In Zurich, a man accused of murder appeared in court from his hospital bed. This is not a metaphor.

On Tuesday 28 July, the Zurich District Court witnessed a scene that is not an everyday occurrence. A 53-year-old Hungarian electrician, accused of…

On Tuesday 28 July, the Zurich District Court witnessed a scene that is not an everyday occurrence. A 53-year-old Hungarian electrician, accused of stabbing a bar manager to death on Langstrasse in 2023, arrived in the courtroom accompanied by two paramedics and on a hospital bed. He is receiving palliative care for terminal cancer. The court deemed him fit to stand trial because, according to the judge, he was “sufficiently oriented in time and space”. The scene has a somewhat surreal quality: a man who may not live to see the verdict, lying in the dock whilst the prosecutor seeks a 16-year prison sentence followed by compulsory detention.

The nature of the case does not make things any easier. The experts have concluded that the defendant suffers from paranoid schizophrenia. He believed he was searching for an African woman called Debora and her alleged son, and was convinced that the bar staff were withholding information from him. In court, he denied everything: that he had been at the Lugano-Bar, that he had been in Zurich that night, and that he had killed anyone. “I have not committed any murder.” The defence is seeking an acquittal on the grounds of criminal irresponsibility. The verdict will be handed down at a later date.

What remains of this image is the question that hangs in the air in every courtroom when the system comes up against someone who was clearly not in a fit state to stand trial: when do mental illness and criminal responsibility go hand in hand? In Switzerland, the answer always lies in a psychiatric assessment. And sometimes that expert report consists of 114 pages drafted following a three-hour interview, as the defence has criticised in this case.