The judge sentenced him to two years in San Quentin State Prison, instructing that he be given "medical aid for his condition of alcoholic insanity."

In 1892, Campbell was awarded a doctorate by the University of Edinburgh for his thesis The Pathology of Alcoholic Insanity.

Edwards described Roth's condition as "impending blindness, an inflamed sinus and a form of alcoholic insanity" and brought on a psychiatrist who had treated her, a brother-in-law "who had paid her bills" and several "glamorous foul-weather friends" such as Lita Grey Chaplin and Ruby Keeler.