The ICRC said it was the "highest number of weapon-wounded in a single incident since the establishment of the field hospital over a year ago", and that it "far surpassed" the capacity of the 60-bed facility.
After a decade of managing it in the public health system, Cauchi started regular sessions with psychiatrist Dr Andrea Boros-Lavack in his hometown of Toowoomba in 2012.In 2015 he complained about the medication side effects, so Dr Boros-Lavack started to gradually reduce his dosage of clozapine – used for treatment-resistant schizophrenia – after seeking a second opinion from another psychiatrist, the inquest heard.
She weaned him off clozapine entirely in 2018 and Cauchi also stopped taking medication to treat his obsessive-compulsive disorder the year after, she said.In 2019, for the first time in about 15 years, Cauchi was no longer on antipsychotic medications. No second opinion on completely stopping either drug was sought by Dr Boros-Lavack, she admitted under questioning.The inquest heard from medical professionals who said that in most cases, patients coming off antipsychotic medications transition to another one, rather than ceasing treatment altogether.
Within months, Cauchi's mum contacted his psychiatrist with concerns about her son's mental state after finding notes showing he believed he was "under satanic control". Around the same time, Cauchi developed what Dr Boros-Lavack told the inquest was "a compulsive interest in porn". She wrote a prescription but told the inquest it was up to Cauchi to decide if he would start taking the medication again.In 2020, Cauchi left his family home, moved to Brisbane and stopped seeing Dr Boros-Lavack.
At this time, after almost two decades of treatment, Cauchi had no regular psychiatrist, was not on any medications to treat his schizophrenia and had no family living nearby.
The inquest heard he began seeking a gun licence, contacting three Brisbane doctors for a medical certificate to support his application. They either didn't request access to his medical file or weren't given his whole history by Dr Boros-Lavack, who said if they needed more information they could have asked her for it. The third doctor gave Cauchi the clearance he was after, but he never applied for a gun, the court was told."I got this letter out the blue from a woman who said her mother had worked at Strand Films and straight away I knew how important it was," he said, explaining how it was the only time Thomas had "a proper job with a salary".
Thomas definitely worked at Strand he said, because one of his friends, Julian MacLaren-Ross, wrote about it a book."He writes about what they got up to at the [Strand] office, so everything rang true," he said.
"Plus I know that [Thomas] was forever living from hand to mouth," he said of the Swansea-born writer, who had a wife and two children to support at the time."So the guy was desperate for money and obviously when he went in he thought he was going to trouser a few quid to get through the next few days.