Biases & Vulnerabilities

Mental Illness

There is no categorical ban on the execution of people with mental illness. A small number of states have laws that create an exemption for some seriously mentally ill defendants.

Resources on Severe Mental Illness and Death Penalty

Resources on Severe Mental Illness and Death Penalty

American Bar Association Death Penalty Due Process Review Project

DPIC Report: Battle Scars

DPIC Report: Battle Scars

Military Veterans and the Death Penalty (Features information on PTSD and other combat-related mental health problems)

Overview

The U.S. Supreme Court has said a defen­dan­t’s men­tal ill­ness makes him or her less moral­ly cul­pa­bil­i­ty and must be tak­en into con­sid­er­a­tion as an impor­tant rea­son to spare his or her life. However, as was ini­tial­ly the case with intel­lec­tu­al dis­abil­i­ty and young age, the Court has not barred the death penal­ty for those with seri­ous men­tal ill­ness. When the Court pro­hib­it­ed the death penal­ty for the intel­lec­tu­al­ly dis­abled and for juve­niles, it found that they were mem­bers of iden­ti­fi­able groups who have dimin­ished respon­si­bil­i­ty for their actions and hence should not be con­sid­ered the worst and most cul­pa­ble defen­dants. Many men­tal health experts believe that peo­ple with severe men­tal ill­ness such as schiz­o­phre­nia and bipo­lar dis­or­der may have sim­i­lar cog­ni­tive impair­ments that inter­fere with their deci­sion-mak­ing. The American Psychiatric Association and the American Bar Association, among oth­ers, have called for a ban on the death penal­ty for those with severe mental illness.

Some defen­dants are so men­tal­ly ill as to lack all under­stand­ing of their crime and its con­se­quences and may be con­sid­ered men­tal­ly incom­pe­tent. Such indi­vid­u­als may be unfit to stand tri­al or be found not guilty by rea­son of insan­i­ty. If they are con­vict­ed and become incom­pe­tent while on death row, they can­not be exe­cut­ed, under ear­li­er Supreme Court prece­dent. However, most peo­ple with men­tal ill­ness — includ­ing many with severe men­tal ill­ness — are not mentally incompetent.

Mental health issues have broad impact in death-penal­ty cas­es. One in ten pris­on­ers exe­cut­ed in the United States are vol­un­teers” — defen­dants or pris­on­ers who have waived key tri­al or appeal rights to facil­i­tate their exe­cu­tion. Mental ill­ness also affects defen­dants’ deci­sions to rep­re­sent them­selves, their abil­i­ty to work with coun­sel, and jury’s per­cep­tions of their motives and whether they pose a future dan­ger to soci­ety if they are sen­tenced to life in prison.

At Issue

There are at least three hur­dles to exclud­ing the severe­ly men­tal­ly ill: 1. Unlike age and intel­lec­tu­al abil­i­ty, it is dif­fi­cult to define the class of men­tal­ly ill defen­dants who should be exempt­ed and to deter­mine whether their ill­ness affect­ed their judg­ment when they offend­ed. 2. States have so far been reluc­tant to adopt such bans, though soci­ety con­tin­ues to evolve in terms of its under­stand­ing of men­tal ill­ness. 3. The mem­ber­ship of the Supreme Court has shift­ed since some of the ear­li­er exemp­tions were decid­ed. Nevertheless, the pri­or deci­sions could serve as impor­tant prece­dents, capa­ble of being extend­ed to the mentally ill.

What DPI Offers

DPI has tracked the var­i­ous state leg­isla­tive efforts to address the men­tal ill­ness issue. It fre­quent­ly high­lights instances in which men­tal­ly ill defen­dants receive unfair death-penal­ty tri­als, face exe­cu­tion, or have been grant­ed clemen­cy or oth­er relief. It also gath­ers state­ments from rel­e­vant lead­ers in the men­tal health field regard­ing this issue.

News & Developments


News

Mar 12, 2026

Texas Death Row Prisoner Andre Thomas Too Mentally Ill to Attend His Own Competency Hearing, Doctor Warns

A March 9, 2026, com­pe­ten­cy hear­ing for Andre Thomas, a death-sen­­tenced pris­on­er in Texas, has been post­poned to an unspec­i­fied date because of con­cerns that Mr. Thomas is too men­tal­ly ill to be trans­port­ed to his com­pe­ten­cy hear­ing and he could not be re-exam­­ined by the State’s expert. Mr. Thomas was sched­uled to be exe­cut­ed in April 2023; how­ev­er, his exe­cu­tion date was with­drawn in March 2023, cit­ing con­cerns with his severe men­tal ill­ness (SMI) and…

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News

Nov 25, 2025

New Evaluation Finds Utah Prisoner Ralph Menzies Incompetent for Execution, State Court to Hear More Evidence in December

Mr. Menzies lacks a ratio­nal under­stand­ing that he is to be exe­cut­ed for the crime of mur­der, as he does not under­stand the State’s ratio­nale for levy­ing his pun­ish­ment in gen­er­al or to him in par­tic­u­lar.” — Dr. Michael Brooks, Utah Department of Health and Human Services In a new men­tal com­pe­ten­cy report pre­pared by the Utah Department of Health and Human Services, a state med­ical pro­fes­sion­al has found death-sen­­tenced pris­on­er Ralph Menzies…

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News

Nov 24, 2025

18th Florida Death Row Prisoner Set for Execution in 2025 Waives Appeals, Fifth Volunteer of 2025

Mark Geralds has waived all pend­ing and future legal pro­ceed­ings in his case and is sched­uled to be exe­cut­ed by Florida offi­cials on December 9, 2025. Mr. Geralds elect­ed to for­go his appeals just days after Governor Ron DeSantis signed his death war­rant, join­ing a doc­u­ment­ed group of death row pris­on­ers who have also decid­ed not to try and pre­vent their exe­cu­tions. Mr. Geralds​“indi­cat­ed that his wish was to for­go all war­rant pro­ceed­ings and allow the execution to…

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News

Nov 06, 2025

Facts About the Death Penalty: Execution of Prisoners with Severe Mental Illness

In 2002, a Gallup poll found that 75% of Americans opposed exe­cut­ing indi­vid­u­als who have severe men­tal ill­ness­es. Many peo­ple believe that the U.S. does not exe­cute peo­ple who suf­fer from seri­ous men­tal ill­ness. This is only par­tial­ly true. In fact, the Constitution bars the exe­cu­tion only of peo­ple who are legal­ly deemed​“insane” or men­tal­ly incom­pe­tent. But the legal stan­dard for demon­strat­ing men­tal incom­pe­tence is high and exemp­tions from execution for…

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News

Nov 04, 2025

Veterans in the Spotlight: In Service and in Struggle — The Story of One Veteran on Death Row

*On Veterans Day, the Death Penalty Information Center will release a new report about vet­er­ans and the death penal­ty, explor­ing the last­ing effects of mil­i­tary ser­vice and explain­ing why mil­i­tary expe­ri­ences mat­ter when vet­er­ans inter­act with the legal sys­tem. This arti­cle tells the sto­ry of Navy vet­er­an David Hosier who was sen­tenced to death with­out a jury ever learn­ing about his men­tal health strug­gles, hon­or­able mil­i­tary ser­vice, and childhood…

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