'Major failing' in psychiatric care before Joel Cauchi stabbed six people at Bondi Junction, coroner finds

Psychiatrist's Failure to Recognize Mental Health Relapse Leaves Family with Unbearable Guilt

The New South Wales coroner has delivered a scathing verdict on the failure of Joel Cauchi's former psychiatrist, Andrea Boros-Lavack, to recognize his mental health relapse before he went on a deadly rampage at Bondi Junction in 2024. The coroner's report has left many questioning how such a tragic event could have been prevented.

According to the report, Boros-Lavack had been treating Cauchi since 2012 and had previously helped him wean off his medication. However, in 2020, she discharged him to his GP without assessing the seriousness of Cauchi's relapse. The coroner found that this failure was a "major failing" and one that could have potentially prevented the tragedy.

The report also highlighted issues with the state's mental health system, including the lack of short- and long-term accommodation for people experiencing mental health issues and homelessness. The coroner recommended that the NSW government establish such facilities and provide adequate resources to support them.

In addition, the coroner criticized the policies of the mall's security firm, Scentre Group, which was slow to respond to the attack. However, she also commended emergency services for their rapid response and praised the bravery of security guard Faraz Tahir, who died on his first day on the job.

The tragedy has left numerous family members with unbearable guilt and a sense of what could have been done differently. Noel McLaughlin, Jade Young's husband, said that while the inquest cannot undo their loss, it has helped them understand what happened and provided some solace. He praised the coroner's report for its seriousness, care, and dignity.

The coroner's findings have sparked widespread concern about the state of mental health care in Australia and the need for systemic reform. The tragedy at Bondi Junction serves as a stark reminder of the importance of effective mental health support systems and the need to prevent such tragedies from occurring in the future.
 
can we talk about this? its not just about 1 doctor or 1 family, its about our whole system, ya know? how can we expect ppl to get better if they cant even get proper help? like, whats wrong with having more beds for mental health patients and more staff to support them? the coroner said it all, we need to step up our game, no time for excuses. also, security firms gotta be held accountable too, slow response is just as bad as the attack itself πŸ€―πŸ’”
 
I'm absolutely gutted by this report! πŸ€• 12 out of 15 Australian states have inadequate mental health facilities, leaving us with barely any options for those struggling. πŸ“Š The NSW government needs to step up their game and establish more short- and long-term accommodations ASAP! πŸš€ According to the World Health Organization (WHO), 1 in 4 people will experience a mental health issue each year - that's like 1 person every 3 seconds! πŸ•°οΈ We can't afford to lose another soul over mental health neglect. Mental health awareness needs to be on the forefront of our conversations, not just an afterthought when tragedy strikes again πŸ’” The system is failing us, and it's time for some major changes! 🀯
 
Wow, it's so heartbreaking what happened with Joel Cauchi πŸ€•πŸ˜’. I feel like the whole system let him down, you know? Like, his psychiatrist wasn't doing enough to help him and then the mall's security was super slow to respond... it's just a big mess πŸ’”. The coroner's report is really important though, 'cause it shows that we need to make some serious changes to how we support people with mental health issues 🀝. It's not just about throwing more money at the problem, we gotta think about how to actually help these people in a way that works for them πŸ€“.
 
Man, this is just so sad πŸ˜”. I'm thinking about all these families who are still dealing with the aftermath of their loved ones losing their life. It's not like, it wasn't because they didn't get good help or anything, it's just that the system failed them. The fact that Andrea Boros-Lavack discharged Joel without checking if he was okay is just heartbreaking. And now people are saying we need to improve our mental health care? Like, yeah, that should have been there in the first place πŸ€¦β€β™€οΈ. We need more resources and support for people with mental health issues, especially for those who are struggling on the streets. It's not fair that families are still dealing with this guilt and what ifs. Can't we just do better? πŸ’”
 
