Regina Lea Frank v. Commonwealth of Virginia ( 1999 )


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  •                       COURT OF APPEALS OF VIRGINIA
    Present: Judges Coleman, Annunziata and Bumgardner
    Argued at Norfolk, Virginia
    REGINA LEA FRANK
    MEMORANDUM OPINION * BY
    v.   Record No. 0824-98-1                     JUDGE SAM W. COLEMAN III
    MAY 25, 1999
    COMMONWEALTH OF VIRGINIA
    FROM THE CIRCUIT COURT OF THE CITY OF NORFOLK
    Junius P. Fulton, III, Judge
    Lenita J. Ellis for appellant.
    Marla Graff Decker, Assistant Attorney
    General (Mark L. Earley, Attorney General;
    Richard B. Smith, Assistant Attorney
    General, on brief), for appellee.
    Regina Lea Frank was convicted by bench trial of
    second-degree murder for the death of her two-month-old son,
    Zachary Frank.   On appeal, Frank contends that the trial court
    erred in denying a motion to suppress her oral and written
    statements and that the evidence was insufficient to support the
    conviction.   Finding no error, we affirm.
    I.   BACKGROUND
    When an appeal challenges the sufficiency of the evidence or
    the denial of a suppression motion, we view the facts in the light
    most favorable to the prevailing party and grant to that party all
    *Pursuant to Code § 17.1-413, recodifying Code § 17-116.010,
    this opinion is not designated for publication.
    reasonable inferences fairly deducible therefrom.   See
    Higginbotham v. Commonwealth, 
    216 Va. 349
    , 352, 
    218 S.E.2d 534
    ,
    537 (1975) (regarding sufficiency appeals); Commonwealth v.
    Grimstead, 
    12 Va. App. 1066
    , 1067, 
    407 S.E.2d 47
    , 48 (1991)
    (regarding suppression motion appeals).
    On Monday, November 25, 1996, two-month-old Zachary Frank
    stopped breathing in his father’s arms.   Mr. Frank attempted CPR
    while awaiting assistance.   When paramedics responded, they found
    the baby unconscious and having agonal respirations of eight per
    minute.   Paramedics attempted to intubate the child twice but
    failed.   They noted that the airway was clear and then ventilated
    the baby with a bag valve mask.   The baby responded and began to
    cry after which paramedics administered “blow by” oxygen.
    Zachary’s breathing returned to the normal range of about sixty
    breaths per minutes.   The baby’s eyes were deviated, and he was
    posturing, or arching his back.   When they arrived at the King’s
    Daughters Hospital, at 6:03 p.m., the baby’s color was restored,
    and he continued to breathe on his own.   At the hospital, doctors
    administered meningitis antibiotics in accordance with hospital
    policy.
    At trial, the Commonwealth called three medical expert
    witnesses who described the baby’s medical condition and opined
    that the cause of death was shaken baby syndrome.
    Dr. Christopher Foley, a pediatric intensive care physician,
    treated Zachary for most of the baby’s time at the hospital.     He
    - 2 -
    first examined Zachary between 9:30 and 10:00 p.m. the night he
    arrived.    Dr. Foley testified that Zachary was critically ill,
    pale and mottled, had low blood pressure, was on heart medication
    and was on life support.    A CT scan of Zachary’s head on November
    25, revealed subdural and subarachnoid hemorrhages, 1 and loss of
    gray-white differentiation, indicating swelling of the brain.
    Upon further examination, Dr. Foley also discovered retinal
    hemorrhaging.
    Doctors administered an EEG which indicated that Zachary’s
    brain had “suffered a global insult” that affected the vast
    majority of his brain.    Despite administering phenobarbital
    medication, the child continued to experience seizures causing
    further injury to the brain.   Zachary had signs and symptoms of
    brain death thirty-six to forty hours after arrival at the
    hospital.    Ultimately doctors performed a “flow study” on
    Zachary’s brain revealing that the brain was receiving no blood
    flow, and he was clinically dead.   On December 1, at 1:00 p.m.,
    doctors pronounced him dead.
