On 20 February 2026, Coroner Sarah Gebert delivered her findings following the Inquest into the death of 17-year-old James Tsindos in 2021.
Outside the Coroner's Court, Slater and Gordon lawyer for the Tsindos family, Shari Liby, gave the following statement to the media on their behalf:
"James lit up our lives and those of everyone around him, and without him, things are dark.
What happened to James is a tragedy that has shattered our family.
On behalf of James we have given him a voice.
We thank the Coroner for highlighting the missed opportunities in James' care.
We will have to live with this forever.
However, we, like the Coroner, hope that the terrible circumstances of James death can be used to keep other
patients safe in the future.
So while our family home is no longer filled with the sound of James at the piano, we do feel some gratitude to know that his death has not been in vain.
The Coroner's strong recommendations have honoured James and we hope they will be heard and acted on."
Delivered by Shari Liby, Senior Legal Counsel in Medical Law, Slater and Gordon
