135 results for “absconding”
87y · Female·Multiple injuries with ischaemic heart disease, antecedent cause being recent fa…
87-year-old Margaret Martyr-Paterson, a low-care resident with dementia and ischaemic heart disease at Shoreham House aged care facility, fell from her bedroom window on 17 February 2010 and died 11 days later from multi…
34y · Male·hanging
Luke De Piazza, a 34-year-old man with long-standing mental health issues, died by hanging on 3 March 2017. Six days prior, he had voluntarily discharged from a psychiatric inpatient unit. On the day of death, he present…
64y · Male·complications in association with thermal injuries in a man with underlying chro…
Kim Vulich, a 64-year-old man with decompensated liver cirrhosis from chronic alcohol use, developed hepatic encephalopathy and cognitive impairment including possible Korsakoff syndrome. Despite SAT guardianship orders …
45y · Female·Neck compression secondary to hanging
Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (…
80y · Male·Drowning
An 80-year-old man with severe depression, suicidal ideation, and probable vascular dementia died by drowning after leaving a psychiatric ward. He was appropriately treated with ECT, medication, and placed on an ITO. How…
31y · Male·ligature compression of the neck (hanging)
…menting protective measures failed this patient. The nearby patient emergency distraction contributed to absconding. Systemic issues included unclear communication about guard assignments, inadequate psychiatric bed avai…
32y · Male·multiple injuries sustained in a fall from height
A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic relapse. The case reveals critical failings in mental health crisis r…
89y · Female·Blunt force head injury on a background of ischaemic and valvular heart disease
…are facility. The resident had a documented history of physical aggression, verbal abuse, wandering, and absconding over 19 months. He was transferred from a secure to non-secure unit six days after striking another resi…
38y · Male·ischaemic heart disease
Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarl…
20y · Female·Multiple injuries sustained when struck by train at Lalor Railway Station
Stacey Smith, aged 20, with complex psychiatric illness and suicidal ideation was transferred to Northern Hospital ED following confirmed overdose of 40-50 Valium tablets and explicit threats to throw herself in front of…
46y · Female·Cardiac arrest of unknown origin
Virginia Brown, a 46-year-old Aboriginal woman, died of cardiac arrest of unknown origin on 31 October 2014 while detained under a Mandatory Residential Treatment (MRT) order at CAAAPU (Central Australian Aboriginal Alco…
36y · Male·Drowning
Gary Dale Sargeant, a 36-year-old Royal Australian Air Force member, died by drowning after absconding from Edinburgh Health Centre during an acute mental health crisis. Critical clinical failures included: …
15y · Male·multiple injuries caused by a motor vehicle accident
Kailab Moir, a 15-year-old Aboriginal boy with FASD, complex trauma, and ADHD, died in a single-vehicle rollover while a passenger in a stolen vehicle. He had been in out-of-home care since age 5 with approximately 35 di…
Female·Five separate deaths: Ruby Nicholls-Diver—ligature compression of neck (hanging)…
Five former psychiatric patients of Alma Street Centre (part of Fremantle Hospital) died between March 2011 and March 2012. Two died by suicide within 24 hours of discharge; one disappeared and was found deceased; one ab…
Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…
Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma Street Centre mental health services in Western Australia. Rub…
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