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Jennifer L Pilgrim, Elizabeth L Jenkins, Yeliena Baber, David Caldicott, Olaf H Drummer
BACKGROUND AND AIMS: Fatal poisonings in children comprise a small proportion of cases investigated by an Australian coroner; however, they present a major opportunity for death prevention. This study aimed to examine fatal child poisonings in Australia to 1) estimate the rate of acute poisoning deaths in children; 2) describe the key characteristics of the cohort; and 3) describe the outcomes of coronial recommendations made as a death prevention measure. DESIGN: Retrospective case series...
October 21, 2016: Addiction
Nina L Papalia, Stefan Luebbers, James Rp Ogloff, Margaret Cutajar, Paul E Mullen
OBJECTIVES: There is a growing body of research investigating the relationship between child sexual abuse and a range of adverse outcomes. However, very little is known about the long-term co-occurrence of psychiatric disorders and behavioral problems among this vulnerable population, or the interaction between characteristics of the abuse, such as the nature and timing of the child sexual abuse, and the extent of subsequent adversities. This study aimed to determine the rate and co-occurrence of mental health morbidity, criminal justice system contact, and fatal self-harm among medically confirmed victims of child sexual abuse, and to identify abuse variables associated with a greater likelihood of cumulative adverse experiences...
September 14, 2016: Australian and New Zealand Journal of Psychiatry
Allison J Milner, Humaira Maheen, Marie M Bismark, Matthew J Spittal
OBJECTIVES: To report age-standardised rates and methods of suicide by health professionals, and to compare these with suicide rates for other occupations. STUDY DESIGN: Retrospective mortality study. SETTING, PARTICIPANTS: All intentional self-harm cases recorded by the National Coronial Information System during the period 2001-2012 were initially included. Cases were excluded if the person was unemployed at the time of death, if their employment status was unknown or occupational information was missing, or if they were under 20 years of age at the time of death...
September 19, 2016: Medical Journal of Australia
Georgina Sutherland, Celia Kemp, David M Studdert
OBJECTIVE: This study investigated the extent to which mandatory responses to coronial recommendations in one state of Australia (Victoria) provided a clear picture of action taken by organisations to protect public health and safety. METHOD: Analysis of organisations' responses to recommendations issued by coroners over the first three years of Victoria's newly introduced mandatory response regime was carried out. RESULTS: Most responses were provided to the court within the legislated three-month timeframe and were signed by persons in senior or executive management...
October 2016: Australian and New Zealand Journal of Public Health
Allison Milner, Matthew J Spittal, Jane Pirkis, Jean-François Chastang, Isabelle Niedhammer, Anthony D LaMontagne
OBJECTIVES: Previous research suggests that psychosocial job stressors may be plausible risk factors for suicide. This study assessed the relationship between psychosocial job stressors and suicide mortality across the Australian population. METHODS: We developed a job exposure matrix to objectively measure job stressors across the working population. Suicide data came from a nationwide coronial register. Living controls were selected from a nationally representative cohort study...
August 31, 2016: Psychosomatic Medicine
Amy E Peden, Richard C Franklin, Peter A Leggat
OBJECTIVE(S): Describe unintentional drowning deaths in rivers, creeks and streams (rivers) in Australia and identify risk factors to inform prevention. DESIGN & SETTING: This study is a cross-sectional, total population audit of all unintentional fatal drownings in Australian rivers between 1-July-2002 and 30-June-2012 using Australian coronial data. A modified Bonferroni test has been applied, deeming statistical significance p<0.03 and p<0.04 respectively...
2016: PloS One
Huw Twamley, Andrew Haigh, Claire Williment, Cara Hudson, Julie Whitney, James Neuberger
OBJECTIVES: Anecdotal evidence suggests that organ donation from deceased donors referred to the Coroner/Procurator Fiscal (PF) could be increased if all followed best practice. The aim of this prospective audit was to establish how referrals affected organ donation and to develop evidence-based guidelines to ensure that organ donation can be facilitated safely without interfering in the Coroner/PF's investigative process. DESIGN: Prospective audit. SETTING: All acute National Health Service Hospitals in the UK where deceased organ donation was considered...
2016: BMJ Open
Stephanie Dartnall, Jane Goodman-Delahunty
In Australia, the investigation of a missing person who remains unlocated may be reported to the coroner as a suspected death. In the first study of its kind in Australia, archival records on suspected deaths investigated by New South Wales coroners from 2000 to 2013 were aggregated to assess the number of inquests, investigation timeframes, findings, recommendations and responses thereto. Of 322 suspected deaths, 96% resulted in an inquest, with the majority (94%) yielding a finding that the missing person was deceased with the cause (81%) and manner (73%) of death predominantly unknown...
March 2016: Journal of Law and Medicine
John Aberdeen
For three decades, Australian coroners have been moving steadily away from an historical partnership with the criminal law, and have emerged as independent judicial investigators with a dedicated court, and forensic and administrative support structures. Occasionally, however, a situation may arise where the ghosts of coronial law's quasi-criminal past threaten to reappear, to the detriment of the coronial function. One of these situations might develop following an acquittal on a criminal charge which involved the causing of a death...
March 2016: Journal of Law and Medicine
Marc Trabsky, Paula Baron
This article is placed within the wider context of lawyer wellbeing research, which evidences abnormally high levels of depression, substance abuse and suicide among the legal profession. To date, however, relatively few works have sought to explore the phenomenon of lawyer distress in particular segments of the legal services industry. This article seeks to explore and understand the affective experiences of legal professionals working in the coronial jurisdiction. It examines the ways in which solicitors, barristers and coroners negotiate grief and trauma in the performance of a public role...
