PurposeMissing person cases are a global issue impacting policing. Among these, those who abscond from hospitals are especially concerning because these reports require collaboration across services, often strain already limited police and hospital resources and present an elevated level of possible harm due to high prevalence of mental illness, disability and/or addiction. Despite this, to-date, there has been a lack of scholarly attention on this phenomenon from a policing perspective. The present study aims to fill this gap by exploring how far missing hospital patients travel and where they are commonly found.Design/methodology/approachUsing a sample of 731 closed case files (2014–2018) from one police service, we identify spatial behaviour patterns specific to this group of missing persons.FindingsResults suggest that most do not leave the hospital grounds or stay within a 5-km radius. Others were found close to the hospital, within city limits and/or returned of their own volition. By identifying these spatial behaviour patterns associated with missing hospital patients, police can refine probable search areas, allocate resources more efficiently, find the missing faster and develop better-informed responses and collaborative policies.Originality/valueOur research represents the first empirical investigation into missing persons from hospital settings through a spatial perspective. Through descriptive statistical and spatial analyses, we determine the distance between the hospital a given individual was reported missing from and the location of where they were ultimately found.