    Dr. Donald Lewis, a pediatric neurologist at the King’s
    Daughters Hospital, assisted as a consultant for Zachary on the
    morning of November 26.    Dr. Kinnison, an Assistant Chief Medical
    Examiner for the Commonwealth, performed an autopsy on Zachary.
    1
    Dr. Foley testified that subdural hemorrhaging refers to
    blood beneath the thick dura of the brain whereas subarachnoid
    hemorrhaging refers to blood directly against the brain.
    - 3 -
    All three experts opined that Zachary’s cause of death was shaken
    baby syndrome.   Each acknowledged that establishing the time of
    injury was imprecise, but each testified that the injuries could
    have occurred seventy-two hours before the CT scan.2
    In addition to establishing that Zachary’s constellation of
    injuries was consistent with shaken baby syndrome, the experts
    also ruled out numerous other possibilities.   The experts
    testified that neither aggressive CPR, lack of oxygen, meningitis,
    meningitis prophylactics, antibiotics, reflux, reflux medication,
    apnea, failed intubation attempts, phenobarbital, nor the
    cryprecipitate blood transfusions or any combination of these
    events would have caused the combination of symptoms that
    afflicted Zachary.   According to Dr. Lewis, “there is no other
    explanation [than shaken baby syndrome] that causes this
    constellation of injuries.”
    Prior to the incident, Zachary had been treated for reflux.
    Additionally, on Saturday, November 23, 1996, doctors at King’s
    2
    Dr. Foley testified that the CT scan showed the presence of
    old and new blood indicating two separate injuries, one of which
    would have occurred within approximately seventy-two hours and
    one of which would have occurred four or five days earlier.
    Lewis testified that the injuries would have occurred within
    twenty-four to seventy-two hours. Kinnison stated that the
    symptoms could appear anywhere from immediately after the injury
    to seventy-two hours after the injury. She also stated that
    injuries sometimes occur three, four, or even five days before
    the symptoms appear. All the witnesses agreed that a shaken
    baby sometimes shows no apparent signs of injury for three or
    more days.
    - 4 -
    Daughters’ outpatient clinic diagnosed Zachary with a viral
    infection but did not notice anything else unusual and did not
    prescribe any medication.    Family members testified that on
    November 24 and 25, Zachary had cold symptoms but otherwise
    appeared normal.
    Police Investigator Ingram first spoke to the defendant at
    the hospital on November 26, the day after Zachary’s admission to
    the hospital.   Mrs. Frank had left the hospital and had slept for
    about four hours that evening, which she testified was about her
    normal amount of sleep.
    At Ingram’s request, the Franks met with him at the police
    station at 3:12 p.m. on November 26.    Ingram, Investigator
    Goldberg, and Child Protective Services worker Brent Ramey were
    present.   Prior to interviewing Mrs. Frank, Ingram advised her of
    her rights.   Mrs. Frank executed a Norfolk Police Department Legal
    Rights Advice Form PD-381.    She was not restrained and did not
    appear intoxicated or under the influence of drugs.   During the
    course of the interviews, the officers neither threatened Mrs.
    Frank, raised their voices, nor made any promises.
    Initially, Mrs. Frank denied injuring her child and suggested
    that her daughter may have inflicted the injury.   At 5:07 p.m.,
    officers decided to interview Mr. Frank.   Officers asked Mrs.
    Frank if she wanted to use the bathroom or if she needed a drink.
    After interviewing Mr. Frank, the investigators brought Mrs. Frank
    back into the interview room where she agreed to take a polygraph
    - 5 -
    test.    At 6:50 p.m., prior to the polygraph, Regina Frank stated
    “If I did it, I don’t remember doing it.”    At 7:13 p.m., she
    stated, without prompting, “How can you tell if I did it if I
    don’t remember doing it.”    At 7:15 p.m., in reference to Friday
    evening, Frank stated
    I was in a good mood all weekend but I
    was frustrated that I couldn’t help Zachary
    and that he was sick. My older daughter
    frustrated me by asking me if she could
    watch the same movie over and over again. I
    gave in and let her. Sometimes I raise my
    voice at my daughter and I almost struck her
    out of frustration.
