The Afghan national accused of killing a National Guard member and opening fire on others near the White House last year has been transferred from prison to a hospital after refusing to eat or drink water, court records show.

Federal prosecutors told the court they learned Rahmanullah Lakanwal was hospitalized on Wednesday at around midnight to “preserve his life.” This came after the U.S. Marshals Service (USMS) warned in June that Lakanwal was refusing to “consume adequate nutrition for an extended period.”

Officials with the USMS were concerned that Lakanwal had put himself “at risk for long-term health consequences, including a potential risk of death,” according to the court filing.

In an emergency hearing held late Thursday morning, D.C. District Judge Amit Mehta called the murder suspect’s condition “dire” and “self-inflicted,” according to a transcript obtained by The New York Times.

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Lakanwal, 30, is accused of killing West Virginia National Guard Specialist Sarah Beckstrom and severely wounding Guardsman Andrew Wolfe in last November’s attack. He faces 17 charges, the most serious of which — the first-degree murder charge — makes him eligible for the death penalty.

In the most recent court filing, prosecutors told Mehta that on June 16, 2026 — the day Lakanwal pleaded not guilty to all the charges — they learned about a protective order that “prohibited the government from receiving medical records concerning Lakanwal’s treatment.”

The judge ruled that prosecutors had a right to have access to Lakanwal’s medical records and his treatment providers for “the duration of his current hospitalization.”

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Last month, Lakanwal made his first appearance in court, months after the Washington, D.C., shooting. He was wearing an orange prison jumpsuit and was in a wheelchair.

On November 26, Lakanwal allegedly drove his Toyota Prius from his home in Bellingham, Washington, to the District of Columbia while in possession of a stolen firearm, according to court records.

Prosecutors said he opened fire on West Virginia National Guard members, striking Beckstrom and Wolfe in the head. Two nearby National Guard members then subdued Lakanwal at the scene, officials said.

Investigators reportedly recovered a .357 Smith & Wesson revolver that had been reported stolen in Seattle in 2023.

Officials said Beckstrom died from her injuries on Thanksgiving, while Wolfe continues to recover from his injuries.

Beckstrom was posthumously awarded the West Virginia Distinguished Service Medal, while Wolfe was recently given the “Freedom 250: Hometown Hero Award.” Both of them were awarded the Purple Heart by President Donald Trump in February.