Who has won an insanity plea?

Asked by: Clarissa Abshire  |  Last update: April 24, 2026
Score: 4.7/5 (35 votes)

Yes, insanity defense cases have been won, resulting in acquittals and commitment to mental health facilities, with famous examples including John Hinckley Jr. (attempted Reagan assassination), Andrea Yates (drowned her children in a retrial), and Richard Rojas (Times Square car attack). These successful defenses hinge on proving the defendant couldn't understand their actions due to severe mental illness, often leading to public debate and legal reforms, though such acquittals are rare, occurring in less than 1% of cases.

How many people successfully plead insanity?

In reality, however, various criminal studies have established that only about one percent of all felony cases in the United States involve use of the insanity defense. Moreover, even when the defense is asserted, it is successful in only about 30 cases every year.

What is the most famous insanity plea?

One of the most notable cases is the 1981 trial of John Hinckley Jr., who attempted to assassinate President Ronald Reagan. Hinckley, suffering from severe mental illness, was found not guilty by reason of insanity.

Has insanity plea ever worked?

According to an eight-state study, the insanity defense is used in less than 1% of all court cases and, when used, has only a 26% success rate. Of those cases that were successful, 90% of the defendants had been previously diagnosed with mental illness.

What famous cases were found not guilty by reason of insanity?

The Hinkley-Reagan case

In 1982, John Hinkley was found not guilty by reason of insanity for the attempted assassination of President Ronald Reagan. The verdict was greeted with outrage and calls for radical reform of the criminal justice system.

What Does it Mean to be Criminally Insane

18 related questions found

What mental illnesses qualify for insanity plea?

Most courts have held that diagnoses such as schizophrenia, major depressive disorder, and bipolar disorder qualify as a mental disease for the purpose of insanity. Diagnoses such as personality disorders, paraphilias, and voluntary substance intoxication do not usually qualify.

What is the hardest case to win in court?

The hardest cases to win in court often involve high emotional stakes, complex evidence, or specific defenses like insanity, with sexual assault, crimes against children, and white-collar crimes frequently cited as challenging due to juror bias, weak physical evidence, or technical complexity. The insanity defense is notoriously difficult because it shifts the burden of proof and faces public skepticism. 

What are the 4 defenses to insanity?

The four main types of insanity defense tests used in the U.S. legal system are the M'Naghten Rule, the Irresistible Impulse Test, the Substantial Capacity Test (Model Penal Code), and the Durham Rule, each focusing on different aspects of a defendant's mental state, such as understanding right from wrong, control, or whether the crime was a product of mental illness.
 

Is it hard to get an insanity plea?

Insanity can be extremely difficult to prove. In fact, less than 1% of defendants in criminal cases plead insanity as their defense in the United States, and only about . 26% of those who plead insanity are successful in their plea, according to the same source.

Can you plead insanity with bipolar?

The defense where a defendant claims their mental illness prevented them from determining right from wrong is known as the “insanity defense.” This defense argues that due to a severe mental health condition, such as bipolar disorder, the defendant was unable to understand the nature and quality of their actions or ...

Can a psychopath plead insanity?

Some States Say Psychopaths Can't Use An Insanity Defense : Shots - Health News Having a serious mental diagnosis doesn't necessarily mean that juries will consider an insanity defense. Some states have changed their laws to exclude people with antisocial personality disorder.

What is the most famous trial of all time?

While subjective, the Nuremberg Trials (1945-1949) are arguably the most famous and historically significant trials, establishing precedents for international law by prosecuting Nazi leaders for war crimes and crimes against humanity, alongside highly publicized events like the O.J. Simpson Trial (1995) for celebrity impact, and ancient cases like the Trial of Socrates or Salem Witch Trials for cultural resonance.
 

What was Charles Manson's psychopathy score?

As previously noted, Manson's PCL-R score of 36 indicated severe psychopathic personality traits at a 95% confidence interval, placing him at the 98th percentile for male prison inmates and the 99th percentile for male forensic psychiatric patients (Hare, 1991, 2003).

