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State v. Evans4/22/1999
Center for suicidal tendencies and depression."
(2) Anita Steelman:
(a) Whether Sheilah had been diagnosed with major depression " ith ideas of suicide, suicidal ideations"; whether she knew Dr. Buckner had ordered a close observation of Sheilah because "she was very suicidal"; and whether she knew of any suicide plans that Sheilah had.
(3) Dr. Caputo:
(a) "But, you're not saying to the jury that no patient, having been discharged at the Marian Center, has ever gone home and committed suicide? You're not saying that no one has ever committed suicide, are you, having been discharged under these circumstances?"
(b) Whether he knew Sheilah was "intra punitive" and that "at the one end of the spectrum is not eating enough for the body and the other end is suicide, is it not, if we carried it to the complete spectrum of intra punitive facet of one's mind?"
(c) "Is it true that about . . . 15 percent of the individuals with a primary affective disorder [depression] eventually kill themselves?"
(d) Whether "approximately 50 percent of the people who commit suicide had a primary prognosis of depression."
(e) Whether "factors associated with an early increased suicide risk in depression patients include . . . panic attacks . . . psychic anxiety . . . anhedonia [loss of interest in pleasure]," (all of which Sheilah had).
(f) Whether "acute intoxication also increases suicide risks" and whether " lcohol and drugs may produce disinhibition and remove constraints to suicide."
(g) Whether "one might be more prone under alcohol to commit suicide."
(h) Whether engaging in high-risk behavior such as "walking around pools at night" could be considered "accidental suicidal behavior."
(i) Whether the potential for suicide is increased by the use of Prozac (which Sheilah took) in severely depressed patients.
(4) Mary Flood:
(a) Whether Drs. Caputo and Buckner were wrong in saying that Sheilah was suffering from "suicidal ideation with a plan in mind."
(b) Whether Dr. Buckner said Sheilah should be "watched for suicide."
(5) Gail Meadows:
(a) Whether Sheilah "had strong inclinations to commit suicide with a plan to do it back in August of 1994."
(b) Whether Sheilah was suicidal around August 10, 1994.
(c) Whether Sheilah was extremely depressed.
(d) Whether Sheilah felt excessively guilty about her affair.
(e) Whether Ms. Meadows knew that Sheilah "had not only the suicidal thoughts, but had a self-mutilating characteristic and was very anxious."
(6) Dr. Spindler (the pathologist):
(a) What other evidence he would have needed to declare the death a suicide.
(b) Whether he knew that Sheilah had been hospitalized for depression, that she suffered from panic disorder, that she had thoughts of killing herself and had a plan in mind, that she suffered from extreme anxiety, and that she had thoughts of self-mutilation "as well as suicide."
(c) Whether "people who commit suicide resort to alcohol or drugs for courage."
(7) Barb Acuff:
(a) Whether she knew that Sheilah was "very suicidal."
Additionally, on direct examination by defense counsel of Dr. Rose Buckner (one of Sheilah's psychologists), defense counsel asked, with reference to Sheilah:
Q. What--what serious intra punitive conduct might one expect from this type of patient, the most serious?
A. Well, suicide could possibly occur.
Q. Did you no
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