of death
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - suicide by a police officer - death a result of police operations - adequacy of risk assessment
  • 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 operation -
  • Recommended
    Decision of Coroner Soars
    Coronial Law - brown snakebite envenoming, manner of death, care and treatment
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - death following mental health treatment discharge; whether intention existed to end life; and#39;malingeringand#39;; homelessness as a stressor in mental health; communication when transitioning care; and#39;complex caseand#39;; drug and alcohol counselling
  • 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 - self-inflicted death during a police siege - mandatory inquest
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Last updated:

05 Apr 2023

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