What is the #1 most diagnosed mental disorder?

The #1 most diagnosed mental disorder category is Anxiety Disorders, encompassing conditions like Generalized Anxiety Disorder (GAD), Social Anxiety Disorder, and Phobias, affecting millions globally and in the U.S., followed closely by depression and substance use disorders. Anxiety disorders are the most prevalent mental illnesses, characterized by persistent, excessive fear and worry that interfere with daily life.
 

How hard is it to prove insanity?

In the criminal justice system, defendants are rarely successful with the insanity plea. According to one study, the insanity defense is only used in about 1% of all court cases. It is only successful in about 26% of those cases. A defense of “temporary insanity” is difficult to prove.

What is the hardest mental illness to live with?

There's no single "hardest" mental illness, as experiences vary, but Schizophrenia and Borderline Personality Disorder (BPD) are frequently cited due to their severe impact on reality, relationships, and daily functioning, alongside conditions like Anorexia Nervosa, Bipolar Disorder, and severe OCD, which profoundly disrupt life with symptoms like delusions, intense mood swings, uncontrollable compulsions, and extreme self-starvation, often compounded by stigma and cognitive challenges. 

What mental illnesses qualify for the insanity plea?

Many serious mental health issues, such as schizophrenia or bipolar disorder with psychotic features, can support an insanity defense in California.

What is the 25 rule for schizophrenia?

The "25 rule" for schizophrenia refers to the varied long-term outcomes, suggesting roughly 25% achieve full recovery, another 25% significantly improve, a further 25% see partial improvement with ongoing support, and the remaining 25% face chronic, severe challenges, including higher suicide rates, highlighting that while recovery is possible, outcomes are diverse. It's also linked to the median age of onset (around 25) and brain changes like enlarged ventricles. 

Can schizophrenia be used as a defense?

Defendants with schizophrenia can use their mental condition as the basis of a strong legal defense. Schizophrenia often causes hallucinations, delusions, and impaired thinking. All of these mental states can alter how someone perceives reality and reacts under stress.

How to prove someone is mentally unstable in court?

Proving mental instability in court requires strong medical and expert evidence, such as doctor diagnoses, psychological evaluations, and testimony from mental health professionals, alongside documented behaviors like police reports, social services records, or observed instability (hallucinations, unhygienic appearance, erratic behavior) to show it impacts functioning or safety, especially in custody cases where risk to a child is paramount. Courts rely on objective data and expert opinion rather than just accusations or isolated incidents, often requiring a court-ordered evaluation for legal determinations. 

What states don't allow insanity defense?

Four states, including Kansas, Montana, Idaho, Utah, do not allow the insanity defense. In other states, the standards for proving this defense vary widely. The following provides the status of the insanity defense in each jurisdiction.

How often does insanity plea work?

Despite public fears, defendants do not abuse the insanity defense. In felony cases, the defense is invoked less than 1% of the time, and even when it is employed, it is only successful 25% of the time.

What is the stupidest court case?

We all know the most famous frivolous lawsuit story. Stella Liebeck sued McDonald's back in 1992 when she spilled hot coffee on herself. "But coffee is meant to be hot" we all cry. Dig a little deeper into the case however and it starts to look less frivolous.

Which lawyer wins most cases?

There's no single lawyer universally crowned as having won the most cases, as records are hard to track, but American trial lawyer Gerry Spence is legendary for never losing a criminal case and not losing a civil case for decades, while Guyanese lawyer Sir Lionel Luckhoo famously achieved 245 successive murder-charge acquittals, a world record. Other highly successful figures include India's Harish Salve and figures like Joe Jamail, known for huge verdicts, but the definition of "winning" varies across legal fields. 

What is the most cleared crime?

Crime clearance rate U.S. 2023, by type of offense

In 2023, murder and manslaughter charges had the highest crime clearance rate in the United States, with 57.8 percent of all cases being cleared by arrest or so-called exceptional means.