    At 7:16 p.m., she stated, “I sometimes take out my
    frustrations by cleaning up the house and throwing things at the
    wall but not at people.”    Investigators Ingram and Goldberg made
    notes of these statements.
    Between 7:19 and 8:20 p.m., Investigator Crank performed a
    polygraph examination on Mrs. Frank.     After the examination,
    Ingram informed Mrs. Frank that the test indicated a ninety-nine
    percent probability of deception.    At 8:34, Mrs. Frank stated:
    “Both kids were getting me upset and my older daughter wanted to
    watch the same movie over and over and I shook the swing and
    probably took him out and shook him.     I lost control so much I can
    only remember some parts.”    Upon departing the polygraph room,
    investigators offered Mrs. Frank a beverage.
    Investigators again advised Mrs. Frank of her legal rights
    and thereafter obtained an eight minute taped statement.     During
    - 6 -
    the statement, Mrs. Frank admitted to being frustrated at her
    daughter’s behavior and by Zachary’s crying.     She admitted that on
    Friday, she shook the swing upon which Zachary sat.     Ingram asked,
    “Didn’t you tell me you shook the swing violently?”     She
    responded, “Yes sir.”    When asked if her husband or anyone else
    shook the child she responded “No.”      When asked, “How do you feel
    that he acquired these injuries,” she responded, “By me shaking
    him.”
    A stenographer transcribed the tapes and at 11:05 p.m.,
    investigators presented Mrs. Frank with the transcripts to review.
    She pointed out several errors which Ingram corrected, she added
    one phrase, and she signed every page.     At 11:10 p.m.,
    investigators arrested Mrs. Frank.
    Prior to the polygraph, Ingram held a picture of Zachary up
    close to Mrs. Frank and he said, “Mommy, help me.”     Ingram also
    asked Frank if she believed in God and when she responded in the
    affirmative, he said “well if you didn’t do this . . . can you
    invoke the Lord and tell him to help us find who [did this] and
    can you look God in the eyes . . . at judgment day . . . and tell
    him that [you] didn’t have anything to do with this.”       Frank held
    her hands up in the air with her fists balled, and Ingram said
    “can’t you open your heart . . . . [H]olding your hand in a fist
    is an indication that your blocking something . . . . [L]et him
    in, call him out.”
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    II.    ANALYSIS
    A.   SUPPRESSION MOTION
    In an appeal challenging a ruling on a motion to suppress, we
    consider the evidence in the record from both the suppression
    hearing and the trial.    See Woodson v. Commonwealth, 
    25 Va. App. 621
    , 625, 
    491 S.E.2d 743
    , 745 (1997).       “While we are bound to
    review de novo the ultimate questions of law, we ‘review findings
    of historical fact only for clear error.’”      
    Id. at 625, 491
    S.E.2d
    at 745 (quoting Ornelas v. United States, 
    517 U.S. 690
    , 699
    (1996)).
    Even when a suspect waives his or her Fifth and Sixth
    Amendment rights, a confession made involuntarily is inadmissible.
    See Morris v. Commonwealth, 
    17 Va. App. 575
    , 579, 
    439 S.E.2d 867
    ,
    870 (1994).    The voluntariness of a statement is “ultimately a
    legal rather than a factual question, but subsidiary factual
    questions are entitled to a presumption of correctness.”      Williams
    v. Commonwealth, 
    234 Va. 168
    , 172, 
    360 S.E.2d 361
    , 364 (1987).
    Therefore, we determine whether the facts, viewed in the light
    most favorable to the Commonwealth, support the trial court’s
    legal conclusion that Regina Frank gave her statements
    voluntarily.
    Based on the totality of the circumstances, Frank’s will was
    not “overborne,” nor was her “‘capacity for self-determination
    critically impaired.’”    Thomas v. Commonwealth, 
    244 Va. 1
    , 15-16,
    
    419 S.E.2d 606
    , 614 (1992) (quoting Gray v. Commonwealth, 233 Va.
