13 When the police first arrived the prisoner had said to them "It was me, I stabbed him." When asked about the knife he said to them "I did it, I am sorry is he all right ?" The prisoner later said in a record of interview "I mean he didn't do it on his own" and further said "well he was holding the knife but I'm the one that pushed the actual blade, eh."
14 The prisoner was told during the course of the electronic record of interview that the deceased had passed away. The prisoner was upset and extremely sorry and remorseful for what had happened. He said he did not intend to kill the deceased.
15 At the time of the offence the prisoner who was a chef by qualification was working from time to time as a casual chef for a placement agency. He is single with no children, he is aged 39 years. The prisoner who was born in France came to Australia during his late childhood and has not had a lot of contact with his family who live interstate both since and before his arrest. The prisoner has not been in prison before and has only a minor criminal record which for the purposes of sentence I disregard.
16 The prisoner admitted to alcohol abuse and daily drinking to the point of complete intoxication. He has had several admissions to alcohol de-toxification centers.
17 This trial was initially listed before me in on 2 December 1998. On that day the Crown raised the issue of the prisoner fitness to plead as a result of which I ordered that the matter be referred to the Attorney-General for a determination as to the prisoner's fitness to plead.
18 At a hearing on 16 December 1999 at which Mr Craigie, the prisoner's present counsel appeared I was asked to examine the prisoner's fitness to plead, he having been found unfit to plead consequent upon the order I had made on 2 December 1998. I held that he was in fact fit to plead.
19 Immediately upon that determination the Crown tendered the indictment resulting in the acceptance of the manslaughter plea to which I have referred to. It was indicated by Mr Craigie on behalf of the prisoner that the plea was by way of compromise.
20 The evidence of death exhibited before me is that the deceased died as a result from massive bleeding from a stab wound to his abdomen causing a rapid decrease in his heart rate which treatment at Westmead Hospital was unable to stabilise and this led to his demise at 2.20 am on 27 July 1997 .
21 Evidence was admitted on the fitness to plead hearing was tendered and admitted in the sentencing proceedings as to the prisoner's mental fitness. Dr Olav Nielssen's evidence was that the prisoner was examined by him in his capacity as a visiting psychiatrist at the Metropolitan Transit Medical Centre at Long Bay. The prisoner had refused to attend but reports from nurses at that Centre noted the prisoner's behaviour and demeanour and Dr Nielssen deduced that the prisoner had an untreated psychotic illness.
22 The prisoner was admitted and observed in the acute psychiatric ward of the prison for several weeks before treatment. The prisoner was hostile, disorganised in his thinking and suspicious in the manner of someone suffering from an acute psychotic illness. The prisoner was treated with anti-psychotic mediation initially by injection. This was continued by oral ingestion.
23 As a result of the treatment the prisoner became warmer in attitude and less hostile and his thinking more logical although he remained suspicious and unwilling to talk about his situation or divulge personal information. The prisoner denied his psychotic illness. The prisoner who is a scientologist by faith is opposed to the medical treatment that he has been given.
24 The prisoner's attitude towards Dr. Nielssen was irritable and he was easily offended. He was reluctant to provide informational about his legal problems. His speech was disorganised, typically in the manner of a person with a schizophrenic disorder. The prisoner is of high average intelligence although his social judgment was affected by persecutory beliefs. Although Dr. Nielssen had found the prisoner fit to plead, the prisoner's manner and thought forms are consistent with acute mental illness from which Dr. Nielssen found the prisoner suffered.
25 Another forensic psychiatrist, Dr Bruce Westmore gave evidence and his report of 23 November 1999 was admitted before me on the sentencing hearing. Dr. Westmore gave evidence about the prisoner wishing to cease his medication and opined that there was an increased chance of him becoming psychotic and unfit for the trial. The prisoner was noted to be suspicious in the hospital whilst under medication. The prisoner was able to concentrate on reading, but he does basic industry work.
26 Dr. Westmore's view after examination of the prisoner's history was that although he was fit for trial, his condition suggested that he suffered from a chronic paranoid psychosis in the past and that when he was admitted to hospital he displayed more acute symptoms of mental illness particularly formal thought disorder but that he responded to treatment. Dr. Westmore's view was that the prisoner remained without insight as to the nature and extent of his mental illness and the need to remain on medication.
27 Dr. Westmore recommended that the prisoner remain on medication but that cessation of medication was likely to produce a gradual but inevitable return to mental illness. His view is that the prisoner needs a protracted period of treatment and that there was a need to have a gradual reduction of the medication to see if he could remain symptom free. Unfortunately the nature of the disorder is such that there is a high probability that the illness will return. However provided the medication is administered in a supervised environment then their should be reduced risks of a recurrence under such a treatment plan.
28 On an examination of the evidence before me, which I accept I find beyond reasonable doubt that the death of the deceased was caused by the act of the prisoner, namely stabbing of the deceased in the abdomen causing massive bleeding which ultimately led to his death. I similarly find that the act of the accused was unlawful and that in the nature of the weapon, the act of the prisoner was dangerous and his act carried with it an appreciable risk of serious injury. I find beyond a reasonable doubt that the elements of manslaughter are made out also taking into account the admission made by the prisoner before this court.
29 I have been furnished with a Victims Impact Statement on behalf of the family of the deceased under the Victims Rights Act 1996. The Court is acutely conscious of the distress that the death of the deceased must have caused and will continue to cause. However, in accordance with the decision of Hunt CJ at CL in Regina v Previtera (1997) 94 A Crim R 67 at 84 and 85, I am unable to consider the Victims Impact Statement in determining punishment for the offence. It is regretted that the legislature has created an impression that the Court can take this into account in these circumstances.