Coronial inquests normally mark the end of a sad journey.
For the family of someone who has died in sudden or unusual circumstances, the inquest is often the last barrier to be crossed before attention can be turned completely to getting on with life as best one can.
What these families are often told is that the inquest is necessary to determine what lessons can be learned from their loved one's death, in order to prevent a repeat occurrence. There's no greater example of this than the bold findings of Rotorua Coroner Wallace Bain into the death of toddler Nia Glassie, which were released yesterday.
The tragic and horrific circumstances of Nia's death have already been well-canvassed. The 3-year-old girl died on August 3 2007 after being abused and ill-treated by members of her extended family, who were looking after her while her mother worked.
As part of his findings Dr Bain has called for state intervention and the monitoring of children in single parent homes where the family has previously come to the attention of authorities, where a mother worked fulltime and others cared for the children, and where domestic or child violence had been identified.