Reagan removed the trigger.
Its almost impossible to get someone institutionalized these days. At most you can get them put in a hospital for a few days.
Try to remember that the site you are on, among other things, believes in PERSONAL accountability, so I say, look to the mental case in question and her idiot family first. She willingly did the deed and they failed to stop her! Or maybe they should simply have let her do it right the first two times?
It would have saved a lot of secondary anguish, either way I`m tired of being expected to cry for defective retards, psychos, knuckle draggers, and Darwin award winners. Look to HuffPo or DU for applicants to the bleeding heart award.