(ii) SP 9 had no immediate medical record of the accused’s condition from the day of the crime. [52] Both the Courts below failed to address previous case precedent which had accepted forensic evaluations conducted long after the offence was committed. In the case of Mohd Ferdaus Suwardi, the incident took place on 31.7.2017 but the examination and observation by the forensic psychiatrist, Dr. Ian was conducted from 7.5.2018 until 2.6.2018. In Tiong Ing Soon v PP, the incident took place on 25.8.2006 but the examination and psychiatric report prepared by Dr. Emmanuel (DW 2) was dated 3.7.2015. [53] Further, his Lordship had viewed the evidence of SP 9 in cross-examination in isolation without considering SP 9’s explanation given during re-examination which are as follows: “S: Peguam tanya, pemeriksaan doctor(sic) 9 bulan selepas kejadian, boleh doctor (sic) jelaskan bagaimana walaupun selepas 9 bulan dari tarikh kejadian doctor periksa dia, doktor boleh buat conclusion bahawasanya OKT ini pada hari kejadian itu sedar walaupun dia hadapi skizofrenia pada tahap stabil dan juga mild intelektual? Pada kebiasaannya bila pesakit berjumpa dengan kita, kita kena nilai pemeriksaan mental dia pada masa itu, boleh kita extrapolate ke masa kejadian. Pada masa itu OKT dapat menjawab soalan-soalan kita dengan relevan walaupun dia menjawab dengan logat Kelantan yang agak tebal yang menyebabkan ada masalah komunikasi. S: Sungguh pun dengan loghat Kelantan yang tebal, bagaimana doctor dapat buat dapatan yang OKT ini memang waras dan sedar semasa kejadian? Melalui pemeriksaan saya dan pegawai-pegawai perubatan di bawah saya serta maklumat staff kejururawatan yang memerhatikan dia dalam tempoh masa tersebut. S: Doktor setuju bahawa memang tidak ada laporan perubatan pada Tarikh kejadian, boleh jelaskan, dalam menyediakan laporan psikiatri yang doctor capai, perlukah kepada laporan perubatan pada Tarikh kejadian? Pada kebiasaannya memang kita tidak akan dapat laporan perubatan pada hari kejadian, oleh itu kita perlu buat retrospective assessment dimana kita kena assess maklumat melalui corroborative lain yang diberikan kepada kami Bersama dengan temubual dengan OKT untuk dapatkan kesimpanan”(sic).” [54] Thus, such “delays” per se, do not invalidate the conclusions drawn by a medical professional. More so, in the present appeal, SP 9 was able to make reliable inferences based on medical records and other evidence. Hence, the rejection by the learned trial Judge of the evidence of SP 9 which confirmed that the accused was of sound mind at the time of the offence, merely on those two grounds is certainly flawed. [55] It is trite that the Court is not obliged to accept the opinion of the medical expert and the question of whether a defence of legal insanity has been made out or not is a matter for the court to decide. However, the burden of proof for establishing an insanity defence under section 84 of the Penal Code lies with the accused. [56] In the present appeal, what was before the court was the evidence of SP 9 which established the mental state of the accused at the time of the offence, namely, that the accused was of sound mind at the material time. Expert medical evidence is necessary as the question of whether he was medically insane at any particular time is in the realm of forensic science. It is not something that the court can determine without the benefit of expert opinion. This does not yet meet the threshold for legal insanity. There was no evidence in rebuttal led by the defence to challenge the evidence of SP 9 and to support his claim of insanity at the time of the offence, thus, the forensic expert’s testimony of SP 9 remains unrefuted, i.e. that the accused was mentally sound at the time of the commission of the offence. [57] Even the fact that the accused was diagnosed with schizophrenia or other mental illness does not automatically meet the threshold of legal insanity for section 84 to be applicable (refer to Bapu @ Gajraj v State of Rajasthan). That will only pass for medical insanity, which is insufficient for the defence of legal insanity to be applicable. The accused must prove that his unsoundness of mind was of a degree to satisfy one of the tests, namely that he was incapable of knowing the nature of the act as being wrong or against the law. We reiterate the position of the law which is trite that the defence of insanity under section 84 of the Penal Code is concerned with the accused’s responsibility at the time of commission of the offence and not with whether the accused was medically insane at that time (See Pendakwa Raya v. Zainal Abidin Mohd Zaid [1993] 1 CLJ 147; PP v. Misbah Saat [1998] 1 CLJ 759; [1997] 3 MLJ 495). [58] At the prosecution’s stage, what was before the court was only medical evidence which does not qualify for the defence of legal insanity under section 84 of the Penal Code, as legal insanity relates to the question of whether the accused was incapable of knowing the nature of his act or that what he was doing was either wrong or contrary to law, which are matters to be inferred from the proved facts and circumstances, not from medical opinion. Legal insanity is not for the medical witnesses to decide but a matter for the court to consider and determine together with medical evidence and other relevant evidence. In this regard, the antecedents and subsequent conduct of the accused are also relevant to show the state of mind of the accused at the time of committing the offence. To earn an acquittal, it is for the defence to give evidence on the facts to show that he was incapable of knowing the nature of his act or that what he was doing