Who was the subject’s general practitioner?
When was the subject’s last appointment with his general practitioner?
Do the general practice records refer to the subject’s mental state at any time?
Is there a diagnosis of autism spectrum disorder?
Who made the diagnosis?
When was the diagnosis made?
Where was the diagnosis made?
Was there a care plan?
Who was the key worker?
What was the percentage of appointments kept?
Did the family engage in the care plan?
Who was the appointed social worker?
Who was the appointed district nurse?
Who was the appointed community psychiatric nurse?
Was medication considered for aggressive behaviour?
Was there consideration that the subject’s beliefs about violence and death were delusions?
Was hospital admission considered?
Was compulsory hospital admission considered?
Were illicit substances found in the subject’s blood or urine after episodes of violence?
Did the subject change his plea to guilty after the use of medication?

“It’s a good thing those children are dead.” is an abnormal belief, given the subject’s social, cultural and educational background. Has that belief changed, and, if so, has the trajectory of the change been related to family contact, professional counsel, or the use of medication?

On 10/5/25, the subject was reported to have thrown boiling water over a prison officer through a cell door hatch, normally used to pass medication to prisoners, the subject having been in the prison’s healthcare unit at the time, after his supervision had been downgraded.