A paranoid schizophrenic who went on a stabbing spree in a city centre when he was released from prison warned a nurse a month after he was hearing 'distressing' voices.
Zephaniah McLeod, 28, killed a university worker and left seven other people injured when he went on a knife rampage across Birmingham on September 6 last year.
Jacob Billington, 23, of Crosby, Merseyside, died after McLeod plunged a blade into his neck as he walked back to his hotel with friends following a night out.
Michael Callaghan, 23, was one of his group and was also seriously injured as were six other revellers during the string of violent random stabbings.
McLeod previously pleaded guilty to manslaughter on the grounds of diminished responsibility, four counts of attempted murder and three charges of wounding.
As late as September 3, three days before the attacks in Birmingham, he was seen by a mental health nurse, and said he had heard 'distressing' voices in his head.
A few years earlier he spoke of having 'dark and sinister thoughts about killing' and heard voices in his head saying: 'Kill 'em, stab 'em'.
On the second day of his sentencing hearing, a psychiatrist said McLeod will require lifelong treatment and would be a danger to others if he was sent back to jail.
Zephaniah McLeod had already pleaded guilty to the manslaughter of Jacob Billington on the grounds of diminished responsibility, but later admitted four charges of attempted murder and three of wounding with intent in a series of knifings on September 6 last year. Left, handout photo. Right, court artist sketch
University worker Mr Billington, from Crosby, Merseyside, died from a wound to the neck on his way back to a hotel after enjoying a night out while visiting a friend who was studying in the city
Dr Jeremy Kenney-Herbert described the defendant as a 'very dangerous man' who could pose a further threat to staff and other inmates in prison.
He said McLeod said he had no recollection of any events from July to September last year and recommended detention under the Mental Heath Act.
Defence barrister Michael Burrows QC, asked why McLeod was released from prison in
