ORDER
This matter is before us on Defendant-Appellant David Pettigrew’s motion for panel rehearing or rehearing en banc. In
United States v. Pettigrew,
Following a jury trial, Defendant-Appellant David Pettigrew was convicted of one count of involuntary manslaughter in violation of 18 U.S.C. §§ 1153 and 1112, two counts of assault resulting in serious bodily injury in violation of 18 U.S.C. §§ 1153 and 113(a)(6), and one count of assault by wounding in violation of 18 U.S.C. §§ 1153 and 113(a)(4). He was sentenced to 126 months’ imprisonment. He now appeals both his conviction and sentence. We take jurisdiction under 28 U.S.C. § 1291 and AFFIRM.
*631 I. BACKGROUND
In the morning hours of April 18, 2004, Mr. Pettigrew drove his truck to a friend’s house and picked him up to go for a ride. As they drove around the area making various stops, the pair consumed twenty-four beers. Mr. Pettigrew then dropped his friend off at home at 4:30 in the afternoon. Although it is unclear what Mr. Pettigrew did after he dropped off this friend, at approximately 10:00 p.m. Mr. Pettigrew drove to Odell Yazzie’s trailer, where Mr. Yazzie lived with his girlfriend and parents. Mr. Pettigrew asked Mr. Yazzie to go with him to buy more alcohol. Mr. Yazzie agreed to go and testified that he got into the passenger side of the truck even after noticing that Mr. Pettigrew was intoxicated. Although Mr. Pettigrew maintains that Mr. Yazzie drove Mr. Petti-grew’s truck, and that Mr. Pettigrew was in the passenger’s seat, the jury concluded that the evidence supported the Government’s position that Mr. Pettigrew was in fact the driver.
The two men headed westbound on Highway 64, a four-lane highway with a posted speed limit of sixty miles per hour. Upon entering the highway, Mr. Pettigrew began swerving and other drivers blared their horns to warn him to “drive right.” After traveling a few miles, Mr. Pettigrew abruptly turned left across the dirt median and attempted to drive across the eastbound traffic toward a residence on the South side of the highway. As Mr. Petti-grew crossed the eastbound lanes, Mr. Yazzie noticed a van headed toward the passenger side of the truck. Mr. Yazzie yelled at Mr. Pettigrew to “step on it” but Mr. Pettigrew continued to drive slowly across the lanes. The van swerved to the right in an effort to avoid striking the passenger side of the truck. Consequently, the truck hit the back end of the driver’s side of the van, causing it to. flip three to four times. The van was occupied by the four members of the Beasley family— Carrie, Jason, and the couple’s two young daughters. Carrie died in the accident and the other three Beasleys sustained moderate to serious injuries.
After the collision, Mr. Pettigrew’s truck spun out and came to a stop for a few moments. Shortly thereafter, Mr. Petti-grew righted the vehicle and headed east along Highway 64. Mr. Yazzie tried to convince Mr. Pettigrew to stop the truck, but Mr. Pettigrew; refused. Mr. Yazzie then grabbed the steering wheel, shifted the car into neutral, pushed on the brakes, and jumped out the passenger side window because the door would not open. Mr. Yazzie started walking back home and Mr. Pettigrew took off again.
Law enforcement officers were dispatched to the scene of the accident. They found Mr. Pettigrew’s abandoned truck in a field next to the highway a mile and a half from the crash site. Deputy Anthony Ashcroft, an officer with the San Juan County Sheriffs Department, noticed that the driver’s side door was open and saw a set of footprints leading away from that door. He followed the footprints and eventually found Mr. Pettigrew crouching under a bush.
Because they were in Indian country, Deputy Ashcroft did not have jurisdiction to formally arrest Mr. Pettigrew, so the deputy detained him by placing him in handcuffs. When he did so he asked whether Mr. Pettigrew knew what he had done, to which Mr. Pettigrew responded, ‘Yeah, I fucked up my ride, now I got to get a new one.” Deputy Ashcroft then told Mr. Pettigrew that he might have killed someone in the accident. Mr. Petti-grew responded by saying, “I still got to get a new ride” (hereinafter “first statement”). Deputy Ashcroft then escorted Mr. Pettigrew, who had a difficult time walking, back to the field where Mr. Petti-grew left his truck, and handed him over to Navajo Police Officer Ron Williams.