    - 8 -
    313, 324, 
    356 S.E.2d 157
    , 163 (1987)).    Her statements were the
    “product of an essentially free and unconstrained choice.”      
    Id. In examining the
    totality of circumstances a court must
    consider a number of factors including age, intelligence,
    background and experience with the criminal justice system, the
    purpose and flagrancy of any police misconduct, the length of the
    interview, and moral and psychological pressures placed on an
    accused from authorities.    See 
    Morris, 17 Va. App. at 579
    , 439
    S.E.2d at 870.
    Frank was twenty-nine years old.     According to her testimony
    she had completed high school and later earned a nursing assistant
    certificate.   A psychiatrist called by the defense testified that
    despite a below average IQ, Frank was competent at the time of the
    offense and that her memory was intact.    The psychiatrist also
    testified that Frank showed signs of emotional blunting probably
    as a result of sexual abuse and chaos surrounding her life
    especially during puberty.
    She had slept for four hours prior to the interrogation -- a
    normal amount for her -- and she was not under the influence of
    drugs or alcohol at the time of the interview.    She “agreed
    willingly to” meet Ingram at the station, and she was not
    restrained in any way upon arrival.
    Ingram advised Frank of her Miranda rights.    Frank executed
    the advisory form and detectives again advised her of her rights
    prior to the taped statement.   During the course of the entire
    - 9 -
    interview, Frank never invoked her right to silence or to have an
    attorney present.   She never appeared confused or emotionally
    upset.   From the time she arrived at the station house until the
    time she was arrested, eight hours elapsed.   However, during that
    time she had numerous breaks, and investigators offered her
    multiple opportunities to use the restroom or obtain a beverage.
    Additionally, Frank made statements that justifiably raised the
    investigators’ suspicions less than four hours after her arrival
    at the station.
    Frank argues that investigators used the polygraph as an
    instrument of coercion rendering her statements involuntary.     The
    purpose of requiring that admitted statements be voluntary is to
    insure that “the admission or confession is trustworthy as
    testimony.”   Owens v. Commonwealth, 
    186 Va. 689
    , 700, 
    43 S.E.2d 895
    , 900 (1947); see Jones v. Commonwealth, 
    214 Va. 723
    , 726, 
    204 S.E.2d 247
    , 249 (1974).   Although the results of polygraph
    examinations are not admissible, we have not applied a similar per
    se prohibition to statements obtained before or after voluntary
    polygraph examinations.   See e.g., 
    id. at 727, 204
    S.E.2d at 249
    (“We do not agree . . . that because polygraph testing is not
    admissible, any statement by defendant made to the polygraph
    operator in the pretesting conditioning period, or as a
    preliminary to the testing, should also be excluded.”).   We find
    that the unreliability and inadmissibility of a polygraph
    examination as an investigative tool does not render substantive
    - 10 -
    statements per se involuntary.    The same standards apply to
    confessions obtained with the use of a polygraph examination as
    apply to other confessions.   See Jenner v. Smith, 
    982 F.2d 329
    ,
    334 (8th Cir 1993); Bae v. Peters, 
    950 F.2d 469
    , 475 (7th Cir.
    1991); J. Smith, Admissibility in evidence of confession made by
    accused in anticipation of, during, or following polygraph
    examination, 
    89 A.L.R. 3d 230
    , 233-34 (1979).
    Here, Ingram explained to Frank that the results of polygraph
    tests are generally not admissible in court and that she had a
    right to refuse the test.   Frank agreed to take the test and never
    stated that she did not wish to do so.    Undoubtedly, telling Frank
    that she “failed” the test had an impact on her willingness to
    speak, but nothing about its effect on Frank raises a concern
    about the reliability or voluntariness of her statement.     There is
    simply no evidence that the polygraph exam coerced Frank’s
    statement.
