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    • For families
      • Coronial Investigations guide for families and friends
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      • Support services for families and friends
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      • Seek help
    • For health professionals
    • Findings and upcoming inquests
      • Inquest proceedings list
      • Search findings
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    Search findings

    1 - 10 of 999 search results for

    Name: Inquest into the death of Daniel Thomas Wright

    Coroner: Gallagher

    Description:

    Inquest, child death, Department of Children, Youth Justice and Multicultural Affairs, Child Safety, adequacy of health care by hospital and health services (THHS and MHHS), appropriateness of discharge decisions, consideration of capacity of parents to care for the child, adequacy of care of the child in community, adequacy of communication between child services and health services.

    Findings date: 15/07/2025

    Findings PDF, 2MB

    Queensland Government response not required

    Name: Inquest into the death of Errol George Radan

    Coroner: Ryan

    Description:

    Inquest, natural causes, death in custody.

    Findings date: 15/07/2025

    Findings PDF, 246KB

    Queensland Government response not required

    Name: Inquest into the death of Ivona Jovanovic

    Coroner: MacKenzie

    Description:

    Inquest, Cause of Death: Gunshot Wound to Chest, Suspicious Circumstances, Conflicting Witness Accounts, Inadmissible evidence at Criminal Trial; Discontinued Prosecution

    Findings date: 26/06/2025

    Findings PDF, 415KB

    Queensland Government response not required

    Name: Non-inquest findings into the death of an eight month old twin whose family was known to Child Safety

    Coroner: Kirkegaard

    Description:

    Infant death; high risk infant; neglect; parental substance use; methylamphetamine; Child Safety involvement; delay commencing and lapse during Investigation & Assessment; Intervention with Parental Agreement; lack of medical input to Child Safety assessment and decision making; emerging pattern of parental avoidance or disengagement; access to interstate child protection history

    Findings date: 25/06/2025

    Findings PDF, 2MB

    Queensland Government response not required

    Name: Inquest into the death of Christopher Glen Essery

    Coroner: Gallagher

    Description:

    Inquest, health care related death, inflammatory bowel disease, optimisation for surgery, surgery.

    Findings date: 20/06/2025

    Findings PDF, 509KB

    Queensland Government response required

    Name: Inquest into the deaths of Anthony Michael Charlwood and Krystal Renee Evans

    Coroner: Ryan

    Description:

    Inquest, deaths in custody and in the course of police operations, motorcycle crash, attempted interception, pursuit policy.

    Findings date: 18/06/2025

    Findings PDF, 539KB

    Queensland Government response not required

    Name: Non-inquest findings into the death of Mr B.

    Coroner: Zerner

    Description:

    Healthcare related death –iatrogenic death – premature death – overdose of phenol – interventional radiology – celiac plexus block – Queensland Health Medicines Advisory Committee – Royal Brisbane and Women’s Hospital

    Findings date: 02/06/2025

    Findings PDF, 275KB

    Queensland Government response not required

    Name: Findings into the death of Trevor Charles Stone

    Coroner: Ryan

    Description:

    Coroners: inquest, natural causes, death in custody.

    Findings date: 26/05/2025

    Findings PDF, 286KB

    Queensland Government response not required

    Name: Non-inquest into the death of Francis Robert Falappi

    Coroner: Williams

    Description:

    NON-INQUEST FINDINGS – mountain bike riding – Smithfield Mountain Bike Park – Macalister Range – Far North Queensland - Worlds Downhill – singletrack – double black diamond - drop – invert – hardpacked - Trail Difficulty Rating System - Australian Mountain Bike Trail Guidelines

    Findings date: 19/05/2025

    Findings PDF, 196KB

    Queensland Government response not required

    Name: Ruling regarding scope of inquest (including by calling additional witnesses and obtaining additional evidence)

    Coroner: Kirkegaard

    Description:

    Ruling regarding scope of inquest (including by calling additional witnesses and obtaining additional evidence). Inquest into the death of Tristian James Frahm.

    Findings date: 12/05/2025

    Findings PDF, 917KB

    Queensland Government response not required

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    CCQ acknowledges the first owners and custodians of the land and waters across Queensland and pays respect to their Elders, past, present and emerging. CCQ acknowledges their wisdom and leadership.

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