Coronial
WAcommunity

Inquest into the Suspected Death of Fred JACKAMORA

Deceased

Fred JACKAMORA

Demographics

54y, male

Date of death

1983-11 to 1984-06

Finding date

2020-05-26

Cause of death

Open finding - manner and cause undetermined

AI-generated summary

Fred Jackamora, an Aboriginal man in his mid-50s, disappeared from Kalumburu Mission on 9 November 1983 while attempting to walk approximately 350 kilometres to Mount Elizabeth Station to visit relatives. He was last seen in good health but with noted cognitive deterioration and deteriorating eyesight. The coroner established beyond reasonable doubt that he died sometime between late November 1983 and mid-1984 along the intended route. No body was recovered. The initial missing person report in November 1983 was not actively investigated, with serious police involvement only commencing in January 1985 after his family at Mount Elizabeth became concerned he had not arrived. The coroner could not determine the manner or cause of death, making an open finding. Clinical lessons include the importance of timely assessment and response to missing person reports, particularly for vulnerable elderly individuals with cognitive and sensory impairment undertaking hazardous journeys.

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

Error types

Clinical conditions

Contributing factors

  • Age and frailty
  • Deteriorating eyesight with cataracts
  • Cognitive deterioration noted in months before disappearance
  • Difficult and inaccessible terrain between Kalumburu and Mount Elizabeth
  • Undertaking a 350-kilometre journey alone
  • Delayed investigation and search response
Full text

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