    Similarly, the investigators’ use of religion as an
    investigative tool does not render Frank’s statement involuntary.
    See Rodgers v. Commonwealth, 
    227 Va. 605
    , 615, 
    318 S.E.2d 298
    ,
    303-04 (1984).   We find that based on the totality of the
    circumstances, including an assessment of Frank’s background and
    psychological condition, and having considered all the
    investigative tools employed, Frank’s statements were voluntary
    and reliable.
    - 11 -
    Frank also contends that alleged oral and written statements
    attributed to her were unreliable.    The three individuals present
    at the interview reported substantially similar statements, and
    Frank reviewed and corrected her recorded statement.     Furthermore,
    on appeal, we defer to the fact finder’s assessment of the
    credibility of evidence.     See Schneider v. Commonwealth, 
    230 Va. 379
    , 382, 
    337 S.E.2d 735
    , 736-37 (1985).    Accordingly, the trial
    court did not err in admitting and accepting the statements.
    B.   SUFFICIENCY OF THE EVIDENCE
    1.   Standard of Review
    Frank challenges the sufficiency of the evidence to support
    her conviction.   She contends the evidence was insufficient to
    show that the cause of Zachary’s death was homicide.     Frank claims
    that even if the cause of death was homicide, there was
    insufficient evidence to establish that she was the criminal
    agent.    Finally, she claims that even if she was the cause of
    death, there was insufficient evidence to establish the element of
    malice.
    As stated earlier, we view the evidence in the light most
    favorable to the Commonwealth and grant to the Commonwealth all
    reasonable inferences fairly deducible therefrom.     See
    
    Higginbotham, 216 Va. at 352
    , 218 S.E.2d at 537.      We discard any
    evidence of the accused in conflict with the Commonwealth’s
    evidence, and we regard all the Commonwealth’s credible evidence
    as true.    See Boblett v. Commonwealth, 
    10 Va. App. 640
    , 651, 396
    - 12 -
    S.E.2d 131, 137 (1990).    Furthermore, circumstantial evidence is
    as competent and entitled to as much weight as direct evidence on
    appeal.   See Coleman v. Commonwealth, 
    226 Va. 31
    , 53, 
    307 S.E.2d 864
    , 876 (1983).
    Finally, as the appellant points out, in a wholly
    circumstantial case, the evidence must exclude every reasonable
    hypothesis of innocence.   However, the Commonwealth need not
    exclude every possible theory of innocence, rather it must
    exclude only those which flow reasonably from the facts and
    raise a reasonable doubt of guilt.       See Payne v. Commonwealth,
    
    216 Va. 265
    , 272, 
    217 S.E.2d 870
    , 875 (1975).      Whether a
    particular hypothesis is reasonable, is a question of fact
    binding on appeal unless plainly wrong.       See Lovelace v.
    Commonwealth, 
    27 Va. App. 575
    , 586, 
    500 S.E.2d 267
    , 273 (1998).
    Moreover, the Commonwealth need not actively negate every
    reasonable theory of innocence, instead it is sufficient if the
    evidence as presented has the effect of excluding those
    theories.   See Orange v. Commonwealth, 
    191 Va. 423
    , 443, 
    61 S.E.2d 267
    , 276 (1950).    If, based on the Commonwealth’s
    evidence, the fact finder justifiably could have excluded all
    reasonable hypotheses of innocence, or determined that any
    possible hypothesis of innocence was less than reasonable, then
    we must affirm.    We defer to the fact finder because the
    inferences to be drawn from proven facts are the province of the
    - 13 -
    fact finder so long as they are reasonable and justified.      See
    
    Higginbotham, 216 Va. at 353
    , 218 S.E.2d at 537.
