Resources on Severe Mental Illness and Death Penalty
American Bar Association Death Penalty Due Process Review Project
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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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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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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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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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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