Coronial

135 results for absconding

VIChospital2023-10-05

Finding into death of Ruby-Lee Gold

28y · Female·Multiple injuries sustained in a fall from height

…e disorder and polysubstance abuse, died from multiple injuries sustained falling from an overpass after absconding from Sunshine Hospital's emergency department. She was released from custody on an Inpatient Assessment …

psychiatryemergency medicinesystemdelaydiazepam
VICmental health

Finding into death of GM

52y · Male·Unascertained

GM, a 52-year-old man with bipolar affective disorder, died of unascertained causes after absconding from a mental health inpatient unit on 2 December 2015. He was admitted voluntarily for management of a …

psychiatryemergency medicinesystemcommunicationpholcodine
VIChospital2021-02-26

Finding into death of MrJ

22y · Male·Drowning

A 22-year-old university student with recent substance use presented to ED following violent behaviour. He had facial trauma with mild head injury and abnormal metabolic parameters. Initial management appropriately prior…

emergency medicinepsychiatrysystemdelayMDMA
WAmental health2015-12-31

Inquest into the Death of Ruby Natasha NICHOLLS-DIVER

Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…

Five patients of Alma Street Centre's psychiatric unit died within 12 months (2011-2012). Three died by suicide within 24 hours of discharge; one disappeared and died; one absconded while detained and died. Clinical less…

psychiatryemergency medicinecommunicationdiagnosticantidepressants
WAhospital- 8 July 2014

Inquest into the Death of Delray BEASLEY

56y · Male·unascertainable; complications of liver cirrhosis and/or exposure most likely

Delray Beasley, a 56-year-old Aboriginal man with chronic liver cirrhosis from longstanding alcohol abuse, was admitted to Kalgoorlie Hospital in May 2010 following an alleged assault. He was initially evaluated for poss…

emergency medicineneurosurgerysystemdiazepam
WAcommunity2017-09-06

Inquest into the Death of James Michael Chee Ming YUNG

42y · Male·Multiple injuries sustained in motor vehicle crash

A 42-year-old man with schizoaffective disorder subject to a Community Treatment Order died in a single-vehicle motor crash in rural Western Australia. He had poor insight, chronic medication non-adherence, and a pattern…

psychiatryemergency medicinedelaysystempaliperidone depot
SAaged care2016-09-05

Coroner's Finding: BANNISTER Alfred Geoffrey

84y · Male·general inanition on a background of dementia with contributing ischaemic and hy…

…ral disturbance with nocturnal wandering. Following a hospital admission in February 2014 with attempted absconding, guardianship orders were obtained under the Guardianship and Administration Act. He was admitted to age…

geriatric medicinepsychiatry
SAhospital2005-05-24

Coroner's Finding: WALLACE-MOHLMANN Candice Mackenzie

30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…

…on but was managed at lower observation levels; (3) critical clinical information (including her morning absconding) was not communicated to afternoon staff, who relied on incomplete verbal handovers rather than reading …

psychiatryemergency medicinediagnosticmedicationvecuronium
SAhospital2007-04-12

Coroner's Finding: McINERNEY Harold Leslie

84y · Male·lower respiratory tract infection complicating congestive cardiac failure

…tal. He was admitted for bleeding ulcers and subsequently detained due to advanced dementia and hospital absconding. The coroner found his hospital care was of very high standard and his detained status did not contribut…

general medicinepsychiatryhaloperidol
WAmental health2004-09

Inquest into the Death of Peter Daniel Mahoney

55y · Male·Immersion (Drowning) arising by way of suicide

…year-old man with treatment-resistant bipolar affective disorder, died by drowning on 13 June 2003 after absconding from Joondalup Health Campus where he was detained as an involuntary patient under the Mental Health Act…

psychiatrypsychiatrycommunicationsystemtemazepam
NSWhospital2014-08-22

Inquest into the death of Alana GOLDSMITH

21y · Female·Multiple injuries sustained from being struck by a train; death by suicide while…

… prior discharge summaries were not obtained (which documented a previous suicide attempt and history of absconding), and staff failed to detect her absences from the facility until too late. Her roommate was aware of su…

psychiatrygeneral practicecommunicationsystemolanzapine
SAmental health2025-03-06

Coroner's Finding: Fowles, Wayne Lincoln

59y · Male·hanging

A 59-year-old man with major depression and psychotic features was lawfully detained under an inpatient treatment order at Noarlunga Hospital's Morier Ward. He was appropriately managed, initially in the high-dependency …

psychiatryemergency medicinelorazepam
VICcommunity2011-09-05

Finding into death of Stephen Ross Gamble

49y · Male·Complications of craniopharyngioma and pan-hypopituitarism

…is condition had been deteriorating in the months before July 2010, with multiple episodes of confusion, absconding, and hospital admissions. He was admitted to Austin Hospital on 6 July with seizures and low blood press…

palliative care
SAhospital2017-05-11

Coroner's Finding: ROBINSON Scott Alexander

44y · Male·neck compression consistent with hanging

Scott Alexander Robinson, a 44-year-old man with treatment-resistant schizophrenia and obsessive-compulsive disorder, died by hanging while on an Inpatient Treatment Order at Royal Adelaide Hospital on 1 February 2014. H…

psychiatrypaliperidone
NSWmental health2025-03-31

Inquest into the Death of G.P.

41y · Male·Multiple traumatic injuries

This inquest examined the death of a 40-year-old man who died by suicide following a fall from a cliff. He had three involuntary admissions to mental health facilities in a fortnight before his death. Critical clinical l…

psychiatryemergency medicinediagnosticcommunicationlisdexamfetamine
SAhospital2024-06-19

Coroner's Finding: Leane, Stewart Anthony

62y · Male·end stage renal failure complicating oxalate crystal nephropathy with contributi…

…1, he sustained a brain injury and exhibited increasingly challenging behaviour (pulling dialysis lines, absconding, aggression). A guardianship order with special powers was obtained. Dialysis was withdrawn on 24 August…

nephrologyneurology
SAhospital2014-11-28

Coroner's Finding: ANDERSON Joel Kenneth

50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…

…d untreated hepatitis C. His hospital course was complicated by non-compliance, alcohol use during brief absconding episodes, and behavioural disturbance requiring psychiatric detention and restraint. The coroner found h…

gastroenterologyhepatologyspironolactone
VICmental health2018-02-23

Finding into death of Hilda Billman

73y · Female·UNASCERTAINED

Hilda Billman, a 73-year-old woman with paranoid schizophrenia, absconded from Bendigo Psychiatric Centre on 6 September 1996 while an involuntary patient. She had been informed of planned electroconvulsive therapy and l…

psychiatrysystem
VICcommunity2010-05-19

Finding into death of Ali Sultan Zaidi

30y · Male·head and chest injuries sustained in a fall from a height

Ali Sultan Zaidi, a 30-year-old man with bipolar affective disorder, died from head and chest injuries sustained in a fall from height on 24 September 2007. He had a psychiatric review on 20 September 2007 with Dr M., wh…

psychiatryforensic medicinelithium
WAhospital2020-05-26

Inquest into the Death of Nualla Christine REILLY

74y · Female·Multiple injuries sustained when struck by train

…oman with borderline personality disorder, depression, anxiety and type 2 diabetes died by suicide after absconding from Fiona Stanley Hospital Emergency Department. She had been on extended psychiatric admission and tra…

psychiatryemergency medicinecommunicationsystemamitriptyline

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