Ugh, just read about this coroner's report and I'm literally shaking my head 🀯. Like, how can you not recognize the signs of a mental health relapse?! It's not like it's rocket science, folks. Andrea Boros-Lavack was supposed to be treating this guy for years and she just kinda... gave up? πŸ™„ And then there's the state's mental health system, which is basically non-existent. I mean, who needs short- and long-term accommodation for people with mental health issues when you've got a bloke on the loose wielding a knife? πŸ’€ It's all about prioritizing the wrong things sometimes... like profits over people. Anyway, can we just get some actual mental health reform going here instead of just talking about it? πŸ™„
 
πŸ˜” This is just heartbreaking what happened with Joel Cauchi and his family... it's like, how could that psychiatrist not see the signs? πŸ€• The fact that Andrea Boros-Lavack discharged him without assessing his relapse is just mind-blowing 🀯. We need to seriously rethink our mental health system here in Australia πŸ‡¦πŸ‡Ί. Short-term and long-term accommodation for people experiencing mental health issues and homelessness is a must πŸ’‘. It's not just about providing resources, it's about providing support and care for those who need it most ❀️. The coroner's report is like, super important and we should all be taking note of the recommendations πŸ“. We can't keep living in fear of these types of tragedies happening again 😩. Let's make some real change happen πŸ‘Š #MentalHealthReformNow #PrioritizeCareOverProfit #AustraliaDeservesBetter
 
😩 I FEEL SO BAD FOR THE FAMILY OF JADE YOUNG!!! IT'S JUST NOT RIGHT THAT HER PSYCHIATRIST MISSED THOSE WARNING SIGNS AND NOW SHE'S GONE 🀯. WE NEED TO GET OUR MENTAL HEALTH SYSTEMS IN ORDER, ESPECIALLY WHEN IT COMES TO SHORT-AND-LONG TERM ACCOMMODATION FOR PEOPLE WHO NEED IT MOST! πŸ’‘ LET'S HOPE THE NSW GOVERNMENT LISTENS TO THE CORONER'S RECOMMENDATIONS AND MAKES SOME REAL CHANGES 🀞. THIS TRAGEDY SHOULD BE A CALL TO ACTION, NOT JUST ANOTHER NUMBER IN A LONG LINE OF DISASTROUS MENTAL HEALTH CRISIS πŸ’”
 
πŸ€• This whole thing is just heartbreaking. I mean, can you even imagine having to live with 'I wish we'd done something differently' for the rest of your life? The system's clearly broken and it needs a complete overhaul ASAP! πŸ’” We need more resources, better support, and less bureaucracy holding people back from getting the help they need. And what really gets my goat is that Joel Cauchi was discharged by his psychiatrist with no proper assessment, leaving him vulnerable to another relapse. It's just a recipe for disaster. 🚨
 
πŸ˜• my heart goes out to Noel & Jade's family, can't even imagine the pain & guilt they must be feeling... it's just not fair that we're still struggling with our mental health system 🀯 this coroner's report is a clear call for action - we need more support for people experiencing homelessness & mental health issues πŸ πŸ’• the fact that Andrea Boros-Lavack was supposed to be monitoring Joel's progress & she messed up is just devastating πŸ’” and Faraz Tahir, who lost his life trying to help, his memory should not be forgotten πŸ™ let's keep pushing for systemic reform so this never happens again πŸ’ͺ
 
πŸ€¦β€β™‚οΈ can you believe that psychiatrists are like, super busy trying to cure people's minds, but sometimes they just forget to check if the patient is still crazy 🀯? like, Andrea Boros-Lavack was literally supposed to be monitoring Cauchi's meds, but she just gave him a blanket discharge and sent him off to his GP... talk about a mental health fail πŸ˜‚. on a more serious note tho, it's wild that there aren't enough accommodations for people with mental health issues and homelessness in NSW - it's like they're stuck between a rock and a hard place πŸ€·β€β™‚οΈ. anyway, I'm just glad the coroner is pushing for change, 'cause at the end of the day, we all wanna make sure these kinds of tragedies don't happen again πŸ’”.
 
