Inquest Findings
- Lili Greer
- Dec 20, 2023
- 2 min read
After eighteen months of dedicated campaigning, Coroner Kerrie O’Callaghan has delivered her findings from the inquest into the death of Tina Louise Greer.

This inquest was not only a legal process. It was a long-overdue opportunity to examine the circumstances surrounding her disappearance, the systemic failures that may have contributed to her death, and the ways in which our justice and support systems continue to let women down.
The Coroner’s findings acknowledged significant gaps in how my mum’s case was managed. These included failures in risk assessment, missed opportunities for intervention, and broader systemic issues that arise when domestic and family violence is not taken seriously enough by those in power.
The inquest made several key recommendations, which are outlined below. This was the first step in seeking justice and in making sure no one else has to endure the same failures my mum did.
Recommendations:
QPS amend Chapter 12.4 section (iv) page 4 of the OPM “ongoing responsibilities of case officer” to read ‘provide regular updates on the police investigation to the informant, family and next of kin of the missing person (where appropriate) and update the QPRIME occurrence accordingly. Contact with the informant, family and next of kin should, if possible, be at least weekly for the first two months of the investigation, and then maintain contact as the officer considers necessary.’
QPS update Chapter 12 of the OPM to provide that in the case of a high-risk missing person investigation consideration be given to appointing a Family Liaison Officer for the missing persons family. The update should also outline the responsibilities of the Family Liaison Officer and provide guidance on the frequency of contact with the family. This frequency of contact should be no less than the frequency of contact by the case officer in other missing persons investigations.
QPS update Chapter 12 of the OPM to provide guidance for officers by outlining the circumstances in which QPS officers are required to report a missing persons case to the National Public Register of Long Term Missing Persons.
The Department of Child Safety, Seniors and Disability Services require all staff to complete mandatory face-to-face training on domestic and family violence informed practice.
Comments