Randy Brackett, an Illinois state prisoner who had been convicted after a bench trial of felony murder and given a long prison term (see
People v. Brackett,
Brackett, age 21 at the timе, had raped and severely beaten an 85-year-old widow, Mrs. Winslow, for whom he had previously done yard work. She was admitted to the hospital with a broken arm, a broken rib, and extensive bruises. During her stay in the hospital, which lasted several weeks, she— described as “feisty” before the rape and beating — became depressed, resisted efforts to feed her, and became progressively weaker. Transferred to a nursing home, she continued to deteriorate, even though her physical injuries were healing. Her appetite was very poor. Her doctor ordered a nasal gastric feeding tube for her but the tube could not be inserted, in part because facial injuries inflicted by Brackett made insertion of the tube too painful. About ten days after her admission to the nursing home, she died while a nurse was feeding her some pureed food through a feeder syringe. An autopsy revealed that a large quantity of food, some six or seven ounces, had become lodged in Mrs. Winslow’s trachea, asphyxiating her.
The question is whether Brackett’s assault on Mrs. Winslow could be found to be a cause of her death. If so, Brackett is guilty of felony murder; if not, not. So far as bears on this case, an act is a cause of an event if two conditions are satisfied: the event would not have occurred without the act; the act made the event more likely. The first condition is necessary to distinguish the attempted from the completed crime, the second to rule out cases in which, while the event in question would not have occurred but for the act, the act did not create the kind of dangerous condition that would make such events more likely to occur. Suppose, for example, that Mrs. Winslow had been killed by a fire at the nursing home. She would not have been in the nursing home (in all likelihood), so would not have been killed, but for Brackett’s assault. But as there would have been no greater danger of fire in a nursing home than in her own home, in our hypothetical case the assault would not have placed her in a situation of danger and therefore would not be considered a cause of her death.
United States v. 1990 Toyota 4Runner,
Even with this qualification, which excludes from the concept of legally relevant causation certain purely adventitious “causes,” every event has multiple causes. Mrs. Winslow’s age was undoubtedly a cause of her death; a younger woman would have been much less likely to experience so rapid and complete a deterioration as a result of the assault. The autopsy revealed some
*80
signs of senility, and senility is a common cause of depression, loss of appetite, and general weakening — all additional causes of Mrs. Winslow’s death, in the dual sense, which we have explained is the relevant sense, that had any of these conditions been absent she probably would not have died from the rape and beating
and
that each of the conditions made her death from thе assault more likely. None of them was related to the death merely fortuitously, as in our example of the nursing-home fire, which would be deemed “a supervening act disconnected from any act of the defendant,”
People v. Meyers,
The immediate cause of Mrs. Win-slow’s death was the action of the nurse in depositing food into Mrs. Winslow’s trachea. Brackett’s lawyer argues that the nurse was grossly negligent, but this is far from plain— Mrs. Winslow appears to have exhibited no signs of distress until she keeled over dead— and even if it is true all that it would mean is that the nurse’s negligence was still another cause of Mrs. Winslow’s death.
Hall v. State,
A rational finder of fact could find these conditions satisfied. Cf.
Tucker v. Commonwealth,
Brackett’s lawyer fastens on the statement in the state trial judge’s otherwise uninformative opinion that the judge was rejecting the state’s theory of “psychological murder.” The theory had been advanced in a press conference called by the prosecutor. We are unable to determine exactly what the theory was or even whether it was pursued at the trial. Brackett’s lawyer describes it as foUows: the assault caused Mrs. Winslow to become clinically depressed, clinically depressed people (we know) are prone to suicide, Mrs. Winslow committed suicide by refusing to eat, and suicide is one of those
*81
“supervening acts disconnected from any act of the defendant” which cut off liability for causing death. If this is “psychological murder,” we are puzzled by the trial judge’s rejection of it. We think — to take a hypothetical case somewhat clearer than this case — that if a person, desiring the death of another whom he knew to suffer from deрression, stole his intended victim’s anti-depression medicine hoping to precipitate the victim’s suicide, and his hope was fulfilled, this would be murder. The victim’s depressive state would no more be a “supervening act” than any other vulnerability of the victim; in criminal law as in tort lаw, the injurer takes his victim as he finds him.
Cunningham v. People,
Courts worry, naturаlly, about problems of evidence and inference in Gaslight-type settings where cruel, deceptive, or even simply inconsiderate behavior might be claimed with more or less plausibility to have driven a susceptible person to suicide, or, as here, to loss of the “will to live.” E.g.,
Tucker v. Commonwealth, supra,
The eggshell-skull principle does not quite fit a case of intentional murder, for the murderer must intend his victim’s death
*82
and ordinarily this will presuppose some awareness of the likely consequences of his act. It is not murder to kill a person by a slight blow harmless to an ordinary person if you do not know the person is unusually vulnerable; there is even a presumption in Illinois that one who beats another with his bare fists does not intend to kill him.
People v. Brackett, supra,
We have emphasized analogies from tort law because the doctrine of causation is more developed there than in criminal law. See, e.g., Note,
supra,
99
Harv.L.Rev.
at 1926-28. The reason is that tort law, which has compensatory as well as deterrent functions, focuses on injury, while criminal law, which emphasizes deterrence and incapacitation, focuses on thе dangerousness of the defendant’s conduct. There is no tort liability without proof of injury, but there are plenty of crimes that are punishable though no injury resulted — many attempts and conspiracies, for example. A victim’s eggshell skull may require a refined adjustment in damagеs to reflect the likelihood that the victim would because of his vulnerability have been injured sooner or later nontor-tiously.
Lancaster v. Norfolk & Western Ry., supra,
AFFIRMED.
