Finding into death of X Y

53y · Male·Multiple gunshot injuries

53-year-old man with longstanding unresolved childhood trauma, affected by COVID-19 pandemic restrictions, developed acute paranoia and anxiety. Believed people were hacking his devices and tracking him. When school welfare staff contacted police about his welfare, he left home with a knife and stopped on the Monash Freeway. Police negotiated briefly before attempting a hands-on arrest under Mental Health Act s351. Man produced knife, beanbag rounds failed to incapacitate, he charged at officer with raised knife. Police used lethal force. Coroner found information about the knife was not broadcast to attending officers due to dispatcher error and call-taker's ambiguous CAD entry. Police risk assessment was reasonable based on available information, but would have been fundamentally different had they known he was armed. No evidence of intention to provoke lethal force response. Critical systems failures in communication of weapon information.