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Luigi Mangione to pursue psychiatric defense in trial for UnitedHealthcare CEO assassination

If successful, the defense could reduce a murder conviction to manslaughter, a lower charge that includes less prison time.

If successful, the defense could reduce a murder conviction to manslaughter, a lower charge that includes less prison time.

Luigi Mangione is expected to pursue a psychiatric defense in his upcoming trial over the alleged killing of UnitedHealthcare CEO Brian Thompson.

During a recent court proceeding, Gregory Carro revealed that Mangione’s attorneys intend to argue that he was suffering from some sort of “extreme emotional disturbance” and had a “profound loss of self-control” when he allegedly shot and killed Thompson on a New York City sidewalk in December 2024.

If successful, the defense could reduce a murder conviction to manslaughter, a lower charge that includes less prison time.

Carro instructed Manguine’s team to provide more details to prosecutors by Thursday about the mental health defense, saying, “They need to know what malady this defendant suffers [from], and how that triggered extreme emotional disturbance at the time of the occurrence.”

The bold legal defense is likely to face pushback from prosecutors who will point to evidence that the murder was premeditated and planned. Mangione allegedly waited for Thompson for an hour outside the hotel where UnitedHealthcare was holding a conference. Additionally, Mangione’s notebook, where he wrote about killing Thompson, will be provided to jurors.

According to a report by The New York Post, experts are torn on whether the legal strategy will be successful. Heather Cucolo, a criminal law professor at New York Law School, said: “I think a jury is going to have a difficult time with this.”

“He had the materials, he had had had a plan, had to put everything together. All of that is going to cut against what I think jurors, laypersons are generally going to believe,” Cucolo said.

Defense attorney Ron Kuby, meanwhile, said the argument was“sort of the perfect defense” and would allow Mangione’s team to criticize the healthcare system in their defense.

"You need to make the jury want to find in your client’s favor,” Kuby told the outlet. “One way to do that is to present your client in a sympathetic light, and another way is portraying the dead person as someone who was complicit in his own destruction.”

Mangione's trial is set to begin on September 8.

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