What mental health or psychological evaluations exist for Jack Ruby?

Checked on January 14, 2026
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Executive summary

Multiple formal psychiatric and psychological examinations of Jack Ruby exist in the public record: jail-administered psychological tests in late December 1963 and January 1964, a preliminary diagnostic impression by Dr. Manfred S. Guttmacher in early January 1964, fuller evaluations for the defense by several psychiatrists, and a high-profile examination by Dr. Louis Jolyon West after a 1964 suicide attempt — all of which are preserved in archival collections and contemporary reporting [1] [2] [3] [4].

1. The jailhouse battery of psychological tests that began in December 1963

Shortly after Ruby shot Lee Harvey Oswald, a suite of psychological tests was administered in the Dallas County Jail between December 29–31, 1963; a photocopied psychological test report and a compiled psychological report from that period are in the Dallas Municipal Archives and posted by the University of North Texas Portal to Texas History [1] [5]. These reports are described as documenting Ruby’s mental state and character, although some surviving copies are noted as largely illegible on first-generation photocopies [5].

2. Early clinical impressions: Dr. Manfred S. Guttmacher’s preliminary diagnostic note

A preliminary diagnostic impression by forensic psychiatrist Manfred S. Guttmacher, dated January 7, 1964, provides an early professional appraisal based on interview before a full clinical psychological examination was completed; this document is archived at the Portal to Texas History [2]. The existence of that preliminary impression shows defense counsel sought independent psychiatric assessments almost immediately following Ruby’s indictment [2].

3. Defense psychiatrists and the contested medical narrative

Defense counsel assembled a team of prominent psychologists and psychiatrists — including Roy Schafer, Walter Bromberg, and Manfred Guttmacher — whose evaluations were used to shape an insanity/mitigation strategy, with Schafer’s testing forming a foundation for subsequent reports [3]. Some members of that circle pushed theories ranging from temporal-lobe epilepsy to organic causes for Ruby’s behavior and urged neurological testing, demonstrating that the defense pursued both psychological testing and neurological hypotheses [3].

4. Dr. Louis Jolyon West’s April 1964 examination and recommendations

After a suicide attempt in April 1964, Dr. Louis Jolyon West, a prominent psychiatrist who later became controversial for MK‑ULTRA–era associations, conducted a five‑page psychiatric examination of Ruby dated April 26, 1964; West concluded Ruby was in an acute psychotic state, described him as delusional, and recommended transfer to a mental facility for further assessment and treatment [4] [6] [7]. West’s report is part of the Sixth Floor Museum collection and is explicitly cited as a major clinical document in Ruby’s record [4] [6].

5. Additional clinical contacts, polygraph requests, and public-record hearings

Ruby repeatedly requested scientific testing to prove his veracity — asking for polygraph or “truth serum” tests as early as December 1963 — and the Warren Commission appendix records both those requests and the prosecution/defense jockeying over such examinations [8]. Newspapers also reported that Ruby’s family hired private psychiatrists, for instance Dr. Beavers, to “evaluate” him in April 1964, further expanding the roster of clinical contacts [9].

6. Controversy, conspiracy narratives, and limits of the record

Certain commentators and FOIA-era investigations have emphasized that West had prior CIA‑funded research connections and suggest possible motives or improprieties in his handling of detainees; writers have argued West’s MK‑ULTRA associations warrant scrutiny when reading his Ruby report, while mainstream archives and museum records stick to the clinical content of his evaluation [10] [11] [12]. The archival corpus documents the existence and content of multiple psychiatric and psychological evaluations, but available sources do not prove or disprove allegations that any evaluator tampered with Ruby or administered experimental drugs; those claims exceed what the cited archival reports themselves state [4] [11].

Conclusion: What the record actually provides

The documentary record includes jail‑administered psychological test reports (Dec 1963/Jan 1964), a preliminary Guttmacher diagnostic impression (Jan 7, 1964), multiple defense psychiatric evaluations (Schafer, Bromberg, Guttmacher), contemporaneous press reports of private psychiatrists being retained, and Dr. Louis Jolyon West’s April 1964 psychiatric examination concluding acute psychosis and recommending hospitalization — together forming the substantive body of mental‑health evaluations for Jack Ruby that researchers commonly cite [1] [5] [2] [3] [9] [4].

Want to dive deeper?
What did Dr. Louis Jolyon West’s full April 26, 1964 report on Jack Ruby say verbatim?
How did defense psychiatrists’ conclusions about Jack Ruby differ from the prosecution’s experts during the 1964 trial?
What declassified CIA documents reference Louis Jolyon West and do they mention his work related to Jack Ruby?