πŸ€• this is just heartbreaking the family of that young man, they gotta live with the guilt 4ever its not just the doc's fault tho, our whole system is broken πŸ’” short term & long term homes 4 ppl w mental health issues r non existent πŸ πŸ‘Ž we cant just put blame on 1 person, its a collective failure 🀝 we need systemic reform ASAP 🚨 mental health matters! πŸ‘
 
πŸ€• can't believe our mental health system is so messed up 🀯 like how can one person get discharged without proper assessment? it's just not right πŸ˜” and what about all these short-term & long-term accommodation places that are supposedly supposed to exist?! it's like they're all empty or non-existent 🚫 the coroner's report is giving me some hope tho, maybe we'll see some real change now πŸ’‘
 
πŸ€” I think it's super unfair to blame Boros-Lavack alone for what happened... I mean, she was clearly doing her job, but maybe Cauchi wasn't taking his meds as prescribed or something? πŸ“Š And what if the GP he got discharged to wasn't exactly equipped to handle his needs either?! 😬 It's not like it's a simple case of one person failing someone else... it's all these variables and system flaws that led up to this tragedy. πŸ’” But at the same time, I also think we need some serious reforms in our mental health care system ASAP! 🚨 We can't just keep putting people through these crises because we're "out of options" or whatever... we need to invest more in those short- and long-term accommodations for people experiencing homelessness and mental health issues. πŸ’Έ
 
πŸ€” this whole thing is so messed up its not even fair to say someone is a bad doc just cuz they didn't catch the warning signs in time like u think docs r perfect & have all the answers but mental health is super complex & nuanced sometimes things dont go as planned no matter how hard u try theres gotta be more support for ppl struggling with it instead of just blaming the doc its not that simple πŸ‘Ž
 
I'm tellin' ya, this whole thing is super fishy 😊. I mean, think about it - Andrea Boros-Lavack discharges Cauchi without assessin' his relapse? That's like leavin' a ticking time bomb just waitin' to blow! And what's with the state of mental health in NSW? It's like they're tryin' to cover somethin' up πŸ€”. I'm not sayin' it's all her fault, but somethin' don't add up here. And have you noticed how quick the coroner is to bash the security firm? That's some suspicious stuff right there πŸ€‘. It's like they're tryin' to distract us from the real issue - the mental health system itself. I'm all for reform and whatnot, but we need to be careful not to just point fingers at people or companies without really gettin' to the root of the problem πŸ’­.
 
omg u cant believe whats happenin w/ mental healthcare in australia!!! its like they r just throwin ppl out w/o checkin if dey r ok 🀯 boros-lavack's failure 2 recognize joel cauchi's relapse is like, a major fail right? she shouldve stuck w/ him lol and yeah the system needs 4 serious reform πŸ’‘ we need more funding 4 short- & long-term accommodation 4 ppl w mental health issues n homelessness πŸ πŸ’• its not just abt de ppl dyin, its bout de ones left behind w unbearable guilt πŸ™
 
πŸ€• This is just heartbreaking to read about... I think the biggest takeaway here is that mental health care can be super flawed and inadequate, especially for people who have been struggling with it for years. The fact that Andrea Boros-Lavack didn't recognize Joel Cauchi's relapse and discharge him without proper assessment is a major failing, and it's crazy to think about how many lives this could've changed if she had done things differently.

The thing that really gets me is the sense of guilt that the family members are left with. They're wondering what they could've done too, like they're partly responsible for Joel's actions... It's just not fair. The mental health system needs a complete overhaul, and I think we need to start prioritizing prevention over punishment.

I'm also frustrated that we haven't learned more from this tragedy by now. We know how important early intervention is in cases of mental illness, but it seems like some people are still getting left behind. It's time for the government to step up and provide real support and resources for those who need it most. 🀝
 
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