Officer Williams transported Mr. Petti-grew to the Shiprock detention center, where Mr. Pettigrew voluntarily submitted to a breath-alcohol test. During this time, an unidentified officer asked Mr. Pettigrew whether he had been drinking that night, *632 to which Mr. Pettigrew responded, “yes, I was drinking” (hereinafter “second statement”). Then, while taking the blood-alcohol test, Mr. Pettigrew asked Officer Williams why he was arrested and what the charges against him were. Officer Williams informed Mr. Pettigrew that he had been arrested for driving while intoxicated and that he might have been involved in an accident in which people were hurt. Mr. Pettigrew stated, “I saw it at the last minute. I hit it and took off’ (hereinafter “third statement”). Mr. Petti-grew made all these statements prior to receiving Miranda warnings. 1
The following day, Navajo Tribal Criminal Investigator Sammy Ahkeah attempted to interview Mr. Pettigrew about his involvement in the accident. Investigator Ahkeah informed Mr. Pettigrew of the charges he was facing and explained to him his Miranda rights. Thereafter, Mr. Pettigrew refused to provide a statement and invoked his right to counsel.
Mr. Pettigrew filed a pretrial motion to suppress all his statements made prior to receiving
Miranda
warnings. He argued that the first two statements were custodial interrogations that must be suppressed under
Miranda v. Arizona,
At trial, the Government sought to admit into evidence a photograph depicting all four members of the Beasley family, including Carrie Beasley while she was living. Mr. Pettigrew objected, arguing that it was not offered for any proper purpose and that it would be unduly prejudicial. The District Court stated that it would allow the photo to be admitted for the purpose of identification of the victims. Despite this ruling, the Government did not actually move the photo into evidence. Instead, the Government merely displayed the photo during its opening statement, used it to establish Ms. Beasley’s identity through the testimony of Mr. Beasley, and displayed it again during its closing arguments. The jury convicted Mr. Pettigrew on all counts.
Subsequently, the probation office prepared a presentence report (“PSR”). It calculated the adjusted offense level for Mr. Pettigrew’s involuntary manslaughter conviction as 22. See U.S. Sentencing Guidelines Manual (“U.S.S.G.” or “Guidelines”) § 2A1.4(a)(2)(B). The PSR also determined the adjusted offense level for each of the two assaults resulting in serious bodily injury as 21. See U.S.S.G. § 2A2.2. The assault by wounding conviction, which is a Class B misdemeanor, is not governed by the Guidelines. See U.S.S.G. § 1B1.9. Under the grouping rules in § 3D1.4, the total adjusted offense level for the three felonies was 25. The PSR calculated Mr. Pettigrew’s criminal *633 history category as III, based upon a prior conviction for second-degree murder and because he committed the instant offenses less than two years after his release from custody and while still on supervised release. See U.S.S.G. § 4Al.l(a), (d), • (e). Accordingly, the PSR determined that the applicable guidelines range was 70-87 months’ imprisonment. 3 The PSR also noted possible bases existed for an upward departure: Mr. Pettigrew’s excessively reckless behavior, see U.S.S.G. § 5K2.0, and Mr. Pettigrew’s criminal history category substantially under-represents the seriousness of his criminal history and the likelihood that he will commit future crimes, see U.S.S.G. § 4A1.3(a)(l).
At the sentencing hearing, the District Court adopted the PSR’s factual findings, including the adjusted offense level of 25 and criminal history category III. The court then departed upward two offense levels based on Mr. Pettigrew’s excessive recklessness, and departed upward one criminal history category on the ground that Mr. Pettigrew’s criminal history category substantially under-represents the seriousness of his criminal history. This resulted in a guidelines range of 100-125 months’ imprisonment. The court imposed the statutory maximum sentence for each of the two assaults, 120 months’ imprisonment, to run concurrently with his sentence for involuntary manslaughter, 72 months’ imprisonment. The court also imposed six months’ imprisonment for the misdemeanor assault, to run consecutively with the other convictions. This resulted in a total sentence of 126 months.
Mr. Pettigrew raises four claims on appeal: (1) the District Court erred in denying his motion to suppress the third statement; (2) the District Court abused its discretion in admitting the photographic evidence at trial; (3) there was insufficient evidence to support the assault convictions; and (4) his sentence is unlawful. We address each argument in turn.
II. THE CONVICTIONS
A. The Confession
When a party challenges a district court’s ruling on a motion to suppress a confession, we review its conclusions of law de novo and its factual findings for clear error.
United States v. Guerrero-Hernandez,
As an initial matter, Mr. Pettigrew does not contest that his first two statements were voluntary, albeit made in violation of
Miranda.
