Coronial

135 results for absconding

QLD2012-05-22

S

10y · Female·injuries sustained from being struck by a car

…care options. The placement proceeded without adequate risk assessment, particularly regarding her known absconding behaviour. Significant conflict with another resident, including documented physical assaults, was not a…

diagnosticsystem
VIChospital2012-01-31

Finding into death of Lee Patrica Collings

51y · Female·Multiple injuries sustained when struck by a car while lying on the Mornington P…

Lee Collings, 51, died by suicide after absconding from an Emergency Department. She presented with suicidal ideation and was triaged as Mental Health Cate…

emergency medicinepsychiatrycommunicationsystemsodium valproate
VICmental health2012-04-30

Finding into death of Travis Andrew McNees

18y · Male·Multiple injuries due to impact by train

Travis McNees, 18-year-old male, died by suicide on 4 October 2010 after absconding from Upton House psychiatric unit. He presented to ED on 29 September with paracetamol/panadeine overdos…

psychiatryemergency medicinecommunicationsystemparacetamol
VICmental health2023-05-02

Finding into death of Duncan Stuart Sparke

48y · Male·Hanging

…ary Treatment Order. He was reported missing to Victoria Police at 5:00pm, approximately two hours after absconding. The police investigation that followed had documentation gaps and inconsistent record-keeping, though t…

psychiatryemergency medicinesystemdelayfluoxetine
QLDhospital2007-09-03

Henderson, Robert Joseph

31y · Male·mixed drug toxicity

…iatrist or registrar much sooner, particularly given his history of substance abuse, non-compliance, and absconding risk.

psychiatryemergency medicinediagnosticdelaymorphine
NSWout-of-home care2022-10-21

Inquest into the death of Alex Raichman

11y · Male·Multiple injuries sustained when struck by train

Alex Raichman, 11, died when struck by a train after absconding from respite care at Civic Disability Services. Alex had autism, intellectual disability, and seizure di…

paediatricspsychiatrysystemproceduralaripiprazole
VIChospital2014-11-26

Finding into death of Daniel Colin McKittrick

25y · Male·Multiple injuries sustained in a fall from a height

… should weight recent suicidal behaviour heavily in risk assessment; voluntary status does not eliminate absconding risk and environmental precautions should reflect this. Both hospitals subsequently implemented policy c…

psychiatryemergency medicinecommunicationsystemolanzapine
WAmental health2015-11-30

Inquest into the Death of Frances May COOPER

48y · Female·head injury sustained when struck by a train

…acute psychosis, impaired insight, poor medication compliance, recent cannabis use, and known pattern of absconding. Contributing systemic failures included inadequate community mental health care following her discharge…

psychiatryemergency medicinesystemcommunicationrisperidone
VICmental health2011-12-02

Finding into death of Mark Ronald Connolly

27y · Male·HEAD INJURY SUSTAINED IN A MOTOR VEHICLE COLLISION (PEDESTRIAN)

Mark Connolly, 27, with paranoid schizophrenia and command hallucinations, was admitted to the Low Dependency Unit of a psychiatric hospital despite expressing intent to jump from a moving car and requesting High Depende…

psychiatrycommunicationsystemolanzapine
VIChospital2019-06-26

Finding into death of Trajce Laboski

27y · Male·Injuries sustained in descent from height

…od placement was inappropriate and known to be so; staff withheld information from Mr Laboski to prevent absconding rather than securing him safely; the hospital and mental health services lacked integrated coordination …

emergency medicinepsychiatrydiagnosticproceduraltestosterone
QLDhospital2009-03-20

Wright, Liam John and Powell, Charles Michael

Male·Multiple injuries due to train over-run (suicide by train)

…te Observation Area (AOA) to an open ward on 14 July 2006 despite documented high suicide risk, repeated absconding attempts, and parental concerns. Dr D.' decision lacked critical information about Liam's suicidal ideat…

psychiatryemergency medicinediagnosticcommunicationolanzapine
SAhospital2013-04-24

Coroner's Finding: HOLLONDS Andrew David

37y · Male·compression of the neck consistent with hanging

Andrew David Hollonds, a 37-year-old man with personality disorder, substance misuse, and recent psychosis, presented to hospital after a suicide attempt (temazepam overdose) following job loss. He explicitly threatened …

psychiatryemergency medicinesystemcommunicationtemazepam
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

Shannon Lees, a 23-year-old with schizoaffective disorder and polysubstance abuse, absconded from a mental health rehabilitation unit and died from multidrug overdose involving tramadol and methadone (not prescribed to h…

psychiatryaddiction medicinesystemmethadone
VICmental health2012-01-31

Finding into death of John Bernard Tuffy

48y · Male·drowning

John Tuffy, 48, died by drowning after absconding from a mental health waiting room at Bayview House while awaiting transfer to hospital. He had returned …

psychiatryemergency medicinecommunicationsystemtemazepam
NThospital2004-01-21

Inquest into the death of Rita Anderson

43y · Female·unknown

Rita Anderson, a 43-year-old Aboriginal woman with chronic alcohol-related organic brain damage, was admitted to Royal Darwin Hospital in March 2002 for stabilization and placement planning. Unable to safely live indepen…

psychiatrygeneral medicinesystemcommunicationdroperidol
VICmental health2013-02-25

Finding into death of Joy Apostolopoulos

41y · Female·Multiple injuries due to impact by train

…los, a 41-year-old woman with schizophrenia and depression, died by suicide when struck by a train after absconding from a locked psychiatric ward at Alfred Hospital. She had been on escorted leave, became acutely agitat…

psychiatryemergency medicinecommunicationsystemclozapine
QLD2015-10-09

(P) a thirteen year old girl

13y · Female·Multiple injuries due to motor vehicle accident

A 13-year-old Aboriginal girl in residential care absconded with a vehicle after an extended violent altercation with youth workers and died in a high-speed motor vehicle crash. She had extensive trauma history, PTSD, re…

paediatricspsychiatrysystemdelay
VICaged care2011-10-21

Finding into death of Claus J Neff

76y · Male·MULTIPLE INJURIES IN A TRAIN INCIDENT

A 76-year-old man with advanced dementia was admitted to a residential aged care facility on 26 June 2008. Within hours, he absconded through the front door and was struck by a train, sustaining fatal injuries. The RN ad…

geriatric medicinepsychiatrycommunicationsystem
VIChospital2025-01-10

Finding into death of William Thomas Gourley

39y · Male·Effects of fire (self-immolation)

…ients awaiting mental health assessment need close supervision; nicotine replacement therapy can prevent absconding; direct patient assessment by mental health clinicians is essential when psychosis present.

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
ACThospital2014-06-02

Findings Into The Death Of Mijo Galinec

69y · Male·asphyxia by hanging

A 69-year-old man with depression, prostate cancer, and recent suicide attempt was admitted to MAPU (general medical ward) after intensive care treatment. He was deemed low suicide risk and the one-on-one attendant was d…

psychiatryemergency medicinecommunicationsystemolanzapine

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