Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make an application (PDF, 112.1 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

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Search results for ‘death in custody’

Showing results 221 - 230 of 346 results

Inquest into the death of Bailey Mackander (595.6 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, First Nations death whilst in lawful custody of Corrective Services NSW, Hospital escort, Escape , Intent to self-harm

Inquest into the death of ML (1.3 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Death of 17 month old First Nations child - family known to DCJ - staffing and resources at DCJ - domestic violence - need for multiagency coope

Inquest into the death of Roy Roberts (518.1 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, diagnosis of primary epilepsy, seizure-like episode, methadone toxicity, opioid substitution therapy, unprescribed dr

Inquest into the death of Walter CLOUGH (624.3 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death of a person in lawful custody - adequacy of custodial health care

Inquest into the death of A (264.7 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death by hanging of a person in custody - was mental health care of an appropriate standard - should a mandatory notification have been made - a

Inquest into the death of Chella Leijten (483.6 KB,PDF File)

CORONIAL LAW – involuntary patient, Mental Health Act 2007, natural cause death

Inquest into the disappearance of Katrina BOHNENKAMP (498.6 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL - missing young person in state care - suspicious circumstances - finding of death - referral to NSW Police Unsolved Homicide Unit - reward for inform

Inquest into the death of Ye Chiu (870.7 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, suicide, lawful custody, hyponatraemia delirium, vulnerable prisoner, decision to discharge, CSNSW policy notification

Inquest into the death of Omar Mohammad (671.8 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Death in custody; acute cocaine toxicity, first aid by police; adequacy of NSW Police first aid training; CPR: NSW Police access to automatic ex

Inquest into the death of Brett Walker (914.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – diagnosis of mental health condition – care and treatment provided, Community Corrections assessment prior to release on parole, service provisi

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