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Sunday, November 1, 2026Local news for Wake County, North Carolina.
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Farwell Trial: Psychiatric Testimony

A forensic psychiatrist argues that Sandra Birchmore's history of loss and risk factors supported a suicide, while prosecutors question her focus on the pregnancy.

By Gabriela Flores ·

Illustration for: Farwell Trial: Psychiatric Testimony
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The defense in the Matthew Farwell murder trial called a forensic psychiatrist to support its theory that Sandra Birchmore died by suicide.

Dr. Melissa Piasecki testified on Friday that Birchmore faced multiple lifelong risk factors for self-harm. She cited Birchmore’s premature birth, the deaths of her mother and grandmother, and specific risky behaviors, such as choking during consensual sex, as evidence of increased vulnerability. Piasecki stated that the loss of her relationship with Farwell and the prospect of carrying his child would have been overwhelming for Birchmore.

The psychiatrist also referenced Birchmore’s 2017 diary entries, which discussed methods of suicide and the pros and cons of ending her life. Piasecki told the jury that once an individual considers suicide as an option, they remain open to suicidal behavior. This testimony aligns with the defense’s core argument that Birchmore took her own life after Farwell ended their relationship and indicated he wanted no part of the unborn child.

Prosecutors maintain that Farwell, who is charged with killing Birchmore and her unborn child, staged the death to look like a suicide. They allege he killed her to prevent her from exposing federal crimes, including the sexual exploitation of a child. The state claims Farwell had been grooming Birchmore for sex since she was 15 years old, while she was part of the Stoughton Police Explorers mentoring program.

During cross-examination, federal prosecutors challenged Piasecki’s assessment of Birchmore’s final days. They noted that Birchmore had shown excitement and planning regarding her pregnancy in the hours before her death. One prosecutor asked if the conflict causing stress was specifically with the defendant, Farwell. Piasecki confirmed that the conflict was with him.

The prosecutor then attempted to ask if Piasecki was testifying that people at risk for suicide cannot be murdered. The defense objected to the question, and it went unanswered. This exchange highlighted the tension between the psychiatric profile of suicide and the physical evidence of the crime scene.

The defense team indicated it has approximately three more days of witnesses to present to the jury. The judge has scheduled the start of jury deliberations for next Friday.

Source: WHDH

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