Deceased
GA
Demographics
male
Coroner
Decision ofDeputy State Coroner Magistrate Harriet Grahame
Date of death
2018
Finding date
2020-02-27
Cause of death
Exact cause of death remains undetermined
AI-generated summary
GA died at a residential address in Surry Hills between September and November 2018. The exact cause and manner of death remained undetermined despite coronial investigation. The case was subject to non-publication orders, limiting disclosure of detailed circumstances. Without specific clinical information available, no particular lessons regarding clinical management or preventable errors can be identified from this finding. This case highlights the challenges in determining cause of death in some circumstances and the importance of thorough investigation when cause remains unclear.
AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.
STATE CORONER’S COURT OF NEW SOUTH WALES Inquest: Inquest into the death of GA Hearing dates: 24 February 2020 Date of findings: 27 February 2020 Place of findings: NSW State Coroner’s Court, Lidcombe Findings of: Magistrate Harriet Grahame, Deputy State Coroner Catchwords: CORONIAL LAW File numbers: 2018/354038 Representation: Ms A Chytra (Sergeant) Advocate assisting This matter has been concluded. Detailed reasons are covered by non-publication orders pursuant to section 74 of the Coroners Act 2009 (NSW)
Findings: The findings I make under section 81(1) of the Coroners Act 2009 (NSW) are: Identity The person who died was GA Date of death He died between 24 September 2018 and 16 November 2018 Place of death He died at 310/389 Bourke Street, Surry Hills Cause of death His exact cause of death remains undetermined.
Manner of death His exact manner of death remains undetermined.
Magistrate Harriet Grahame Deputy State Coroner NSW State Coroner’s Court 27 February 2020
A 28-year-old man with a history of depression, anxiety, and previous self-harm died by hanging during a police response to a domestic violence incident. Police attended after his sister reported he had breached an ADVO …
A 39-year-old man died by hanging on 16 February 2023 at his home in St Marys, NSW. His mother requested a police welfare check at 8:40pm after he posted a suicide note on Facebook at 2:30pm. Police attended twice (11pm …
A 58-year-old man with a 20-year history of chronic depression killed his 15-year-old son before taking his own life. Critical clinical failures included: incomplete handover of medical records when a new GP took over th…
Source and disclaimer
This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.
Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.
Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries are for educational purposes only and must not be treated as legal documents. Report an inaccuracy.