Coronial
ACThospital

Inquest into the death of Mr Deleman

Deceased

Mr Deleman

Demographics

69y, male

Date of death

2024-05-09

Finding date

2026-05-12

Cause of death

peritonitis due to perforated bowel

AI-generated summary

Mr Deleman was a 69-year-old man with untreated schizophrenia, advanced liver cirrhosis, and hepatitis C, presenting to hospital on 1 April 2024 with abdominal swelling. He was admitted to The Canberra Hospital and placed on a Psychiatric Treatment Order on 15 April 2024. Despite receiving appropriate psychiatric and medical care during his admission, he developed peritonitis secondary to large bowel perforation, complicated by Clostridium bacteraemia and hepatocellular carcinoma. He was transferred to ICU on 4 May 2024 and died on 9 May 2024. The coroner found no shortfalls in the quality of his psychiatric or medical care and noted his death fit an epidemiological pattern of early mortality in people with severe mental illness combined with physical comorbidities, malnutrition, and substance abuse.

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

Contributing factors

  • advanced liver cirrhosis
  • untreated hepatitis C
  • possible large bowel cancer
  • Clostridium ramosum bacteraemia
  • treatment-resistant schizophrenia affecting medical adherence
  • malnutrition and poor physical health
  • chronic alcoholism and substance abuse
  • lack of social supports and homelessness
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. All court orders for redaction and non-publication are respected; documents with technically defective redaction have been excluded from the database entirely. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction —