I think there's no question she was suicidal. Suicidal people can plan or react. Suicidal people get dressed, brush their teeth, make phone calls, keep journals, make plans for the next day.
Her history of treatment and medications open the door for a drug-related defense IMO. Suicidal/homicidal ideation.
If not for the children, this would be a multi million dollar lawsuit against the medical establishment/pharmaceutical companies IMO. It may be one anyhow. It's possible that she was overwhelmed with suicidal ideation that turned homicidal in the moment. Deeply disordered thinking.
All brought on arguably post partum, possibly made worse by a heavy drug load. So much of her thinking seems so incongruent with her life up to that point, I can't help but wonder if there's another underlying contributor, such as a brain tumor, though likely she's had brain scans due to the severity of her injuries.
Her injuries ARE severe. This was no cry for help IMO. She didn't intend to survive IMO. Brutal injuries. A transected spinal cord doesn't repair itself. Cervical fractures too.
If this were only a failed suicide, she has a long road ahead of her. Self-inflicted paralysis, that's a lot. That's months and months of rehab, in the best of circumstances (speaking as a paraplegic myself). Then add in the distressing mental health issues and the challenges of finding and managing the right combinations of meds.
But this is also a criminal investigation. Murder times three. Those precious, beautiful babies.
I support the judge's ruling. She needs medical intervention to recover from her physical injuries, insofar as she can. She needs treatment for the depression, anxiety, ideation that got her here.
There will be time later to assess penalty.
And a lifetime to mourn the lives taken.
Devastating loss.
JMO