Coronial findings and recommendations

CORONIAL LAW – disappearance and suspected death of KL - is KL deceased? – if so, can manner and cause of KL’s death be ascertained – was hospital care of an acceptable standard - was it appropriate to discharge KL to a private hospital.

CORONIAL LAW - suicide, catfishing, domestic violence, s61 certificate

CORONIAL LAW – death of a person in Parklea Correctional Centre - can cause of death be established – was nursing and medical care appropriate and adequate.

CORONIAL LAW – circumstances of accident and death – survivability – response by NSWPF to report of person missing – search and rescue – search urgency assessment forms – regulatory and advisory regime relating to backcountry skiing in

CORONIAL LAW - death in Corrective Services NSW custody - whether care and treatment concerns

CORONIAL LAW - homicide- in lawful custody- mandatory inquest - section 23 Coroners Act 2009 - compatibility assessment - appropriateness of shared cell placement of vulnerable inmates

CORONIAL LAW- request by deceased for police to attend his house with an intention of provoking police to shoot him and end his life by pointing a rifle at them - police response to that request - mental health care - mental health care training for

CORONIAL LAW – death in custody, mental health, mentally ill person, transfer from custody to receive care, section 24 Crimes (Administration of Sentences) Act 1999, Section 86 Mental Health and Cognitive Impairment Forensic Provisions Act 2020,

CORONIAL LAW – First Nations death in custody – section 23 mandatory inquest – prisoner attempting escape during medical escort – shot by firearm discharged by correctional officer – findings as to manner and cause of death – whether

CORONIAL LAW failure of diagnosis, perforated duodenal ulcer, insufficient medical investigations, necessity of identification of First Nations status when providing medical treatment, culturally appropriate treatment, natural causes, Dubbo Base