{"id":18871,"date":"2026-02-05T01:27:29","date_gmt":"2026-02-05T01:27:29","guid":{"rendered":"https:\/\/microvibenews.com\/?p=18871"},"modified":"2026-02-05T01:27:29","modified_gmt":"2026-02-05T01:27:29","slug":"major-failing-in-psychiatric-care-before-joel-cauchi-stabbed-six-people-at-bondi-junction-coroner-finds-bondi-junction-stabbings","status":"publish","type":"post","link":"https:\/\/microvibenews.com\/?p=18871","title":{"rendered":"\u2018Major failing\u2019 in psychiatric care before Joel Cauchi stabbed six people at Bondi Junction, coroner finds | Bondi Junction stabbings"},"content":{"rendered":"

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It was a \u201cmajor failing\u201d for Joel Cauchi\u2019s former psychiatrist not to recognise he had relapsed in the lead up to the Bondi Junction stabbings<\/a> in 2024, a coroner has found.<\/p>\n

The state coroner, Teresa O\u2019Sullivan, handed down her findings in an 837-page report on Thursday after she had delayed its release following the Bondi beach terror attack in December.<\/p>\n

She recommended changes to the New South Wales<\/a> mental health system.<\/p>\n

Family members of the victims gathered in court to hear the coroner\u2019s findings regarding 40-year-old Joel Cauchi\u2019s violent attack at a Westfield shopping centre.<\/p>\n

Cauchi<\/a>, who lived with schizophrenia, killed Ashley Good, 38, Jade Young, 47, Yixuan Cheng, 27, Pikria Darchia, 55, Dawn Singleton, 25, and Faraz Tahir, 30, and injured 10 others before he was shot and killed by police Insp Amy Scott<\/a>.<\/p>\n

O\u2019Sullivan determined that all six people died of stab wounds.<\/p>\n

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\u201cWhile this inquest cannot ever change what happened, it is hoped the recommendations can provide an opportunity for reform which could save future lives,\u201d O\u2019Sullivan said on Thursday.<\/p>\n

O\u2019Sullivan said she would be referring Cauchi\u2019s former psychiatrist, Andrea Boros-Lavack<\/a>, to the Queensland ombudsman to examine her care of him.<\/p>\n

But O\u2019Sullivan said it was \u201cimportant to note\u201d that her care was not a major factor that led Cauchi to murder six people. Senior counsel assisting the inquest, Dr Peggy Dwyer SC, said late last year that \u201cno one could have foreseen the tragic events of 13 April [2024] \u2013 it\u2019s not suggested that Dr Boros-Lavack could have\u201d.<\/p>\n

The coroner said on Thursday that Boros-Lavack\u2019s care of Cauchi from 2012 to 2019 was exemplary and compassionate, and she did the right thing in listening to his wishes to wean off his medication.<\/p>\n

However, O\u2019Sullivan found that Lavack \u201cfailed\u201d to assess the seriousness of \u201cwhat was unfolding before her\u201d when he relapsed.<\/p>\n

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\u201cThe care that was provided was one of the many factors that led to this tragic outcome,\u201d she said.<\/p>\n

\u201cWhile this inquest cannot ever change what happened, it is hoped the recommendations can provide an opportunity for reform which could save future lives.\u201d<\/p>\n

She said the inquest was both an opportunity to examine Cauchi\u2019s care, but also the systemic issues in the state\u2019s mental health system.<\/p>\n

She recommended the NSW government establish and support short- and long-term accommodation for people experiencing mental health issues and homelessness.<\/p>\n

The coroner recommended the NSW government, over the next 12 months, obtain advice about the decline of mental health outreach services and determine a \u201crealistic timeline\u201d to resource such services.<\/p>\n<\/div>\n

#Major #failing #psychiatric #care #Joel #Cauchi #stabbed #people #Bondi #Junction #coroner #finds #Bondi #Junction #stabbings<\/p>\n","protected":false},"excerpt":{"rendered":"

It was a \u201cmajor failing\u201d for J… <\/p>\n","protected":false},"author":1,"featured_media":18872,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/microvibenews.com\/index.php?rest_route=\/wp\/v2\/posts\/18871"}],"collection":[{"href":"https:\/\/microvibenews.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/microvibenews.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/microvibenews.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/microvibenews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18871"}],"version-history":[{"count":0,"href":"https:\/\/microvibenews.com\/index.php?rest_route=\/wp\/v2\/posts\/18871\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/microvibenews.com\/index.php?rest_route=\/wp\/v2\/media\/18872"}],"wp:attachment":[{"href":"https:\/\/microvibenews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/microvibenews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18871"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/microvibenews.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}