Finding into death of Robert Keith Knight
Deceased
Robert Keith Knight
Demographics
62y, male
Date of death
2013-04-23
Finding date
2015-11-05
Cause of death
Head injuries sustained in a fall from height
AI-generated summary
Robert Keith Knight, aged 62, died from head injuries sustained after jumping from a 3.86-metre handrail at the Metropolitan Remand Centre on 23 April 2013. He had been on remand for six months. Although Knight had no prior psychiatric history, he expressed suicidal ideation in intercepted letters (December 2012 and March 2013) and was appropriately placed under observation and risk assessment by Justice Health on multiple occasions. Each time he denied current intent and was downgraded to lower risk categories. Between 30 March and 23 April 2013, no further concerns emerged and he was not flagged for additional assessment. The coroner found that medical management by Justice Health, Ambulance Victoria and Royal Melbourne Hospital was reasonable and appropriate, and correctional officers responded appropriately to the incident. No preventable failures in clinical care were identified.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- suicidal ideation
- stress related to legal matters
- access to unobstructed handrail at height
- rapid execution of act with minimal delay
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