Coronial
WAcommunity

Inquest into the Suspected Death of Jorn Jesper JENSEN

Deceased

Jorn Jesper JENSEN

Demographics

68y, male

Coroner

Coroner Jenkin

Date of death

2017-06-25

Finding date

2020-10-02

Cause of death

unascertained

AI-generated summary

A 68-year-old man with multiple chronic medical conditions including peripheral neuropathy, chronic pain, atrial fibrillation, dysphagia, and depression disappeared on 25 June 2017. He left home, drove his car to Lancelin Beach (130 km away), and was never found despite extensive search and investigation. His body was never recovered. While evidence supports the possibility of suicide—he had expressed suicidal ideation, experienced severe pain limiting activities he loved, and was on multiple medications—the coroner found insufficient evidence to establish this as the cause. No evidence of foul play was identified. The coroner made an open finding. Clinically, this case highlights challenges in assessing suicide risk in older patients with multiple comorbidities, complex pain management, and medication effects, and the importance of mental health monitoring even when mood appears improved.

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

Specialties

general practicecardiologypain medicineforensic medicine

Drugs involved

buprenorphinegabapentinpregabalinamitriptylineduloxetineoxycodonenortriptylineclonazepamdabigatranfurosemidepantoprazoleesomeprazole

Clinical conditions

peripheral neuropathychronic low back painosteoarthritisswollen ankles and lower limbsdysphagiaatrial fibrillationfractured right radiusdepressioninsomniasuicidal ideation

Procedures

cardioversionendoscopy

Contributing factors

  • chronic pain (peripheral neuropathy, osteoarthritis, fractured wrist)
  • depression and suicidal ideation
  • loss of wife
  • inability to participate in valued activities (golf, beach walking)
  • multiple medications with cognitive/mood effects
  • dysphagia and swallowing difficulties
Full text

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