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Publications

We provide publications that cover the coroners process, information for families immediately following the reporting of a death of a loved one, and information for Aboriginal and Torres Strait Islander people. Find and download our publications.

  • Coroners Court of Victoria Recommendations Report - Edition 5

    The fifth edition of the Coroners Court of Victoria Recommendations Report includes all coronial recommendations from 1 September 2021 to 31 December 2022 – providing an insight into important health and safety issues identified by coroners and the actions being taken to address them.

  • Coroners Court of Victoria Recommendations Report - Edition 7

    The seventh edition of the Coroners Court of Victoria Recommendations Report includes all coronial recommendations from 1 March 2023 – 29 February 2024 – providing an insight into important health and safety issues identified by coroners and the actions being taken to address them.

  • Coronial data on Victorian deaths involving acute drug toxicity - Coroners Prevention Unit

    A presentation made to the Yarra Drug and Health Forum detailing coronial data on Victorian deaths involving acute drug toxicity between 2010 and 2012.

  • Coronial insights into understanding and preventing drug-related harms - Coroners Prevention Unit

    Presentation made to the Pharmaceutical Association of Australia Harm Minimisation Forum providing coronial insights into understanding and preventing drug-related harms, including data from between 2000 and 2011.

  • Fatal overdose among Aboriginal and Torres Strait Islander people Victoria, 2018—2021

    Warning
    Aboriginal and Torres Strait Islander peoples are respectfully warned that the following report includes information associated with deceased persons from events that have occurred on Aboriginal land in Victoria. 

    No names, voices or direct events are recorded within this report; however, the sensitive nature of the information is associated with the commencement of dreaming for many Aboriginal people and may impact some readers. 

    This report provides an overview of fatal overdose among Aboriginal and Torres Strait Islander peoples in Victoria between 1 January 2018 and 31 December 2021.

  • Gambling-related suicides - Coroners Prevention Unit

    At the direction of State Coroner Judge Ian Gray, the CPU prepared this data summary regarding gambling-related suicides in Victoria.

  • Overdose deaths in Inner North-west Melbourne - Coroners Prevention Unit

    A presentation at the Yarra Drug and Health Forum and Inner North-West Melbourne Medicare Local forum on pharmaceutical misuse.

  • Overdose deaths of people recently released from prison and/or in the care of Corrections Victoria, 2000-2010 - Coroners Prevention Unit

    A report from the Coroners Prevention Unit on overdose deaths of people recently released from prison and/or in the care of Corrections Victoria from 2000 to 2010.

  • Submission to the Inquiry into Drug Law Reform

    A submission to the Inquiry into Drug Law Reform, to assist the Law Reform, Road and Community Safety Committee in identifying potential opportunities to reduce drug-related harm.

  • Submission to Therapeutic Goods Association - Reschedule of benzodiazepines - Coroners Prevention Unit

    Submission from the Coroners Court of Victoria regarding the proposal to reschedule benzodiazepines from Schedule 4 to Schedule 8.