Coronial

135 results for absconding

WA2008-07-07

Inquest into the Death of Kirsty Anne Slater

24y · Female·Ligature compression injury to the neck (hanging)

…s and substance abuse history, was found hanging from a tree in a park on 19 April 2006, nine days after absconding from Fremantle Hospital's Alma Street Clinic where she was an involuntary psychiatric patient. She had b…

psychiatryintensive carecommunicationsystemmorphine
WAmental health- 11 April 2014

Inquest into the Death of Robert Kenneth SCOTT

28y · Male·ligature compression of the neck (hanging)

Robert Kenneth Scott, a 28-year-old man with schizophrenia, died by hanging on 22 May 2008 after absconding from Graylands Hospital where he was an involuntary patient. He was last seen at 4:30pm on an open ward …

psychiatrydelayclozapine
VICmental health2013-08-20

Finding into death of Hassan Yassin

35y · Male·Hanging

…assin, a 35-year-old man with schizophrenia, bipolar affective disorder, and PTSD, died by hanging after absconding from an involuntary psychiatric admission. On 10 January 2011, following a clinical review at Broadmeado…

psychiatryemergency medicinecommunicationsystemrisperidone
NSWmental health2019-12-04

Inquest into the death of Mitchell FLOOD-SMITH

23y · Male·Multiple injuries sustained following collision with a train

…Paramedic records documenting his railway track planning were not reviewed by nursing staff prior to his absconding. Security staff were temporarily absent from the reception area when he left. Police were notified 30 mi…

psychiatryparamedicinecommunicationsystemrisperidone
VIChospital2017-06-07

Finding into death of Samer Rony Damouni

21y · Male·Compression of the neck consequent upon hanging

…oaffective disorder, substance dependence and anti-social personality disorder died by hanging following absconding from hospital. He was admitted to Casey Hospital ED on 12 July 2015 on an involuntary treatment order, h…

psychiatryemergency medicinecommunicationsystemmethamphetamine
VICmental health2013-07-02

Finding into death of Long Ngoc Dinh

28y · Male·Drowning

…an with schizophrenia and obsessive-compulsive disorder, died by drowning in the Maribyrnong River after absconding from the Mental Health Rehabilitation Unit in Sunshine on 17 April 2010. He had been admitted for manage…

psychiatryforensic medicinesystemcommunication
VICmental health2020-03-13

Finding into death of PATIENT A

35y · Female·mixed drug toxicity (fentanyl, morphine, clozapine and aripiprazole)

…amine use disorder died from mixed drug toxicity (fentanyl, morphine, clozapine, and aripiprazole) after absconding from an inpatient mental health facility. She had a 36-year history of absconding and substance use. On …

psychiatryfentanyl
QLDmental health2013-07-02

Mrs B

52y · Female·Hanging due to depression

…f mental health unit exits. Her selective disclosure of symptoms to clinicians, her history of impulsive absconding when hospitalised, and recent acute suicidal ideation documented by nursing staff suggested higher risk …

psychiatrycommunicationsystemdiazepam
SAcommunity2010-09-27

Coroner's Finding: DALY Michael Barry

53y · Male·Burns to 75% of body surface area and severe lower airway inhalation injury

…e Mental Health Act for bipolar disorder with manic features, assessed as at moderate to extreme risk of absconding given his repeated history of leaving without leave. He absconded on 11 April, yet was arrested twice th…

psychiatryemergency medicinecommunicationsystem
NSWaged care2019-12-06

Inquest into the disappearance and suspected death of Raymond Speechley

77y · Male·Hypothermia

…othermia in bushland. Critical systemic failures at the facility included: failure to identify him as an absconding risk despite clear warning signs and hospital transfer documentation; inadequate handover procedures pre…

geriatric medicineemergency medicinecommunicationsystemrisperidone
WAmental health2021-06-29

Inquest into the Death of Samuel Mark WALSH

38y · Male·carbon monoxide toxicity

…nced a psychotic relapse shortly after, though no clinical deterioration was evident to staff before his absconding on 5 October 2014. Clinical lessons include: (1) clozapine level fluctuations require careful dosing adj…

psychiatrypharmacydelaysystemclozapine
NT2001-10-15

Inquest into the death of Bryan G (aka) Abell Dallos

25y · Male·multiple injuries sustained in aircraft crash

…y it without pilot training. Despite a well-documented delusional obsession with flying to God, multiple abscondings from psychiatric care, previous attempts to access aircraft in Darwin, and explicit warnings provided b…

psychiatryaviation medicinecommunicationsystemhaloperidol
VIChospital2014-01-29

Finding into death of Renee Andrea Treen

24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway

…e risk (prior freeway-adjacent behaviour not weighted), delayed notification to police (1.35 hours after absconding), insufficient observation frequency following second absconding episode, and lack of structured monitor…

psychiatrydiagnosticsystemrisperidone
VICaged care2013-03-12

Finding into death of Jonathan Paul Tozer

48y · Male·Multiple injuries in a pedestrian struck by a bus

Jonathan Tozer, a 48-year-old man with intellectual disability and a documented history of absconding, was struck by a bus while at his day service facility. Despite close supervision by staff, he absconded…

trauma surgerycardiothoracic surgery
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

…ly detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was transferred from the secure closed ward to an open ward to accommodate more acute patients.…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
VICmental health2021-11-17

Finding into death of Nicholas Lopes

26y · Male·Mixed drug toxicity (heroin, morphine, codeine combined with lorazepam, olanzapi…

…, died from mixed drug toxicity (heroin combined with benzodiazepines and antipsychotics) two days after absconding from escorted leave at St Vincent's Mental Health inpatient ward. He was a vulnerable patient with multi…

psychiatryforensic medicineheroin
NThospital2008-12-23

Inquest into the death of Jenissa Ryan

14y · Female·blunt force head injury

…y 2006. Hospital staff failed to comply with existing policy requiring immediate police notification for absconding minors. Police were not contacted until 24 hours later. The deceased was assaulted while absent and suff…

infectious diseaseshaematologycommunicationsystemintragam
VIChospital2015-05-28

Finding into death of Naomi Charmaine Mahon

33y · Female·multiple injuries sustained when struck by a train

…th bipolar affective disorder and substance use issues, died after being struck by a train shortly after absconding from Monash Medical Centre emergency department. She had been brought to the ED by police under Mental H…

psychiatryemergency medicinerisperidone
NTmental health2005-08-26

Inquest into the death of Dale Vincent

27y · Male·multiple injuries after a fall from a height

…rd had an open-door design with multiple exit points, resulting in approximately one involuntary patient absconding per week. While psychiatric care was appropriate and thorough physical examinations ruled out organic pa…

psychiatryemergency medicinesystem
VIChospital2020-10-21

Finding into death of Anthony Lansell Churches

70y · Male·Cyanide Toxicity

… 70-year-old man with a history of substance use and criminal offences, died from cyanide toxicity after absconding from St Vincent's Hospital's Emergency Department. He had been placed on an involuntary psychiatric Asse…

emergency medicinepsychiatrycommunicationsystemcyanide

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