Mental illness covers a wide variety of disorders and diseases, so it's hard to say. Schizophrenia, for example, causes people to be divorced from reality, to hallucinate, sometimes become paranoid. It's hard for me to justify in my mind how such a person should pay with their life because they have a disease.
On the other hand, there are many mental conditions and illnesses where the person is fully aware of actions and consequences. So I don't think there is a blanket, once-size-fits-all approach to this issue, and I'd leave it in the hands of judges to decide on a case by case basis.
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