was either wrong or contrary to law until the end of the trial after the defence had given evidence and close his case. As the onus is upon the defence to satisfy the court on a balance of probabilities, it is purely a question of fact which essentially rely upon oral evidence, the credibility of which is for the trial judge to determine at the end of the defence case. Insanity by reason of intoxication [59] The learned trial Judge found that the prosecution witnesses themselves indicated that the accused had mental health problems due to substance abuse, and this was held by the High Court Judge as sufficient to establish a defence under section 85(2)(b) of the Penal Code. However, the learned High Court Judge failed to give a sufficient judicial appreciation of the facts to support the said defence, which led to a serious misdirection. [60] To invoke this defence, it is incumbent “upon the accused to adduce sufficient evidence to convince the court that the intoxication had rendered him incapable of forming the necessary intention or knowledge to commit the crime charged, or that he was by reason of intoxication insane, temporarily or otherwise, at the time when he committed the crime”. (See paragraph 16 of the Federal Court case of Abdul Aziz Mohamed Sharif v PP [2010] 5 CLJ 733). [61] In the present appeal, SP 9 found that the accused was suffering from substance dependence. He further stated during cross-examination that using drugs, i.e. methamphetamine could cause a patient to develop schizophrenia. Relevant to this is the evidence of SP 15, an investigator at the Narcotics Unit at IPD Pasir Mas who confirmed that the accused had undergone a urine test after his arrest and he was later charged, pleaded guilty and convicted for having committed the offence of self-administration of drugs under section 15(1)(a) of the Dangerous Drugs Act 1952. [62] Given the aforesaid, it was not disputed that the accused had consumed drugs on the day of the incident. However, there was no evidence nor any suggestion by the defence that the accused was forced to consume drugs. Self-induced intoxication is not a defence under section 85(2)(a) of the Penal Code. (see the Federal Court case of PP v Mohd Nor Riza bin Mat Tahar [2009] 4 CLJ 691). [63] Even if drugs were detected in the accused’s urine, that does not make the accused drug-intoxicated at that time causing insanity, temporarily or otherwise. In this regard the case of Kenneth Fook Mun Lee v PP [2006] 4 CLJ 359, Richard Malanjum, FCJ (as he then was) held as follows: “…where intoxication is in issue, the process of determining the state of mind of an accused person at the time of the commission of the offence for which he is charged should be by way of inferences from known relevant facts and on the totality of the surrounding circumstances including his conduct at the material time and taking into account the evidence of his intoxicated state…” [64] In the present appeal, there was no scientific evidence to support the contention that the accused was intoxicated, having considered his conduct before and after the commission of the crime from the testimony of the prosecution’s witnesses. As the defence was not called, there was no evidence from the accused to show that by reason of the drug intoxication, he was temporarily insane at the time he attacked the deceased and that could not have formed the intent to cause bodily injuries to the deceased. [65] The learned High Court Judge relied on the testimony of SP 3, a police officer, that the accused was having mental problem. It is to be borne in mind that SP 3 was not medically qualified nor an expert in psychiatry to form an opinion on the mental state of the accused at the time when the act was committed. This finding by the learned High Court Judge was affirmed by the Court of Appeal, which ultimately led to the finding that the accused was legally insane. In acquitting the accused at the end of the prosecution’s case, clearly the learned trial Judge and the panel of Judges in the Court of Appeal had made numerous erroneous determinations. [66] Firstly, to support the finding of insanity that qualifies as a defence under section 84 of the Penal Code by the two Courts below based on the opinion of SP 3, a police officer, while rejecting the medical evidence of SP 9, Dr. Yeoh Chia Minn, a forensic consultant in psychiatry in Hospital Bahagia, Ulu Kinta, Perak is certainly flawed. [67] Secondly, after having found that the prosecution had established a prima facie case as charged, it is incumbent for the learned trial Judge to call for the accused to enter his defence. It is premature for the learned trial to acquit the accused at the end of the prosecution’s case based solely on medical evidence, as that is not a complete defence in law as envisaged under sections 84 or 85(2)(b) of the Penal Code. The learned trial Judge should have continued with the trial and heard the defence’s version. It is certainly premature for the learned trial Judge at the end of the prosecution’s case to determine whether or not the accused was of unsound mind when he committed the offence as the onus of proving the defence on a balance of probabilities was on the accused at the defence stage of the trial. Having found that the offence of murder had been established by the prosecution, it is incumbent upon the trial Judge to direct the accused to state his defence. By failing to do so, the learned trial Judge had fallen into a serious error of law, which was repeated by the Court of Appeal, which warranted appellate intervention. The Court of Appeal case of PP v Aldwin Rojas Saz [2019] 6 MLJ