Following his arrest in September 1921, Hawkins became the inaugural inmate of The Elizabeth Arkham Asylum for The Criminally Insane. Despite the graphic and boastful recounting of his crimes during therapy sessions, Arkham harboured hopes of rehabilitating Hawkins.
However, these hopes were shattered when Hawkins, upon his release, murdered Arkham's secretary using the doctor's own fountain pen. His pleas for forgiveness were ignored as he was swiftly re-incarcerated in the asylum.
On the anniversary of his family's murder, Arkham administered fatal electro-shock therapy to Hawkins. The incident was officially reported as an "unfortunate accident".
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