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Inquest Reveals Systemic Failures in Monitoring Schizophrenia Treatment Before Bondi Junction Tragedy

Psychiatrists testify that ignored red flags and medication cessation led to Joel Cauchi's relapse, resulting in six fatalities and ten injuries in April 2024.

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a cctv image of bondi killer joe cauchi holding a knife inside boni westfield in april 13 2024

Overview

  • Expert testimony confirms that 90% of treatment-resistant schizophrenia patients relapse within two years after stopping antipsychotic medication like clozapine.
  • Joel Cauchi’s psychiatrist incorrectly classified his chronic schizophrenia as 'first episode psychosis' and discontinued his medication without adequate follow-up or a second opinion.
  • Cauchi exhibited significant red flags, including delusions of Satanic control and behavioral changes, which were reported by his mother but not acted upon.
  • Psychiatrists emphasized that while violence by individuals with schizophrenia is rare, those off medication and experiencing delusions are disproportionately involved in such cases.
  • The coronial inquest aims to address systemic gaps in mental health care, focusing on improving diagnostic practices, medication management, and regulatory oversight.