Coronial
VICother

Finding into death of Matthew Thomas Fitzpatrick

Deceased

MATTHEW THOMAS FITZPATRICK

Demographics

33y, male

Date of death

2017-11-25 to 2017-12-03

Finding date

2020-01

Cause of death

COMPLICATIONS OF HYPOTHERMIA

AI-generated summary

Matthew Fitzpatrick, 33 years old with bipolar disorder and inconsistent medication adherence, died of complications of hypothermia on Mount Stirling in November 2017. He failed to return from an organised horse trail ride. The coroner investigated extensive family criticism of the search and rescue operation but concluded after detailed review that the multi-agency response (over 100 police, 27 SES, 21 DELWP, and other personnel) was reasonable, appropriate, and conducted according to relevant principles and legislation. The coroner found no reasonable basis for criticism of official searchers' conduct. The death was tragic but not preventable through improved search efforts. The coroner recommended Victoria Police implement a Family Liaison Officer policy to improve communication and reduce tension during missing person investigations.

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

Contributing factors

  • Hypothermia exposure in bushland
  • Paradoxical undressing
  • Disorientation and confusion
  • Bipolar disorder with non-adherence to medication

Coroner's recommendations

  1. Victoria Police develop and implement a policy where trained Family Liaison Officers liaise with family members in situations including searches for missing persons, adopting a protocol similar to that implemented in the United Kingdom
Full text

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