Tyrone Woxvold died of an overdose at his mother’s home. He developed a drug habit while in the state’s care and had wanted to get help,an inquest heard.
Aunty Donnis Kerr says the death of her 32-year-old son,Joshua,is another example of authorities failing to act to prevent the deaths of Indigenous people in custody.
A tripling in the workload of a specialised family violence unit at the Coroners Court is delaying the delivery of recommendations to prevent further tragedies.
The 17-year-old took her own life in 2021,and a coroner found her human rights were breached when a Victorian department did not listen to her desire for culturally competent care.
George Diamond had weeks of concussion symptoms after a head knock at his boxing gym,but despite the concerns of family he returned to the ring.
The death of a 16-year-old who overdosed after receiving three prescriptions for addictive drugs in the days before his death has triggered a coroner’s warning that many GPs are ignoring a watchlist to prevent “doctor shopping”.
James Swan Palakamannil sobbed as he recalled to a courtroom the night his wife took her life and those of their two young girls.
James Leonard Fairhall murdered Noeline Dalzell after arriving at the family home in breach of safety orders.
Two and a half years after the death of Noah Souvatzis,an emergency department doctor says he is kept up at night by unacceptable patient waiting times.
Paul Bumford told a coroner he was on his first locum shift at Wangaratta hospital when he treated Noah Souvatzis and should have escalated his care to a more senior doctor.
Noah loved cuddles,the swings and music,but his parents say a chaotic and under-resourced regional health system took the 19-month-old from them.