Security camera footage from a Utah courthouse shows a defendant in handcuffs running out of a courtroom, flipping over a second-floor railing and falling to the ground below.
In the short video released Thursday to media outlets, Christopher Clay Rudd appears to be dazed or unconscious after he lands on Monday.
His face is bloody as two bailiffs attend to him.
State courts spokesman Geoffrey Fattah says the 35-year-old Rudd broke his leg and pelvis and fractured his skull.
Authorities say he had been arrested on drug allegations and was in the Spanish Fork court for failing to follow through on court-ordered treatment.
Police spokesman Matt Johnson says it’s unclear whether Rudd was trying to injure himself. He could face additional charges for trying to escape.
Court filings did not list a lawyer for Rudd.