Coronial
NSWcommunity

Inquest into the disappearance and suspected death of Gavin Cheng

Deceased

Gavin Cheng

Demographics

29y, male

Coroner

Decision ofDeputy State Coroner Forbes

Date of death

2023-10-29

Finding date

2026-03-25

Cause of death

Not determined; likely multiple injuries from fall from coastal cliff or drowning

AI-generated summary

This inquest concerns the disappearance and suspected death of Gavin Cheng, a 29-year-old man last seen on 29 October 2023 in North Bondi, NSW. Gavin had a documented history of schizophrenia diagnosed in 2015, with periods of non-compliance with antipsychotic medication and progressive social withdrawal. Prior to disappearance, he exhibited concerning behaviours including purchasing a large cargo bag and making a pharmacy visit. His phone last pinged in the Dover Heights area. Despite extensive police searches including air and water patrols, and comprehensive review of CCTV footage, no body was recovered. The coroner found on balance of probabilities that Gavin died by intentional self-harm, likely from jumping from a coastal cliff between North Bondi and Dover Heights. The clinical lesson concerns recognition of deteriorating mental health in young adults with psychotic disorders, particularly when medication compliance is uncertain and social engagement is minimal.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

psychiatryemergency medicine

Drugs involved

antipsychotic medicationcannabis

Clinical conditions

schizophreniasuicidal ideationpsychosisthought disorderdelusions of passivity

Contributing factors

  • schizophrenia with documented delusions and thought disorder
  • medication non-compliance with antipsychotic therapy
  • progressive social withdrawal and isolation
  • history of suicidal ideation and previous psychiatric hospitalization
  • disengagement from mental health services after 2018
  • ongoing cannabis use
  • recent life stressors including family pet's terminal illness
Full text

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