From the detailed evidence I have canvassed and the findings I have made can be distilled several more general findings about the circumstances of Jonathan's shooting.
First, none of the people who were specifically aware of Jonathan's condition seem to have recognised the dangers inherent in leaving unsupervised a tall, strong young man in the grip of a psychotic disturbance.
Secondly, ACTMH's focus on Jonathan's access to weapons was a dangerous distraction, and would seem to be generally beside the point. While it would be important to know if a mentally disturbed person does have access to particular weapons such as a gun or a sword, the fact that such a person is not known to have such weapons does not mean that he or she does not pose a threat; just about anyone can get access to a carving knife, a star pole, a large piece of wood, a brick or a bottle.
Thirdly, despite their lack of mental health training, a significant number of civilians managed, generally by adopting a firm but conciliatory manner, to deal safely with Jonathan, even as he became more agitated and made more threats and more demands; those specifically mentioned in this judgment include Mr Oakley, Mr Richter, Mr Atkinson, the 82-year-old Mrs Healy and the 15-year old boy who thought Jonathan was "a bit weird". Some of them explicitly tried to avoid aggravating the situation: for instance, Bill Atkinson drove past Jonathan on the wrong side of the road to minimise his impact on Jonathan's space, and Allan Richter repented when he realised he had backed himself into a corner.
Fourthly, Jonathan's encounter with Senior Constables Pitkethly and Willis was more dramatic and more dangerous than any of his previous encounters. This no doubt reflected to some extent his "significant dislike" of police, but I am satisfied that it reflected to a much greater degree the confrontational and threatening behaviour of the two police officers from the moment when their car stopped. After he was shot, Jonathan was surrounded by police giving first aid, and was also accompanied by a police officer in the ambulance. There is no evidence that he was other than polite, albeit still delusional. A cynical response might be that a person who has just been rendered a quadriplegic has no rational choice but to be polite to those who are caring for him, but it is clear that Jonathan was not at that stage any more rational than he had been for some time.
Fifthly, there is a striking contrast between the police view that the confrontation was all Jonathan's fault and the approach taken to Jonathan by the various civilians who encountered him before police located him.
The expert witnesses called by the police implied that Jonathan's extreme reaction to them was unpredictable and apparently unrelated to the police officers' actions. They seemed to be suggesting, as did SC Willis, that Jonathan was to blame for the confrontation because he had behaved in a way that the police officers had not predicted.
The comments made by the police officers and the expert witnesses are dealt with at [699]-[748] below, but at this stage I note that the propositions that the police ran into trouble because Jonathan's reaction to them was unpredictable, and that the confrontation was Jonathan's fault because of how he reacted to the police, must be assessed, among other things, in the light of the apparent capacity of various untrained members of the public to understand both the risk of provoking an armed and mentally disturbed person, and some general techniques for avoiding such provocation.
Finally, as noted above, SC Pitkethly's single-handed struggle with a much larger and much enraged Jonathan Crowley would have been both dramatic and frightening for participants and onlookers alike. However, I suspect that the events leading up to the point at which the police officers themselves initiated a dramatic confrontation were rather less dramatic than the two officers and Allan Richter have reported. I have not been convinced by the descriptions given by the police officers or Mr Richter, not so much because they are at odds with the descriptions given other witnesses but because they are at odds with the behaviour of other witnesses, or in the case of Allan Richter, at odds with the witness's own behaviour.