    When the appellant presents an hypothesis of innocence on
    appeal, the burden is on the appellant to show that the facts as
    found by the fact finder do not exclude a reasonable theory that
    is consistent with the defendant’s innocence.    See generally
    Johnson v. Commonwealth, 
    12 Va. App. 391
    , 396, 
    404 S.E.2d 384
    ,
    387 (1991) (“The burden is on the party who alleges reversible
    error to show by the record that reversal is the remedy to which
    he is entitled.”).   It is in this context that the Virginia
    Supreme Court has said that the hypotheses which the
    Commonwealth must exclude are those that actually flow from the
    evidence rather than those that merely arise from the
    imagination of the appellant.    See e.g., Black v. Commonwealth,
    
    222 Va. 838
    , 841, 
    284 S.E.2d 608
    , 609 (1981).   Thus, to prevail,
    appellant must show that the facts as established in the record,
    viewed in the light most favorable to the Commonwealth, do not
    exclude a reasonable hypothesis that would render the appellant
    innocent.
    2.   Cause of Death
    Drs. Foley, Lewis, and Kinnison each testified that Zachary
    Frank exhibited the unique constellation of physiological
    conditions indicating shaken baby syndrome.   Each doctor further
    testified that the combination of symptoms combined with the
    - 14 -
    complete absence of external trauma could only be consistent with
    shaken baby syndrome which Dr. Lewis described as
    the phenomena that occurs when a baby,
    usually a small child because of the weight
    involved, is vigorously shaken to and from
    in such a fashion that the blood vessels
    which are surrounding the brain are sheered.
    It causes a great deal of bleeding around
    the brain and with sufficient force tears
    the inside lining of the retina of the eye.
    Frank argues that the doctors’ opinions are unreliable
    because they were based on a mistaken understanding of the
    history.    However, Frank fails to point out any particular
    mistaken understandings and, in any event, the medical experts
    based their opinions on the results of direct examinations rather
    than on the child’s history.
    Frank also argues that the Commonwealth failed to exclude all
    reasonable hypotheses of innocence.      She suggests that the medical
    experts did not rule out other causes of death.     We disagree.   The
    evidence of the medial experts in conjunction with Frank’s
    admission was sufficient to permit the fact finder to exclude
    every other hypothesis of death that flows reasonably from the
    evidence.    The experts ruled out every hypothesis that Frank
    suggested at trial.   On appeal, Frank seems to suggest that while
    none of the hypotheses of injury suggested at trial could account
    for the constellation of symptoms Zachary exhibited, an
    aggregation of these causes could have resulted in the symptoms.
    Thus, if the child had meningitis, if the doctors administered too
    - 15 -
    much phenobarbital, and if the emergency personnel or the father
    subjected the child to overly aggressive CPR, it was possible that
    similar symptoms could have appeared.    However, expert testimony
    indicated that research only theorized that aggressive CPR could
    cause retinal hemorrhaging.    Additionally, there was no evidence
    that the child received too much phenobarbital.   Finally, Dr.
    Lewis testified that Zachary was only treated for meningitis as a
    matter of hospital routine procedure -- when acutely ill children
    are admitted they are routinely treated for meningitis.
    Therefore, in view of the aforementioned standards of review, the
    evidence excluded all hypotheses of death other than shaken baby
    syndrome.
    3.    Criminal Agency
    Frank argues that the evidence was not sufficient to show
    that she caused the fatal injury.    Frank points out that the
    Commonwealth called no witnesses who had direct knowledge of the
    three or four hour period after the paramedics delivered Zachary
    to the hospital and before Dr. Foley’s first examination.   Frank
    appears to argue that even if Zachary died from shaken baby
    syndrome, the evidence does not exclude every reasonable
    hypothesis of innocence because the Commonwealth has not credibly
    established the events that transpired during that three or four
    hour period.   We disagree.
