With your situation, I recon they didnt charge you because, a) there was nobody else involved or hurt and b) it would be clear in court you were too ill to make clear rational judgements and therefore a sentence would probably amount to nothing or you would be found not guilty on grounds of insanity or whatever they call it.
I believe they can still charge you if you commit a crime, and you can still be found guilty, but the sentence is the difference. If you are ill, you would be sent to a psychiatric prison or, if you were well, you may be sent to a normal prison to serve the rest of your sentence.
I would imagine you could have murder knocked down to manslaughter if you were too ill to know what you were doing, and I think within sentencing the jury would take into account your mental state in determining if you were remorseful or not.
Im not 100% sure, the legal system can be very complicated, and judgement asides, there are lots of technical hitches.
Personally I think with the case of this lady being on section, I couldnt say if she was guilty or not, nobody out of the courtroom can, but the authorities looking after her should have been far more vigilant.
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