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A man accused of stabbing two Asian women, one elderly, in downtown San Francisco earlier this week has been charged with two counts of attempted murder along with elder abuse and assault with a deadly weapon, San Francisco District Attorney Chesa Boudin said Friday.

Officers arrested 54-year-old Patrick Thompson on Tuesday after he allegedly stabbed two women, aged 63 and 85, near the corner of Market and Fourth streets, police said.

During the attack, the 85-year-old victim’s lung was punctured, requiring extensive surgery. The knife used to attack the second victim had to be removed by medics at the hospital, prosecutors said.

Thompson was set to be arraigned on Friday afternoon, however, he refused to come to court from jail, Thompson’s attorney Deputy Public Defender Eric Fleischaker said in court. The arraignment has been continued to Monday.

In addition to the attempted murder, assault and elder abuse charges, Thompson is also facing enhancements for great bodily injury, great bodily injury on elders and personal use of a deadly weapon. If convicted, he could potentially be sentenced to life in prison, prosecutors said.

Boudin, who is prosecuting the case himself, said on Thursday he visited both victims and their families at the hospital.

Boudin said in a statement:

“The strength and courage of these women is inspiring. … Their pain was tangible and will serve as a constant reminder of the importance of our work to make San Francisco safer for all. I am grateful to the medical team at San Francisco General Hospital, who helped to make sure the victims are still with us today.”

Although Thompson has been charged, the investigation is ongoing and Boudin’s office is looking into whether there’s evidence to support hate crime charges in the case.

Thompson was previously arrested just last month in connection with a warrant from a prior arrest and when officers located him, he was in possession of a drug pipe, prosecutors said.

Before that, Thompson was arrested in 2017 and when a judge found him incompetent to stand trial, he was sent to Napa State Hospital. Upon his return, a judge allowed Thompson to be released from custody in order to enter a Mental Health Diversion program at the request of his defense attorney, prosecutors said.

Boudin’s office acknowledged new methods are needed to help treat people with mental health and substance use issues and called on legislators to push for more resources.

Boudin’s office said:

“What happened is a devastating tragedy, and we will use the full force of our office’s resources to prosecute this case. We also need to work hard to stop the next crime from happening, and that involves prevention and treatment. Mr. Thompson needed intensive supervision and services — which he received during Mental Health Diversion and which prevented new criminal behavior. We need far more intensive tools that keep people who are mentally ill treated and supported so that they do not reoffend even when there is no pending criminal case. We have always known that we need to strengthen mental health services in this city so that we can prevent crimes from happening in the first place.”

The San Francisco Police Officers Association, which has been critical of Boudin in the past, alleged Thompson’s 2017 arrest was in connection with an unprovoked stabbing, similar to the most recent case.

The SFPOA said:

“This is Chesa Boudin’s San Francisco, where repeat offenders get second, third, and fourth chances while victims are left bleeding in our streets. Boudin’s latest blunder is shameful, and his catch and release policies for violent criminals are leading to more and more victims. We have had enough.”

Fleischaker said of his client:

“We ask that the public reserve judgement of Mr. Thompson as we continue to gather more information. This is not a hate crime. Even in our early evaluation of this incident, nothing indicates that this was racially motivated.”

Fleischaker added:

“Mr. Thompson has suffered from mental health issues his entire adult life and is someone who thrives when given proper care — as he did for the nearly two years that he was part of the rigorous, court-mandated Mental Health Diversion program, where he was able to live independently without incident and participate in his own healing. Sadly, many life-saving social services have not been available during the COVID crisis and the lack of consistent care led to this situation, which is tragic for all involved. We extend our greatest sympathies to the victims in this case and wish them a full and speedy recovery.”

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