Court Found Man Not Guilty by Reason of Insanity
A Grand Forks man was ordered to the state hospital following a 2024 stabbing and high-speed chase.
Updated on Sept. 28, 2026 in Crime — General

A court ruled that Moses Garang Ayom Jr. is not criminally responsible for attempted murder and other charges stemming from a 2024 incident at the Northland Rescue Mission. Ayom was diagnosed with schizophrenia and will receive court-ordered treatment at the North Dakota State Hospital.
Why it matters
The ruling concludes that a mental disease or deficit prevented the defendant from recognizing reality during his crimes. The court will retain jurisdiction over his commitment for up to 20 years to ensure public safety and ongoing oversight.
The court ordered an indefinite stay at the North Dakota State Hospital subject to annual review hearings. The state retains jurisdiction over the case for a maximum period of 20 years.
The players
Moses Garang Ayom Jr.
He is the individual found not criminally responsible due to schizophrenia and paranoid delusions.
North Dakota State Hospital
This is the medical facility where the court ordered the defendant to receive psychiatric treatment.
Northland Rescue Mission
This facility was the site of the original stabbing incident in November 2024.
The details
Ayom stabbed an individual at the Northland Rescue Mission on Nov. 1, 2024, before stealing a 2017 Dodge Ram valued at $45,000. He subsequently led police on a pursuit at speeds between 90 and 107 mph, eventually being stopped by a tire deflation device.
Timeline
Nov. 1, 2024: Ayom committed the stabbing and related crimes.
September 25, 2026: The court hearing was held for Ayom.
July 1, 2046: The duration of the state hospital commitment ends.
Legal Context
This case reflects the application of North Dakota's not criminally responsible statutes, which prioritize psychiatric rehabilitation over traditional punitive incarceration for those with severe mental illness. Such rulings are subject to rigorous, ongoing judicial oversight to balance individual treatment needs with public safety.
The ruling clarifies the legal outcome of a violent event that occurred at a local community mission and involved a high-speed police pursuit through the city. Residents can expect continued judicial oversight of the defendant for the next two decades as part of the mandated treatment plan.
The takeaway
This case highlights the judicial process for handling individuals diagnosed with severe psychiatric conditions such as schizophrenia. It underscores the critical role of the court in providing long-term oversight for those who cannot be held criminally responsible for their actions.
What happens next
The court has mandated annual review hearings to monitor Ayom's progress while he remains in custody at the state hospital.
Further reading
For more information on legal proceedings in the area, visit Crime — General.
Source note: This article includes information reported by Grand Forks Herald.










