Increasing the Information available to Coroners : the effect on autopsy decision making

This paper details research completed in 2007 which investigated autopsy decision making in a death investigation. The data was gathered during the first year of operation of a new Coroners Act in Queensland, Australia, which changed the process of death investigation in three ways which are important to this paper. First, it required a greater amount of information to be gathered at the scene by police, and this included a thorough investigation of the circumstances of the death, including statements from witnesses, friends and family, as well as evidence gathering at the scene. Second, it required Coroners, for the first time, to determine the level of invasiveness of the autopsy required to complete the death investigation. Third, it enabled the communication of a genuine family concern, to be communicated to the Coroner. The outcome of such information was threefold. First, a greater amount of information offered to the Coroner led to a decrease in the number of full internal autopsies ordered, but an increase in the number of partial internal autopsies ordered. Second, this shift in autopsy decision making by Coroners saw certain factors given greater importance than others in decisions to order full internal or external only autopsies. Third, a raised family concern had a significant impact on autopsy decision making and tended to decrease the invasiveness of the autopsy ordered by Coroners.

Intake rigour : ensuring only “reportable deaths” become coroners’ cases

The failure of medical practitioners to consistently discharge their obligation to report sudden or unnatural deaths to coroners has rightly prompted concern. Following recent public scandals, coroners and health authorities have increasingly developed procedures to ensure that concerning deaths are reported to coroners. However, the negative consequences of deaths being unnecessarily reported have received less attention: unnecessary intrusion into bereavement; a waste of public resources; and added delay and hindrance to the investigation of matters needing a coroner’s attention. Traditionally, coroners have largely, unquestioningly assumed jurisdiction over any deaths for which a medical practitioner has not issued a cause of death certificate. The Office of the State Coroner in Queensland has recently trialled a system to more rigorously assess whether deaths apparently resulting from natural causes, which have been reported to a coroner, should be investigated by the coroner, rather than being finalised by a doctor issuing a cause of death certificate. This article describes that trial and its results.

When coroners care too much: Therapeutic jurisprudence and suicide findings

In common law countries such as England and Australia, violent and otherwise unnatural deaths are investigated by coroners who make findings as to the “manner of death”. This includes determining whether the deceased person intentionally caused their own death. Previous research (Tait and Carpenter 2013a, 2013b, 2014) has suggested that coroners are reluctant to reach such determinations, citing the stigma of suicide and a need for sensitivity to grieving and traumatized families. Based on interviews with both English and Australian coroners, this paper explores whether an ‘ethic of care’ evident in English and Australian coronial suicide determinations, can be understood as an application of the ‘practices and techniques’ of therapeutic jurisprudence. Based on the ways in which coroners position the law as a potential therapeutic agent, we investigate how they understand their role and position as legal actors, and the effects of their decision making in the context of suspected suicides.

Elements of medical jurisprudence, interspersed with a copious selection of curious and instructive cases ans analyses of opinions delivered at coroners inquests /

Mode of access: Internet.

A practical treatise on medical jurisprudence : with so much of anatomy, physiology, pathology, and the practice of medicine and surgery, as are essential to be known by members of Parliament, lawyers, coroners, magistrates, officers in the army and navy, and private gentlemen ; and all the laws relating to medical practitioners /

No more published.

The office and authority of a justice of peace : collected out of all the books, whether of common or statute-law, hitherto written on that subject : Shewing also the duty of constables, commissioners of sewers, coroners, overseers of the poor, surveyors of the highways, church-wardens, and other parish-officers : digested under alphabetical titles : To which are added precedents of indictments and warrants, never before printed : Very useful for justices of the peace, coroners, sheriffs, clerks of the assises, and of the peace, and of all others concern'd in such matters.

Mode of access: Internet.

A manual for coroners /

Mode of access: Internet.

Coroners' handbook on the functions and operations of the Office of Coroner /

"VR 940."

Sudden infant death syndrome : a guide for coroners /

"April, 1981."

A catechism of medical jurisprudence : being principally a compendium of the opinions of the best writers upon the subject : with a preliminary discourse upon the importance of the study of forensic medicine : designed for physicians, attornies, coroners, and jurymen /

Mode of access: Internet.

The civil officer, or the whole duty of sheriffs, coroners, constables and collectors of taxes.

Mode of access: Internet.

A treatise on the law of sheriffs, coroners and constables, with forms,

Pocket on inside of back cover of each volume