A psychiatrist who treated the man behind a fatal stabbing rampage at a crowded Sydney shopping centre will be referred to health investigators following a coronial inquiry.
Joel Cauchi, first diagnosed with schizophrenia in his teens, was unmedicated and homeless when he stabbed 16 people inside Westfield Bondi Junction in 2024, killing six.
The New South Wales coroner stated that Dr. Andrea Boros-Lavack had provided exemplary care over a long period but failed to heed warnings from Cauchi's family that he may be relapsing, an oversight attributed to various systemic failures.
Six victims were killed during the attack on April 2024, including Dawn Singleton, 25; Yixuan Cheng, 27; and Jade Young, 47. Ten others, including a baby, were injured before Cauchi was shot dead by police.
The inquest revealed critical missed opportunities for intervention by police and lack of adequate security measures in the shopping centre. In her recommendations, Coroner Teresa O'Sullivan emphasized improvements needed in mental health services and public safety protocols.
O'Sullivan's criticism included Dr. Boros-Lavack's decision-making when concerns about Cauchi's mental health were raised by his family. She also pointed out failures in police response to an email raising concerns about Cauchi's mental state.
O'Sullivan recommended bravery awards for those who acted heroically during the attack and expressed the need for better training and communication between emergency services and mental health providers.
This tragic case underlines the necessity for systemic changes in how mental health issues are approached and managed within the community.
