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Prosecutors Seek Key Testimony from Ex-Husband in Lindsay Clancy Case as Jury Considers Mental Health Defense

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A harrowing narrative from Patrick Clancy, detailing the night his three children tragically passed, could provide prosecutors with a crucial perspective on arguing that Lindsay Clancy was aware, intentional, and legally accountable during the incident, according to legal analysts.

During testimony on Wednesday at Plymouth Superior Court, Patrick meticulously recounted to jurors each step of his journey away from their Duxbury, Massachusetts home on January 24, 2023. This included a quick stop at CVS to purchase a stool softener for one of their children, followed by picking up dinner.

Patrick shared that while inside CVS, Lindsay called him, comprehended his purpose at the store, and had calmly agreed to use a generic alternative. Upon returning, he encountered an unsettlingly silent home, noticed blood in their locked bedroom, and found Lindsay injured beneath an open second-story window.

Lindsay Clancy

Lindsay Clancy in court at Plymouth Superior Court in Plymouth on July 29, 2026. (David L. Ryan/Pool)

When Patrick found Lindsay Clancy lying on her back beneath their bedroom window, he said she had deep cuts on her wrists and a red line across her neck.

“What happened?” he recalled asking her.

“I tried to kill myself,” she responded, according to Patrick.

He then asked, “Where are the kids?”

clancy family smiling for photo

Lindsay and Patrick Clancy with two of their three children in this undated photo (Lindsay Marie Clancy/ Facebook)

“They’re in the basement,” Lindsay told him.

Patrick testified that she did not say the children were injured, in danger or needed help.

Lindsay Clancy

The defense is expected to argue Clancy lacks criminal responsibility because she suffered from postpartum psychosis and was overmedicated. (Greg Derr/The Patriot Ledger via Pool)

Attorney Shari Karney said those seemingly mundane details, the text messages, phone call, dinner order and timing of Patrick’s drive, may become critical as prosecutors try to prove Lindsay understood her actions when the children were strangled with exercise bands.

“I call this case murder versus madness,” Karney told News Media.

Lindsay Clancy's blue, two story house.

Exterior view of the home of Patrick and Lindsay Clancy in Duxbury, MA on Wednesday, Feb. 15, 2023. (David McGlynn for News Media)

Karney said Patrick’s testimony largely helped the prosecution because it portrayed Lindsay as responsive and organized shortly before the killings. The state, she said, is attempting to “squeeze that timeline” as tightly as possible around the precise moment the children were killed.

“That’s fairly lucid,” Karney said of Lindsay’s ability to discuss the CVS purchase and coordinate the takeout order.

But the defense is expected to argue that competence during routine tasks does not establish criminal responsibility during the killings. Lindsay’s attorneys contend she suffered from severe mental illness, including postpartum psychosis, and was impaired by a shifting regimen of psychiatric medications.

Patrick Clancy

Patrick Clancy on the stand. The Lindsay Clancy murder trial is held at Plymouth Superior Court in Plymouth on July 29, 2026. (David L. Ryan/Pool)

Patrick testified that Lindsay later told him she heard a man’s voice telling her that if she did not act then, she would “lose her chance.” He also said she had never previously told him she was hearing voices or experiencing psychosis.

Karney said the case will likely turn on whether jurors view the killings as a calculated act or “a catastrophic collapse” caused by severe psychological illness.

The emotional stakes were on display when prosecutors played Patrick’s 911 call for the jury. The recording was barred from broadcast or reproduction under a court order, and the pool camera remained trained on Lindsay.

She sobbed and buried her face in her hands as the call played.

Karney said that reaction could help both sides.

For the defense, she said, it humanized Lindsay as a “shattered, broken” mother confronting the consequences of the worst night of her life. For prosecutors, the same reaction captured the horror of the killings.

Before the recording was played, Judge William Sullivan warned jurors not to allow sympathy, anger, passion or pity to influence their verdict.

“You must not be influenced in any way by the unpleasant nature of some of the evidence,” Sullivan said, reminding jurors that their verdict must not be based on “sympathy, anger, passion or prejudice or pity.”

Split image of Assistant Plymouth County District Attorney Jennifer Sprague and Lindsay Clancy

Assistant Plymouth County District Attorney Jennifer Sprague entering a bag of prescription pills that were prescribed to Lindsay Clancy into evidence during the first day of her trial. (Greg Derr/Pool/The Patriot Ledger)

Clancy, a former labor and delivery nurse at Massachusetts General Hospital, has pleaded not guilty to three counts each of murder and strangulation.