Coronial
VIChospital

Finding into death of Joanne Feeney

Deceased

JOANNE FEENEY

Demographics

40y, female

Date of death

2010-11-14

Finding date

2012-02-29

Cause of death

Multiple injuries sustained in a fall from a height followed by being struck by motor vehicles

AI-generated summary

A 40-year-old woman with a history of substance abuse and a prior suicide attempt in August 2010 presented to Northern Hospital at 2am with chest pain. Diagnosed clinically with pleurisy from lower respiratory tract infection and offered ketorolac, she requested morphine, was refused, and left the hospital against medical advice after becoming abusive. She was discharged with a recommendation for psychiatric follow-up after her August attempt but did not engage with psychiatric services. Several hours later, she jumped from an 8-metre overpass and was struck by three vehicles. Clinically, this case highlights the importance of recognising suicide risk in patients with substance abuse history, ensuring appropriate psychiatric assessment and follow-up post-discharge, and developing clear protocols for managing patients who leave against medical advice, particularly those with known prior suicide attempts.

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

Contributing factors

  • History of substance abuse (amphetamines)
  • Prior suicide attempt in August 2010 with carbon monoxide and benzodiazepines
  • Failure to engage in recommended psychiatric follow-up after August 2010 attempt
  • Patient left hospital against medical advice
  • Intoxication at time of death (methylamphetamine, benzodiazepines detected)
  • Suicide note found at home

Coroner's recommendations

  1. VicRoads be alerted to difficulties experienced by first responders in accessing the roadway due to fencing, steepness of embankment, and jersey barriers at the Widford Street overpass
  2. Patrol folder prompt card regarding traffic incident management be distributed to all Victoria Police members from the area alerting them regarding their responsibilities at fatality scenes (accepted and actioned)
Full text

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