Coroner's Finding: ROBINSON Scott Alexander
Deceased
Scott Alexander Robinson
Demographics
44y, male
Date of death
2014-02-01
Finding date
2017-05-11
Cause of death
neck compression consistent with hanging
AI-generated summary
Scott Alexander Robinson, a 44-year-old man with treatment-resistant schizophrenia and obsessive-compulsive disorder, died by hanging while on an Inpatient Treatment Order at Royal Adelaide Hospital on 1 February 2014. He had been granted ground leave on hospital grounds as part of therapeutic management. Three psychiatrists, including his treating doctor, assessed him as having low suicide risk and he had denied suicidal ideation. The coroner found his treatment appropriate and that ground leave was therapeutically beneficial. No warning signs of imminent suicide were identified. The coroner made no recommendations, finding the clinical management sound given the available information at the time.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Drugs involved
Contributing factors
- non-compliance with medications despite Community Treatment Order
- treatment-resistant schizophrenia with lack of insight
- brief period of improved clinical presentation masking underlying suicide risk
- absconding from hospital grounds during ground leave
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