    Frank admitted that she was the criminal agent.    Thus, the
    evidence proved that she was the criminal agent and this evidence
    - 16 -
    excluded every reasonable hypothesis of innocence.    Frank admitted
    that out of frustration she shook the baby on Friday, November 22,
    1996.    When asked, Frank also stated that no one else had shaken
    the baby.    The baby was admitted to the hospital on Monday,
    November 25, 1996 -- roughly seventy-two hours later.    All three
    medical experts testified that it would be normal for symptoms to
    appear around seventy-two hours after the injury.    There is no
    evidence that supports an hypothesis that a hospital worker, or
    some unknown agent, caused the shaken baby syndrome injuries
    during the three or four hour period after Zachary’s admission,
    and conversely, there is ample evidence that Frank was the
    criminal agent.    See e.g., Webber v. Commonwealth, 
    26 Va. App. 549
    , 561-65, 
    496 S.E.2d 83
    , 88-90 (1998) (finding evidence that
    the defendant shook and slapped a baby in combination with medical
    evidence of causation and timing sufficient to convict defendant
    of second degree murder).
    4.   Malice
    Finally, Frank argues that even if the trial court did not
    err by finding that Frank caused the injury and death, there was
    insufficient evidence for the trial court to find malice, and,
    therefore, the Commonwealth did not sustain its burden of proving
    second degree murder.
    To convict Frank of second degree murder, the Commonwealth
    had to prove malice aforethought.     See Perricllia v. Commonwealth,
    
    229 Va. 85
    , 91, 
    326 S.E.2d 679
    , 683 (1985).    Whether Frank acted
    - 17 -
    with malice is a question for the fact finder.   See Essex v.
    Commonwealth, 
    228 Va. 273
    , 280, 
    322 S.E.2d 216
    , 220 (1984).
    Malice may be implied from conduct, for example, when a purposeful
    and cruel act is committed against another without any or with
    only slight provocation.   See Pugh v. Commonwealth, 
    223 Va. 663
    ,
    668, 
    292 S.E.2d 339
    , 341 (1982).    Frank cites language in Essex
    for the proposition that when an act is committed out of
    negligence, malice may not be implied.    See 
    Essex, 228 Va. at 280
    ,
    322 S.E.2d at 220.
    [A] common theme running through
    [definitions of malice] is a requirement
    that a wrongful act be done willfully or
    purposefully. This requirement of
    volitional action is inconsistent with
    inadvertence. Thus if a killing results
    from negligence, however gross or culpable,
    and the killing is contrary to the
    defendant’s intention, malice cannot be
    implied.
    
    Id. (internal quotation marks
    and citations omitted).      Here,
    however, the evidence shows that Frank willfully and
    deliberately shook Zachary Frank.
    “Implied malice may be inferred from conduct likely to
    cause death or great bodily harm, willfully or purposefully
    undertaken.”    See Canipe v. Commonwealth, 
    25 Va. App. 629
    , 642,
    
    491 S.E.2d 747
    , 753 (1997) (quotation marks and citation
    omitted).   Moreover, the fact finder may infer that a person
    intends the natural and probable consequences of his actions.
    See Campbell v. Commonwealth, 
    12 Va. App. 476
    , 484, 405 S.E.2d
    - 18 -
    1, 4 (1991) (en banc).     Additionally, “the comparative
    weaknesses of the victim and the strength of the aggressor may
    be considered” in determining the probable consequences of an
    aggressor’s acts.   
    Id. at 485, 405
    S.E.2d at 5.
    Experts testified that the injury that Frank inflicted
    required Zachary’s head to go violently forward and backward and
    that the only comparable injury they encounter occurs when
    children are thrown from motor vehicle accidents.     Because of
    the extreme violence required to cause the injury, and because
    Frank admitted that she willfully and violently shook the baby,
    the trial court was entitled to infer malice.
    III.   CONCLUSION
    We find that based on the totality of the circumstances
    surrounding the interrogation, Mrs. Frank’s will was not
    overborne, nor was her capacity for self-determination critically
    impaired.   Therefore, the trial court did not err in refusing to
    suppress her statements.    Additionally, we find that the
    Commonwealth produced sufficient evidence to establish that
    Zachary Frank died of shaken baby syndrome and that it was Mrs.
    Frank’s conduct that caused the fatal injuries.    Finally, we find
    that the trial court did not err in inferring implied malice from
    Mrs. Frank’s willful and violent shaking of the infant.
    Accordingly, we affirm the trial court’s decision.
    Affirmed.
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