Further, he no longer argues that his third statement was the product of a custodial interrogation. Accordingly, it is undisputed that if Mr. Pettigrew’s third statement was the only statement he made, it would be admissible because it was volunteered and not made in response to any question posed by Officer Williams.
See Miranda,
1. Fruit of the Poisonous Tree
The “fruit of the poisonous tree” doctrine is most often associated with violations of the Fourth Amendment’s prohibition of unreasonable searches and seizures.
See Wong Sun v. United States,
On the other hand, Miranda’s exclusionary rule serves the Fifth Amendment.
Elstad,
Unlike evidence obtained through a Fourth Amendment violation, however, the
Miranda
presumption does not require that the “fruits [of unlawfully obtained confessions] be discarded as inherently tainted.”
Elstad,
All the aforementioned cases recognize that in determining “how sweeping the judicially imposed consequences of a failure to administer
Miranda
warnings should be,” consideration must be given to the dual goals of
Miranda:
the “general goal of deterring improper police conduct” and “the Fifth Amendment goal of assuring trustworthy evidence.”
Id.
at 308,
Indeed,
Elstad
recognized that custodial statements made prior to the delivery of
Miranda
warnings do not necessitate exclusion of any subsequent confession. There, the suspect made his first incriminating statement voluntarily, albeit without first being given
Miranda
warnings. He was later advised of his rights, which he waived, and executed a written confession. The Court held that “a suspect who has once responded to unwarned yet uncoercive questioning is not thereby disabled from waiving his rights and confessing after he has been given the requisite
Miranda
warnings.”
Elstad,
We acknowledge that the facts upon which
Elstad
is based differ from those at issue here because unlike the petitioner in
Elstad,
Mr. Pettigrew was not warned prior to making the challenged confession. Nevertheless, we think that Elstad’s underpinnnings control this case. Indeed, two of our sister circuits have held
*636
that statements made without
Miranda
warnings but not in response to police interrogation are admissible even though they followed an earlier voluntary statement made in violation of
Miranda. See Abdulla,
It is an unwarranted extension of Miranda to hold that a simple failure to administer the warnings, unaccompanied by any actual coercion or other circumstances calculated to undermine the suspect’s ability to exercise his free will, so taints the investigatory process that a subsequent voluntary and informed waiver is ineffective for some indeterminate period.... [T]he admissibility of any subsequent statement should turn in these circumstances solely on whether it is knowingly and voluntarily made.
Mr. Pettigrew suggests, however, that the Supreme Court’s recent decisions in Patane and Seibert, which discuss the “fruits” doctrine as it applies to Miranda violations, require a contrary holding. To this end, Mr. Pettigrew suggests that the four dissenters in Patane who believed that the “fruits” doctrine may extend to physical evidence obtained from a confession made in violation of Miranda, combined with Justice Kennedy’s concurrence in Siebert — which provided the crucial fifth vote needed to find that Miranda warnings given mid-interrogation, in an effort to deliberately undermine Miranda itself, failed to render the subsequent confession voluntary — combine to favor application of the “fruits” doctrine to this case. To the contrary, we are convinced that these decisions support, rather than undermine, our holding today.
Importantly, the Court in
Seibert
recognized that the touchstone of a confession’s admissibility is whether it is voluntarily given.
2. Voluntariness
Having concluded that the “fruits” doctrine does not warrant automatic exclusion of Mr. Pettigrew’s third statement, we must still determine whether it was voluntarily made.
Here, the only possible source of coercion that would have rendered Mr. Pettigrew’s third statement involuntary is “the psychological impact of having let the cat out of the bag” with the prior statements.
Medeiros,
[A]fter an accused has once let the cat out of the bag by confessing, no matter what the inducement, he is never thereafter free of the psychological and practical disadvantages of having confessed. He can never get the cat back in the bag. The secret is out for good. In such a sense, a later confession always may be looked upon as fruit of the first. But this Court has never gone so far as to hold that making a confession under circumstances which preclude its use, perpetually disables the confessor from making a usable one after those conditions have been removed.
Id.
at 540-41,
Mr. Pettigrew appears to argue that statements made after a
Miranda
violation and before
Miranda
warnings must generally be excluded as inherently coerced. But “endowing the psychological effects of
voluntary
unwarned admissions with constitutional implications” would, practically speaking, immunize a suspect from the consequences of any subsequent spontaneous remarks “even when the official coercion proscribed by the Fifth Amendment played no part in either ... confession[ ].”
