Coronial
ACTcommunity

Inquest into the death of Russell James Longmore

Deceased

Russell James Longmore

Demographics

67y, male

Date of death

2025-05

Finding date

2026-10-15

Cause of death

glioblastoma of the central brain

AI-generated summary

Russell Longmore, a 67-year-old Aboriginal man with schizophrenia on involuntary mental health treatment, was hospitalized in February 2025 after a fall that revealed a malignant brain tumour (glioblastoma). When neurosurgery recommended diagnostic biopsy, Russell—with impaired decision-making capacity—declined and subsequently absconded from hospital in March. Despite ongoing efforts by mental health and NDIS teams to engage him, he remained in the community and died from glioblastoma between 6–31 May 2025. The coroner found no shortfalls in care contributed to his death. Key clinical lessons: glioblastoma is incurable with median survival of only 12–18 months even with treatment; complex ethical issues arise regarding compulsory physical health treatment for persons on involuntary mental health orders with impaired capacity; clinicians should seek clarity on available legal mechanisms (guardianship, emergency detention) when physical and mental health intersect.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • aggressive malignant brain tumour
  • cognitive impairment from brain lesion affecting decision-making capacity
  • refusal of diagnostic investigation and treatment
  • pre-existing schizophrenia limiting insight into illness
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