What was the verdict in Commonwealth v. Lindsay Clancy?

No verdict as of Aug 31, 2026. Trial ran July 29 – Aug 28, 2026 in Plymouth Superior Court. Jury began deliberations Aug 28 and is still deliberating. Possible outcomes: guilty, manslaughter, or not guilty by reason of lack of criminal responsibility (McHoul).

What is the McHoul standard?

Under Commonwealth v. McHoul, 352 Mass. 544 (1967), a person is not criminally responsible if, as a result of mental disease or defect, they lacked substantial capacity to appreciate wrongfulness or conform conduct to law. Burden on Commonwealth beyond reasonable doubt.

Where can I watch the trial?

Each of the 14 transcript pages links its YouTube court recording via Court TV / Law&Crime / PBS NewsHour. No Rev.com paywall. See /transcripts and /media.

Long-Term Outcomes of Postpartum Psychosis: A Systematic Review and Meta-Analysis

Citation

Gilden, J., Kamperman, A.M., Munk-Olsen, T., Hoogendijk, W.J.G., Kushner, S.A., & Bergink, V. (2020). Long-Term Outcomes of Postpartum Psychosis: A Systematic Review and Meta-Analysis. The Journal of Clinical Psychiatry, 81(2), 19r12906. https://doi.org/10.4088/JCP.19r12906

Published

March 10, 2020

Journal

The Journal of Clinical Psychiatry (Physicians Postgraduate Press)

Authors & Affiliations

Janneke Gilden, MD - Erasmus MC, Rotterdam, Netherlands

Astrid M. Kamperman, PhD - Erasmus MC, Rotterdam, Netherlands

Trine Munk-Olsen, PhD - Aarhus University, Denmark

Witte J.G. Hoogendijk, MD, PhD - Erasmus MC, Rotterdam, Netherlands

Steven A. Kushner, MD, PhD - Erasmus MC, Rotterdam, Netherlands

Veerle Bergink, MD, PhD - Erasmus MC / Icahn School of Medicine at Mount Sinai

Objective

There is limited information on the longitudinal disease course after first-onset postpartum psychosis (PP). Some women will experience severe affective episodes outside the postpartum period, while for other women their vulnerability to mania and psychosis may be restricted to the postpartum period. This meta-analysis estimates the risk of recurrence after first-onset PP.

Data Sources

A computerized literature search was conducted using Embase, MEDLINE, Web of Science, PsycINFO, Cochrane Central, PubMed, and Google Scholar (first 100 hits) combining key terms regarding longitudinal studies of first-onset PP from inception through May 9, 2019. Two levels of screening were used on 2,807 citations.

Study Selection

A total of 6 English-language articles including patients with a first-onset PP within 1 year after childbirth and a minimum follow-up period of 18 months or more after the index episode were included in the quantitative analysis.

Data Extraction

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines were used for data extraction, and the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were used to independently assess the quality of the included studies.

Primary Outcome

Recurrence, defined as any subsequent psychiatric episode after first-onset PP.

Results

Six studies and 645 patients included in quantitative analyses

Follow-up periods ranged from 11-26 years

279 patients did not experience subsequent severe episodes outside the postpartum period

Weighted estimate of "isolated postpartum psychosis": 43.5% (95% CI, 37.7% to 49.4%)

Conclusions

In this meta-analysis, more than 40% of women were classified as having "isolated postpartum psychosis," which could be considered a distinct diagnostic category with a more favorable prognosis. The remaining women had severe non-puerperal psychiatric episodes during longitudinal follow-up.

Key Findings

43.5% of women with first-onset PP had isolated postpartum psychosis (no recurrence outside postpartum)

56.5% experienced non-puerperal psychiatric episodes during follow-up

Among women with PP who had another pregnancy, 27% experienced a subsequent postpartum episode

Postpartum psychosis may be less recurrent than previously thought

Metrics

46 Citations (Scopus)

Relevance to Clancy Case

This meta-analysis provides critical longitudinal data on PP prognosis. The finding that over 40% of women have isolated PP (no recurrence outside postpartum) while the remainder experience broader psychiatric episodes is relevant to understanding the course of illness in individual cases. The lower-than-expected recurrence rate challenges previous assumptions about PP prognosis.