See Elstad,
Instead, we consider whether Mr. Pettigrew’s third admission was voluntary based on a totality of the circumstances.
See Lopez,
We conclude that Mr. Pettigrew’s third statement was voluntary. He admits that his first two ■ statements were voluntary. With regard to Mr. Pettigrew’s first statement, Deputy Ashcroft merely asked him if he knew what he had done. When Mr. Pettigrew responded that he wrecked his car, Deputy Ashcroft told him that he may have hurt someone in the process. Mr. Pettigrew’s second statement, though also taken in violation of
Miranda,
did not implicate him as the driver of the vehicle. He merely told an unidentified officer that he had been drinking that night, which was shortly confirmed by the breath-alcohol test. He made his third statement a half an hour after his first statement, in a different location, and to a different officer. Although he was in custody at the time, he was not handcuffed, and his statement was spontaneous and not in response to any questioning by Officer Williams. In fact, Officer Williams never interrogated Mr. Pettigrew and there is nothing to indicate that the police were attempting to use
*638
Mr. Pettigrew’s first two statements to obtain another incriminating statement. Even considering some lingering psychological effect of his first two statements, based on the totality of the circumstances, we conclude that the third statement was “an essentially free and unconstrained choice by its maker.”
Lopez,
As to Mr. Pettigrew’s contention that the District Court abused its discretion in failing to hold an evidentiary hearing on his motion to suppress,
see United States v. Glass,
B. Photographic Evidence
Mr. Pettigrew next challenges the display of the family photograph at trial. He argues that the District Court’s admission of the photo was unfairly prejudicial and warrants a new trial. Fed. R.Evid. 403. The admission of photographs into evidence is reviewed for an abuse of discretion.
United States v. Treas-Wilson,
A photograph of a victim while living is admissible to prove the identity of the victim.
See United States v. Joe,
We cannot say that the District Court abused its discretion in permitting the jury to see the photo during several phases of the trial. We are troubled by the Government’s decision to display a photo of Carrie Beasley with the rest of her family and refer to it while saying that she did not make it home that night. But all four of the individuals depicted in the photo were victims in the crime. Three of them— including Carrie Beasley — did not appear in court. “Relevant evidence is inherently prejudicial; but it is only
unfair
prejudice,
substantially
outweighing probative value, which permits exclusion of relevant matter .... ”
United States v. Sides,
C. Sufficiency of the Evidence
Next, Mr. Pettigrew argues that the Government failed to present suf-
*639
fícient evidence of his intent to assault. We review claims of insufficient evidence de novo.
United States v. LaVallee,
Assault is a general intent crime, and we recently held that “a finding of purpose, knowledge, or recklessness supports a conviction for assault resulting in serious bodily injury, in violation of 18 U.S.C. § 113(a)(6).”
5
United States v. Zunie,
The jury instructions provided as an essential element of all three assault charges that the jury had to find that Mr. Petti-grew acted “intentionally” in striking or in wounding the Beasleys. The instructions further explained that the intent element “may not ordinarily be proved directly because there is no way of directly scrutinizing the workings of the human mind.” Therefore, the jury was told that they “may infer ... that a person intends the natural and probable consequences of acts knowingly done or knowingly omitted.” This inference could be based on “all of the surrounding circumstances, such as the manner in which the defendant acts, the means used, the conduct, and any statements made by the defendant.” Finally, “[t]he word ‘knowingly’ as that term has been used ... in these instructions, means that the act was done voluntarily and intentionally, and not because of mistake or accident.”
The jury in this case could reasonably infer that by driving while voluntarily intoxicated, Mr. Pettigrew “intended” the resulting “natural and probable consequences” of that action.
Cf. Zunie,
III. THE SENTENCE
Mr. Pettigrew argues that the District Court misapplied the Guidelines in departing upwards. “Even after
Booker,
‘when reviewing a district court’s application of the Sentencing Guidelines, we review legal questions de novo and we review any factual findings for clear error, giving due deference to the district court’s application of the guidelines to the facts.’ ”
United States v. Wolfe,
Mr. Pettigrew argues that the District Court erred in departing upward on the grounds that Mr. Pettigrew’s conduct was excessively reckless and because his criminal history category was substantially underrepresented by his criminal history score. As to Mr. Pettigrew’s first contention, the Guidelines permit departure under § 5K2.0 based on circumstances present to a degree not adequately taken into account elsewhere in the Guidelines. Mr. Pettigrew contends, however, that a departure for excessive recMessness is not permitted in this instance because acting with excessive recklessness constitutes a lesser degree of culpability than that required to commit an assault.
