Mark Douglas Springgay, a 40-year-old man with chronic schizophrenia, died from multiple injuries sustained after falling from the Transport SA building in Walkerville on 19 April 2008. He was on approved leave of absence from Glenside Hospital under a continuing detention order when he left his parents' home for a walk and did not return. The coroner found he deliberately jumped from the building with suicidal intent. He was compliant with his antipsychotic medication (clozapine, amisulpride, valproate) and showed no acute warning signs in the week before his death. The coroner found his individualized weekend leave regime, assessed on a case-by-case risk basis by his treating psychiatrist, was appropriate. No clinical management issues were identified as contributory to his death.
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