When a vulnerable patient absconds

Summary• This case‐study examines the nurse's role when a patient at risk absconds. • It highlights possible weaknesses in the system for dealing with absconding patients who are so cognitively and emotionally impaired, that they may present a danger to themselves. • The issues of patient identification and stigmatization are raised along with the possible conflict this may cause in psychiatric nurses. • Recommendations for care at ward level are made, including asking the vulnerable patient to wear an identity bracelet and the instigation of a prepared action plan which involves engaging the help of outside agencies should a patient abscond.