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Role of the Coroner
Published in Jason Payne-James, Suzy Lishman, The Medical Examiner Service, 2023
Conclusions are in general of two types, short form and narrative. The Chief Coroner has issued guidance about short form and narrative conclusions. The outcome of an inquest is set out in the Record of Inquest and will show the medical cause of death and the conclusion, short form or narrative.
Infamy: On Judgement and Punishment
Published in Philip Berry, Necessary Scars, 2021
I have been to the coroner’s court three times, and it is likely that I will go at least as many times again before I retire. Patients die, and if the family are critical of the care they received, or if the coroner senses that there is more to it than meets the eye, an inquest will be called.
General Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Rebecca Fish, Aisling Hogan, Aoife Lowery, Frank McDermott, Chelliah R Selvasekar, Choon Sheong Seow, Vishal G Shelat, Paul Sutton, Yew-Wei Tan, Thomas Tsang
What is an inquest?It is a limited, fact-finding enquiry to establish who died, how, when and where.It does not establish liability or blame.The coroner's court is a court of law; the coroner may summon witnesses, and people found to be lying are guilty of perjury.
A Systematized Review of Drug-checking and Related Considerations for Implementation as A Harm Reduction Intervention
Published in Journal of Psychoactive Drugs, 2023
Francesca Giulini, Eamon Keenan, Nicki Killeen, Jo-Hanna Ivers
DC is a coordinated multi-component intervention. Considering the legal complications DC is confronted with, the implementation must be collaborative and include a range of stakeholders. The cooperation of national and local governments and local law enforcement is crucial (Brunt 2017; Strike and Watson 2019; Ventura et al. 2013). On-site services rely on partnerships with ambulance services, festival and party organizers, and club owners (Byrne et al. 2018; Olsen, A., Wong, G. & McDonald, D. 2019. ACT pill testing trial 2019). Fixed-site services depend on stakeholders, including local authorities, public health agencies, emergency services, and regulatory bodies (EMCDDA 2017; Measham 2020). New South Wales (NSW) and the ACT in Australia recently experienced public debate regarding DCS (Morgan and Jones 2019; Ritter 2020). Ritter (2010) suggests additional drug market regulation approaches other than voluntary abstinence and police enforcement. DC could enable PWUD to self-regulate their drug intake. The Deputy State Coroner of NSW began an inquest following a cluster of festival-related deaths and published her findings in 2019 (De Brennan 2020). These included a call for DC trials and additional health services at festivals in NSW. Groves (2018) argues for a pragmatic view of drug policy and DC and recommends DCS be integrated into HR strategies.
Deaths of young people living in residential aged care: a national population-based descriptive epidemiological analysis of cases notified to Australian coroners
Published in Disability and Rehabilitation, 2021
Kathryn Eastwood, Lyndal Bugeja, Joshua Zail, Anna Cartwright, Alexandra Hopkins, Joseph E. Ibrahim
For each death that met the inclusion criteria information was extracted on person, incident and death investigation factors. Person factors comprised age and sex, incident factors included jurisdiction (i.e. state or territory), location of death (nursing home/Residential aged care facility, hospital, other location) and cause and manner of death (adapted from the International Classification of Diseases, 10th revision causes of death classifications [23] as natural cause; external cause unintentional [falls; choking; transport accident; asphyxia and aspiration; thermal; poisoning; drowning; drugs; other; complications of clinical care]; external cause intentional [suicide; resident-to-resident assault; homicide]; unlikely to be known), and Coroner findings. Poisoning and drug ingestion were classified separately so as to distinguish between those that died from prescription medication errors occurring at different stages in the medication process (e.g. Prescribing, administration, monitoring) and those that died from ingestion of toxic (non-prescription) chemicals. Resident-to-resident assault were incidents involving unwelcome negative aggressive physical interaction between residents of a care facility that have caused harm to a resident resulting in death [24]. Death investigation factors comprised whether an inquest was held and whether recommendations were made by the Coroner. Data were recorded, managed and cleaned in Microsoft Excel then exported to the Statistical Package for the Social Sciences Version 23 [25] for analysis.
The Number and Characteristics of Newspaper and Twitter Reports on Suicides and Road Traffic Deaths in Young People
Published in Archives of Suicide Research, 2019
Jonathan Scourfield, Gualtiero Colombo, Pete Burnap, Rhiannon Evans, Nina Jacob, Matthew Williams, Sarah Caul
A “case” was defined as any death by suicide or RTA of a young person aged 11–18 in England that was reported in a newspaper from February 1 to July 31, 2014. Reports included both deaths that happened within the study period and earlier deaths with inquests reported in the study period. Inclusion criteria for the suicide cases were as follows:Suicide is explicitly mentioned as the cause of death.An inquest reported an open verdict or a suicide verdict. Deaths recorded at inquest as “accidental” were not included.The method clearly indicates the intention to self-harm (e.g., non-accidental hanging, jumping onto train tracks etc.).