Media coverage tends to overrepresent the use and success of insanity pleas, giving a distorted sense of frequency.
Across criminal courts nationwide, using a mental-health defense remains rare, but when it’s used, the stakes are enormous. In Arizona, the statute known as ARS 13-502 allows a verdict of “guilty except insane” when a defendant’s mental illness prevents them from understanding the wrongfulness of their actions at the time of a crime.
Most people know the phrase “insanity defense”, but few realize just how seldom it’s applied, or how difficult it is to win. According to data collected across multiple states, defendants raise an insanity defense in less than 1% of felony cases. When they do, only about 25% to 30% of those attempts succeed, depending on jurisdiction and case specifics.
These numbers help explain why Arizona’s “guilty except insane” verdict remains uncommon: legal standards are high, evidence requirements are rigorous, and proving legal insanity is notoriously challenging.
What Arizona Requires for a Guilty Except Insane Verdict
Under ARS 13-502, asserting legal insanity is an “affirmative defense”, meaning the defendant must prove overwhelming evidence that at the time of the crime, they couldn’t appreciate the nature or wrongfulness of their actions. Courts routinely reject attempts that rely only on diagnoses or treatment history, rejecting mental-illness claims that don’t meet this narrow standard.
Since this defense is so rarely successful, having a knowledgeable lawyer matters. A lawyer familiar with mental-health law can help assemble medical, psychiatric, and expert-witness evidence, and the kind of documentation courts expect when evaluating sanity claims.
Why Public Awareness and Accurate Data Matter
When insanity defenses succeed only a fraction of the time, public perception can get distorted. High-profile cases tend to dominate headlines, leaving the impression that these verdicts are common. In reality, they make up a small fraction of convictions; a gap between perception and statistical fact.

The 1% usage rate and roughly 25% to 30% success rate show the real scale: most defendants either don’t qualify for this defense or fail to provide sufficient proof. Recognizing this helps families, policymakers, and advocates avoid unrealistic expectations or misleading rhetoric.
At the same time, these rare verdicts have outsized consequences for victims, communities, and the individual involved. When the standard is met, defendants may be committed to mental-health facilities instead of regular prison. That means psychiatric care becomes part of the criminal justice outcome, not just punishment.
What This Means for Individuals Facing Insanity Claims
If you or a loved one faces charges and believes mental illness played a role, the data shows this: raising an insanity defense is neither easy nor common, but with experienced representation, it remains a viable path when evidence merits it. Courts will expect corroboration: medical records, psychiatric evaluations, documented treatment history, and potentially expert testimony.
Even then, success is uncertain, and the low success rate reminds us that the system treats insanity defenses with caution, demanding a high standard of proof. That’s why early legal consultation matters. A lawyer familiar with Arizona’s mental-health defense protocols can evaluate whether a guilty except insane Arizona plea has a realistic chance, before critical deadlines pass.
Endnote
Media coverage tends to overrepresent the use and success of insanity pleas, giving a distorted sense of frequency. However, reality is more complex. Legal standards are exacting, evidence must be robust, and courts evaluate these cases carefully. The gap between public impression and statistical reality remains wide, and understanding that divide is essential for informed discussion, sound policy, and just outcomes.


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