March 2016: Journal of Law and Medicine
Gordon Tait, Belinda Carpenter, Carol Quadrelli, Michael Barnes
The role of the coroner in common law countries such as Australia, England, Canada and New Zealand is to preside over death investigations where there is uncertainty as to the manner of death, a need to identify the deceased, a death of unknown cause, or a violent or unnatural death. The vast majority of these deaths are not suspicious and thus require coroners to engage with grieving families who have been thrust into a legal process through the misfortune of a loved one's sudden or unexpected death. In this research, 10 experienced coroners discussed how they negotiated the grief and trauma evident in a death investigation...
March 2016: Journal of Law and Medicine
Jennifer Moore, Tim Stokes, Ben Gray
When must a death that occurs in a health care setting be reported to the coroner? This article explores this question by analysing the Coroners Act 2006 (NZ) and the amendments to the health care-related deaths provisions in the Coroners Amendment Bill 2014 (NZ). At the time of writing, the Bill was at the Select Committee stage. This article examines whether the amendments may improve the inconsistent clinical and coronial practices with respect to reportable health care-related deaths. It concludes that, while the proposed amendments are an improvement on the current legislative drafting, doubt remains about whether they will solve the challenges presented by health care-related reportable deaths...
March 2016: Journal of Law and Medicine
Rebekah Ogilvie, Kim Foster, Andrea McCloughen, Kate Curtis
BACKGROUND: Adolescents and young people are the population at greatest risk of injury and therefore injury-related mortality and morbidity. Inquiry into the injury trajectory of young people is needed to identify this group's specific needs for healthcare. This paper reports the integration of quantitative and qualitative findings from a sequential explanatory mixed methods study examining young people aged 16-24 years' experience and trajectory of traumatic physical injury in the initial six months...
September 2016: Injury
Rose Cairns, Jared A Brown, Ann-Maree Lynch, Jeff Robinson, Carol Wylie, Nicholas A Buckley
OBJECTIVE: Accidental daily dosing of methotrexate can result in life-threatening toxicity. We investigated methotrexate dosing errors reported to the National Coronial Information System (NCIS), the Therapeutic Goods Administration Database of Adverse Event Notifications (TGA DAEN) and Australian Poisons Information Centres (PICs). DESIGN AND SETTING: A retrospective review of coronial cases in the NCIS (2000-2014), and of reports to the TGA DAEN (2004-2014) and Australian PICs (2004-2015)...
June 6, 2016: Medical Journal of Australia
E Abalos, V Addo, P Brocklehurst, M El Sheikh, B Farrell, S Gray, P Hardy, E Juszczak, J E Mathews, S Naz Masood, E Oyarzun, J Oyieke, J B Sharma, P Spark
BACKGROUND: The CORONIS trial reported differences in short-term maternal morbidity when comparing five pairs of alternative surgical techniques for caesarean section. Here we report outcomes at 3 years follow-up. METHODS: The CORONIS trial was a pragmatic international 2 × 2 × 2 × 2× 2 non-regular fractional, factorial, unmasked, randomised controlled trial done at 19 sites in Argentina, Chile, Ghana, India, Kenya, Pakistan, and Sudan. Pregnant women were eligible if they were to undergo their first or second caesarean section through a planned transverse abdominal incision...
July 2, 2016: Lancet
Krzysztof Szajek, Marcin Wierszycki
PURPOSE: Dental implant designing is a complex process which considers many limitations both biological and mechanical in nature. In earlier studies, a complete procedure for improvement of two-component dental implant was proposed. However, the optimization tasks carried out required assumption on representative load case, which raised doubts on optimality for the other load cases. This paper deals with verification of the optimal design in context of fatigue life and its main goal is to answer the question if the assumed load scenario (solely horizontal occlusal load) leads to the design which is also "safe" for oblique occlussal loads regardless the angle from an implant axis...
2016: Acta of Bioengineering and Biomechanics
R J Mullins, B K Wainstein, E H Barnes, W K Liew, D E Campbell
BACKGROUND: Recent epidemiological studies indicate increases in Australian, UK and US hospital anaphylaxis admission rates. OBJECTIVES: The aim of this study was to determine whether Australian anaphylaxis fatalities are increasing in parallel and to examine the characteristics of fatalities recorded in the National Coronial Information System (NCIS). METHODS: Time trends in Australian anaphylaxis fatalities were examined using data derived from the Australian Bureau of Statistics (ABS) 1997-2013 and the NCIS 2000-2013, the latter providing additional information to verify cause and identify risk factors...
August 2016: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
Lyndal Bugeja, Joseph E Ibrahim, Noha Ferrah, Briony Murphy, Melissa Willoughby, David Ranson
BACKGROUND: Medico-legal death investigations are a recognised data source for public health endeavours and its accessibility has increased following the development of electronic data systems. Despite time and cost savings, the strengths and limitations of this method and impact on research findings remain untested. This study examines this issue using the National Coronial Information System (NCIS). METHODS: PubMed, ProQuest and Informit were searched to identify publications where the NCIS was used as a data source for research published during the period 2000-2014...
2016: Health Research Policy and Systems
Mairi Lucas
No abstract text is available yet for this article.
February 2016: Nursing New Zealand, Kai Tiaki
Lay San Too, Matthew J Spittal, Lyndal Bugeja, Roderick McClure, Allison Milner
PURPOSE: This study aims to simultaneously examine individual- and community-level factors associated with railway suicide. METHODS: We performed a case-control study in Victoria, Australia between 2001 and 2012. Data on cases of railway suicide were obtained from the National Coronial Information System (a database of coronial investigations). Controls were living individuals randomly selected from the Household, Income and Labour Dynamics in Australia study, matching to cases on age groups, sex and year of exposures...
June 2016: Social Psychiatry and Psychiatric Epidemiology
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