Randy Santos, 31, is on trial for killing four men on New York City streets in 2019. He used a metal bar and claims schizophrenia influenced his actions.
Through his attorneys, Santos acknowledges the killings but asserts he was not criminally responsible. He heard voices telling him he needed to kill to save his own life.
If successful, he may be committed to a psychiatric treatment facility instead of prison. His case raises questions about mental illness and criminal accountability.
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