Substantive Evidence Required to Necessitate Constitutional Competency Hearing
In State v. Flow, 886 S.E.2d 71 (N.C. 2023), the North Carolina Supreme Court affirmed the decision of the lower courts, holding that the trial court did not erroneously decline to make further inquiry into the defendant’s capacity to proceed with his trial and therefore did not violate the United States Constitution or the North Carolina General Statutes by declining to conduct a formal competency hearing following the defendant’s apparent suicide attempt.
Facts of the Case
Scott Flow was charged with rape, burglary, kidnapping, sexual offense, possession of a firearm by a felon, and violation of a protection order for events that took place in Dallas, North Carolina between May 26 and May 27, 2018. Trial proceedings began on December 9, 2019. Two colloquies were conducted by the trial judge with the defendant on December 13 and December 16, 2019 to determine whether the defendant was freely and intelligently making the decision to not testify or present other evidence in his defense. After the second colloquy, the jury heard closing arguments from both sides. The trial proceedings were then concluded for the day.
On the morning of December 17, 2019, Mr. Flow jumped from a mezzanine level within the jail. He sustained injuries to his leg and ribs. Subsequently, the defense challenged the defendant’s competency to proceed with trial under N.C. Gen. Stat. § 15A-1002 (2009). Following a recess from the trial proceedings, both the prosecution and defense were given an opportunity to present their findings regarding the events that transpired on December 17, 2019. The prosecution argued for Mr. Flow's absence to be considered voluntary. The state further contended that Mr. Flow’s actions may not have been suicidal in nature. In contrast, defense counsel expressed the opinion that proceeding without Mr. Flow in attendance would infringe on his due process rights as well as his right to jury trial. The trial court’s analysis focused on whether Mr. Flow's actions were voluntary, rather than the question of whether his actions amounted to a suicidal gesture. The trial court concluded that Mr. Flow had voluntarily absented himself from the trial. Consequently, the trial proceedings were allowed to move forward, leading to his conviction.
Mr. Flow appealed his conviction to the court of appeals, arguing that the trial court had erred in denying defense counsel’s motion to conduct an inquiry into his capacity to proceed with trial. Mr. Flow based his arguments on N.C. Gen. Stat. § 15A-1001 (2015) N.C. Gen. Stat. § 15A-1002 (2009), and the Due Process Clause of the Fourteenth Amendment of the United States Constitution. The court of appeals found there had been no error by the trial court. Mr. Flow then appealed to the Supreme Court of North Carolina.
Ruling and Reasoning
In a two to one decision, the Supreme Court of North Carolina held that the trial court did not erroneously decline to make a further inquiry into Mr. Flow's capacity to proceed with trial following the events of December 17, 2019. The court found that the initial motion by defense counsel was satisfactory in initiating the hearing procedures defined by N.C. Gen. Stat. § 15A-1002 (2009). But, the majority said that this statute offers only “sparse guidance regarding the procedural and substantive requirements of the competency hearing” (Flow, p 85). The majority noted that, in this instance, the trial court conducted a hearing in which the court received testimony regarding the events of December 17, 2019 and heard arguments from both the prosecution and the defense. The majority said that this examination was “statutorily sufficient because defendant was provided an opportunity to present any and all evidence relating to his competency that he was prepared to present” (Flow, p 86). Specifically, the trial court permitted defense counsel to visit Mr. Flow in the hospital and collect evidence relevant to his nonattendance in court, which the defense deemed appropriate for presentation.
The court further explained that, upon reconvening, the trial court had sought evidence concerning Mr. Flow's mental health history, any observations of prior instances of his experiencing mental or emotional disturbance, and details about Mr. Flow's behavior preceding and during his apparent suicide attempt. After reviewing all the available evidence, the trial court determined that, at the time of the alleged suicide attempt, Mr. Flow had the capacity to proceed with trial. In addition, the trial court concluded that, in regard to the events of December 17, 2019, Mr. Flow had acted in a voluntary manner and had thereby waived his right to be present at all stages of his trial. The majority acknowledged that the trial court did not consider whether Mr. Flow had attempted suicide by his jump. But, the court found that this did not indicate a disregard for the defendant's capacity to proceed at trial. The court said, “suicidality does not automatically render one incompetent; conversely, a defendant may be found incompetent by way of mental illness without being determined to be suicidal” (Flow, p 86). Hence, the court found that the trial court was not obligated to make a distinct decision as to whether Mr. Flow's actions constituted a suicidal gesture.
With regard to the Due Process Clause argument presented by Mr. Flow, the court noted that the requirements for a constitutional competency hearing are more extensive. But, these requirements are activated only when the trial court is confronted with substantive evidence indicating the defendant's incompetence. The defense highlighted three points which it argued demonstrated Mr. Flow’s incompetence: his prearrest actions which included erratic behavior (e.g., rants about being the target of gunshots, smashing of his own wristwatch without any apparent cause), the atypical use of a racial slur, and the nature of his crimes; his suicide attempt; and testimony which showed Mr. Flow was heavily medicated and experienced difficulty communicating in the hospital following his suicide attempt.
The court dismissed the third category as it concerned post-attempt events. In addition, the court emphasized that the second category on its own did not establish Mr. Flow’s incompetence. Finally, the court concluded the evidence under the first category was insufficient to demonstrate substantial evidence of Mr. Flow’s incompetence. Furthermore, the trial court had the opportunity to personally observe and engage with Mr. Flow throughout the trial. The court considered the evidence presented by the defense during the hearing and concluded that none of this evidence suggested either a history of mental illness or an inability to engage with or comprehend legal proceedings before the suicide attempt. Consequently, there was no substantial evidence warranting further investigation by the trial court.
Discussion
Flow underscores the importance of forensic psychiatrists’ understanding the criteria utilized by courts in their respective jurisdictions to determine whether an inquiry into a defendant's competence to stand trial is warranted. It emphasizes the distinction between the standards for competence to stand trial and the threshold that must be met before a court must order such an evaluation. The court in this instance held that a standard requiring the presence of substantial evidence of lack of capacity to proceed with trial is appropriate before requiring the trial court to order a formal evaluation of competence to stand trial. In Flow, the court concluded that insufficient evidence of lack of capacity to proceed with trial was present to require a formal inquiry into Mr. Flow’s competence to stand trial.
Forensic psychiatrists must be well-versed in the standards that trigger an inquiry into incompetence to stand trial in their jurisdiction. For example, in Flow, the Supreme Court of North Carolina noted the presence of a mental illness alone does not automatically signify that a defendant is incompetent to stand trial. While the existence of a mental illness may affect an individual's cognitive and emotional functioning, it does not necessarily render the individual incapable of meeting the legal standard of competency to stand trial.
This case further highlights that a defendant’s suicide attempt, though indicative of a significant level of distress, should not be automatically equated with incompetence to stand trial. Similarly, a defendant’s commission of a heinous and irrational crime does not justify a presumption that the defendant lacks the competence to stand trial. The present case serves as a reminder that forensic psychiatrists must avoid equating the presence of maladaptive behaviors (e.g., a suicide attempt), the mere presence of a mental disorder, or the nature of the alleged crime with a defendant’s lacking the competence to stand trial. Instead, forensic psychiatrists must always carefully evaluate how the symptoms of a mental illness affect the specific elements outlined in legal standards defining competence to stand trial. This approach ensures a fair and accurate assessment of a defendant's competence to stand trial within the legal framework.
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