6
To the contrary, as noted above assault is a general intent crime and “a finding of purpose, knowledge, or recklessness supports a conviction for assault resulting in serious bodily injury.”
Zunie,
Mr. Pettigrew argues, however, that because § 2A2.2, the Guideline relevant to his assault conviction, necessarily takes into consideration intentional conduct (a more culpable mental state than recklessness), a defendant’s “excessive recklessness” can never be outside the heartland of assault cases.
See Koon v. United States,
The typical assault case covered by § 2A2.2 involves a single victim.
United States v. Moore,
*641
Here, the District Court determined that Mr. Pettigrew’s conduct — driving while intoxicated with a blood-alcohol level of approximately three times the legal limit and crossing the highway against traffic — showed “severe” disregard for human life, especially in light of Mr. Pettigrew’s history of alcohol abuse resulting in the death of at least one other person. In other words, Mr. Pettigrew was “on notice of his propensity to drink ... and the dangerousness of such conduct.”
United States v. Jones,
Next, Mr. Pettigrew argues that the criminal history departure was impermissible. A district court may depart upward “[i]f reliable information indicates that the defendant’s criminal history category substantially under-represents the seriousness of the defendant’s criminal history or the likelihood that the defendant will commit other crimes.” U.S.S.G. § 4A1.3(a)(l). The District Court found that a criminal history category of III substantially under-represents Mr. Pettigrew’s criminal history because one of his prior convictions was for second-degree murder and because he had several convictions in tribal court which were not taken into account at all.
Here, the District Court judge had uniquely reliable information that indicated that Mr. Pettigrew’s criminal history category substantially underrepresented the seriousness of his prior crimes — he was the one who sentenced Mr. Pettigrew in 1997 for second-degree murder. Nonetheless, Mr. Pettigrew argues that this is not a permissible basis for departure because the conviction was already taken into account in determining his criminal history and because it is not one of the listed bases for departure in § 4A1.3(a)(2). As an initial matter, nothing in § 4A1.3(a)(2) suggests that the grounds listed for departure are the only permissible bases for departure for an inadequately represented criminal history category.
See, e.g., United States v. Lawrence,
The District Court also found that an upward departure was warranted based
*642
upon Mr. Pettigrew’s prior convictions in tribal court. The Guidelines expressly contemplate a departure on this basis.
See
U.S.S.G. § 4A1.3(a)(2)(A) (stating that a departure may be warranted based upon “[pjrior sentence(s) not used in computing the criminal history category (e.g., sentences for foreign and tribal offenses)”). Mr. Pettigrew had several tribal convictions including convictions for disorderly conduct, aggravated assault, endangering the welfare of a minor, aggravated battery, and criminal damage. He correctly points out that some of these convictions were more than ten years old, and therefore would not be included in the criminal history calculation if they were state or federal court convictions.
See
U.S.S.G. § 4A1.2(e)(2). Nevertheless, independent of the Tribal Court convictions, his criminal record reveals an adequate basis for the one-criminal-history-point departure. We therefore decline to reach all the factors the District Court considered in finding this departure warranted.
See United States v. Harlan,
IV. CONCLUSION
For the foregoing reasons, we AFFIRM Mr. Pettigrew’s convictions and sentence.
Notes
. Mr. Pettigrew also made incriminating statements to his cellmate, Wayne Benally, but he does not contend that they were obtained in violation of Miranda as Mr. Benally was not a law enforcement officer.
. In fact, Mr. Pettigrew elicited this statement on cross-examination of Officer Williams.
. The involuntary manslaughter conviction carries a statutory maximum sentence of 72 months’imprisonment. 18 U.S.C. § 1112.
. That said, suppression of a confession following a Fourth Amendment violation is not absolute. Even under the "broad” application of the "fruits” doctrine applied in Fourth Amendment cases, a confession may be properly admitted into evidence if it is voluntarily made (assuming no
Miranda
violation) and there is a "sufficient break in events to undermine the influence that the confession was caused by the Fourth Amendment violation.”
Elstad,
. We see no meaningful reason to treat assault under 18 U.S.C. § 113(a)(4), which is also a general intent crime, any differently.
. Mr. Pettigrew correctly notes that the upward departure could not be applied to the involuntary manslaughter conviction because the applicable sentencing range for that count, prior to any departure, was 70-72 months, and the applicable statutory maximum was 72 months.
