THIS STORY HAS BEEN FORMATTED FOR EASY PRINTING

DA won’t charge guard in shooting of patient

Attacker’s motive remains a mystery

Paul M. Langone, a security guard, acted in self-defense in last October’s shooting, the Suffolk district attorney said. Paul M. Langone, a security guard, acted in self-defense in last October’s shooting, the Suffolk district attorney said. (Lisa Poole for The Boston Globe/File 2009)
By John R. Ellement
Globe Staff / April 1, 2010

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Suffolk District Attorney Daniel F. Conley said yesterday he would not bring criminal charges against an off-duty security guard who fatally shot a patient inside a Boston medical office in October after the patient attacked a doctor.

“Paul Langone acted in self-defense and the defense of Dr. Astrid Desrosiers when he fired on Jay Carciero,’’ Conley said in a statement. “But for Mr. Langone’s actions that day, she would undoubtedly have died and others — including Mr. Langone himself — could have been seriously injured or killed as well.’’

Conley said there is still no good explanation for Carciero’s sudden explosion of violence inside the Massachusetts General Hospital office building.

Carciero, Conley said, did not speak before he started stabbing and slashing Desrosiers with a knife. He described the weapon as a Smith & Wesson Extreme Ops folding knife with a 4-inch blade.

“By every account we reviewed, Mr. Carciero’s actions that day were entirely out of character,’’ Conley said. “He was known in his community as a devoted father and a loving husband. There was nothing in his background to suggest that this event was coming. We recognize his family’s terrible loss and the tragedy it represented for those who knew and loved him.’’

Conley described the fatal confrontation between the two men as it unfolded inside a medical office building on Staniford Street on Oct. 27.

Desrosiers agreed to see Carciero in her office at 2 p.m. instead of his scheduled time of 4 p.m. Without speaking, Carciero began stabbing and slashing the doctor. Two other doctors heard her screams but were chased away by a bloody and enraged Carciero, Conley said. He slashed one of the doctors, Conley said.

After the two doctors fled, Carciero resumed his attack on Desrosiers, who was lying on the floor, bleeding heavily from multiple wounds. Langone, an off-duty security guard, reacted to the screams and opened the door to Desrosiers’ office, where he saw Carciero on top of the woman, still stabbing her.

Langone entered and pulled his Glock 27 handgun and ordered Carciero to step away from Desrosiers. “Put down the knife, I’m going to shoot,’’ Langone said, according to Conley.

Carciero responded by lunging at Langone with the knife. Langone fired once, but Carciero continued to advance. Langone fired twice more, striking Carciero in the head and abdomen, fatally wounding Carciero, the district attorney said.

Conley said in the statement that Langone, a special police officer, used his legally licensed personal firearm.

“He was an ordinary person thrust into extraordinary circumstances. He saved Dr. Desrosiers’ life and possibly others, including his own,’’ Conley said. “There are no legal grounds for criminal charges in this incident, and we consider the case closed.’’

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