135 results for “absconding”
67y · Male·undetermined; likely exposure and dehydration
…ind his arm brace, clothes, and approximately $900 in cash held in security. Hospital staff followed the Absconding Patients Policy, determining that police notification was not required. The deceased was discharged in a…
37y · Female·head injury sustained in motor vehicle collision (pedestrian)
…ound the clinical transfer from high-dependency to low-dependency care was appropriate and the patient's absconding could not have been reasonably foreseen. However, the finding highlights a systemic issue identified in …
30y · Male·Heroin toxicity
…e coroner could not conclude the delayed report would have prevented his death. Lessons include: clearer absconding protocols with specific timelines for police notification, inter-agency data-sharing for missing persons…
54y · Female·unascertained
…me due to resource constraints and she disappeared. The coroner found she likely died around the time of absconding from suicide. Key clinical lessons: (1) Consulted psychiatrist, not registrar alone, should approve invo…
45y · Female·Complications of acute alcohol intoxication
Ruth Janet Younger, a 45-year-old woman with treatment-resistant schizophrenia subject to a Community Treatment Order, was discharged from Casey Hospital psychiatry ward on 1 June 2010 while anxious and paranoid. She abs…
44y · Male·multiple injuries sustained when struck by a semi-trailer as a result of suicide
…while detained under the Mental Health Act at a psychiatric hospital. He was hit by a semi-trailer after absconding from an open ward. The coroner found his treatment was appropriate and that staff could not reasonably h…
20y · Male·Multiple injuries due to contact with a train
Jonathan Saccu, a 20-year-old with severe treatment-resistant schizophrenia, absconded from an open mental health unit and was fatally struck by a train approximately 3 hours later. He was admitted on an involuntary trea…
25y · Male·consistent with drowning in a man with multiple injuries
… actively reviewed; early consultant psychiatric assessment is essential for involuntary admissions; and absconding notifications to police should be expedited when suicide risk is present.
20y · Female·Ligature compression of the neck
…e was admitted involuntarily under the Mental Health Act on 3 May 2003 and placed in a secure ward after absconding on 25 May to spend time with her boyfriend. At 12:40am on 27 May, she was found hanging from a shower ta…
76y · Male·Drowning
… engagement; delayed social media notification. The health service lacked policies specific to wandering/absconding in aged care. Police did not follow standard operating procedures for high-risk missing persons. Post-in…
40y · Male·Carbon Monoxide Poisoning
…, a 40-year-old with schizophrenia and substance use disorder, died from carbon monoxide poisoning after absconding from a community mental health clinic on 23 December 2015. He had been assessed as unsafe and depressed,…
59y · Male·Drowning
Benjamin Woodhouse, a 59-year-old involuntary mental health patient with schizophrenia and a history of absconding, drowned in the Parramatta River while on escorted leave. Critical systemic failures included inadequate…
26y · Female·multiple injuries sustained as a result of being struck by a motor vehicle on th…
…uring vulnerable admission period at receiving hospital; and (5) placement in an open ward despite known absconding history. The coroner accepted that daily psychiatric assessment in acute detention is standard of care, …
27y · Male·Multiple blunt force injuries from jumping off a cliff
…tivated child safety locks (which were available in sedans); delays in notifying police (31 minutes post-absconding); failure to comply with the NSW Health-Police Memorandum of Understanding; inadequate risk communicatio…
27y · Male·hanging
A 27-year-old man with deteriorating mental health and acute psychotic symptoms died by hanging from a bathroom door in an acute mental health unit. He had expressed suicidal ideation, told his parents he needed to die t…
31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…
… patient's community mental health records; staff failed to secure him in a locked ward despite previous absconding; security officers received minimal restraint training (one had only 1 hour in 4 years); the prolonged v…
46y · Male·Cold environmental exposure in a man with cardiomegaly
…e to less restrictive environments, as risk stratification is context-dependent; (2) the documented 'low absconding risk' from his secure facility was invalid in an open setting and was not re-assessed; (3) six prior wan…
3y · Male·consistent with drowning in a boy with autism (on historical grounds)
Christian, aged 3 years 11 months with autism spectrum disorder and a significant tendency to abscond, died by drowning in the Yarra River after escaping through an unsecured window at his father's house on 30 October 20…
35y · Male·neck compression due to hanging
A 35-year-old man with chronic depression, alcohol dependence and amphetamine abuse was detained at the Queen Elizabeth Hospital Emergency Department on 15 May 2006 after presenting intoxicated with suicidal ideation. He…
42y · Female·salt water drowning
Sandra Sanders, aged 42, a detaineε psychiatric patient, died by saltwater drowning after absconding from Woodleigh House psychiatric unit on 3 September 1997. She had presented with major depression with …
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