State v. Minyard , 231 N.C. App. 605 ( 2014 )


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  •                              NO. COA13-377
    NORTH CAROLINA COURT OF APPEALS
    Filed: 7 January 2014
    STATE OF NORTH CAROLINA
    v.                               Burke County
    Nos. 09 CRS 3910
    09 CRS 4222-23
    11 CRS 1471
    JAMES ALLEN MINYARD
    Appeal by defendant from judgment entered 16 August 2013 by
    Judge Jerry Cash Martin in Burke County Superior Court.     Heard in
    the Court of Appeals 10 October 2013.
    Attorney General Roy Cooper, by Assistant Attorney Sherri
    Horner Lawrence, for the State.
    Appellate Defender Staples Hughes, by Assistant Appellate
    Defender Daniel Shatz, for defendant-appellant.
    HUNTER, JR., Robert N., Judge.
    James Allen Minyard (“Defendant”) appeals from a 16 August
    2013 judgment entered after a jury convicted him of (i) attempted
    first degree sexual offense; (ii) five counts of taking indecent
    liberties with a minor; and (iii) attaining habitual felon status.
    Defendant argues the trial court erred by (i) denying Defendant’s
    motion to dismiss the charge of attempted first degree sexual
    offense; (ii) denying Defendant’s motion to dismiss the five counts
    -2-
    of taking indecent liberties with a minor; and (iii) by not
    conducting a sua sponte inquiry into Defendant’s capacity to
    proceed.   Defendant also asks this Court to review documents
    inspected in camera   by the trial court to determine whether
    Defendant received all exculpatory materials contained therein.
    After careful review, we hold the trial court did not err.
    I. Facts & Procedural History
    A Burke County grand jury indicted Defendant on 14 September
    2009 for first degree sexual offense and six counts of taking
    indecent liberties with a minor, D.B. (“Theodore”).1     Defendant
    was also indicted as a habitual felon on 13 June 2011.   The cases
    proceeded to a jury trial on 13 August 2012 in Burke County
    Superior Court.   At the close of the State’s evidence, the trial
    court dismissed one count of taking indecent liberties with a minor
    and the charge of first degree sexual offense and allowed the
    charge of attempted first degree sexual offense and the five counts
    of taking indecent liberties with a minor to proceed to trial.
    The jury found Defendant guilty of attempted first degree sexual
    offense, five counts of taking indecent liberties with a minor,
    and of attaining habitual felon status.    The trial court issued
    1 Pseudonyms are used to conceal the identities of the juveniles
    involved in this case.
    -3-
    concurrent sentences of 225–279 months imprisonment for attempted
    sexual offense and 121–155 months for the five counts of taking
    indecent    liberties     with     a    minor.        The    five    sentences    were
    consolidated into a single Class C judgment.                    Defendant entered
    written    notice   of    appeal       on   21    August    2012.     The    testimony
    presented at trial tended to show the following facts.
    In February 2008, Defendant began dating Theodore’s mother
    (“Pamela”) after meeting on an Internet dating website.                         Pamela
    testified that her relationship with Defendant began well: the two
    spent time together, took trips together, and “had a good time.”
    Pamela has three children: a son who was seven years old at the
    time of trial (“Phillip”), a daughter who was eleven years old at
    the time of trial (“Paulina”), and Theodore, who was thirteen years
    old at the time of trial.          Pamela testified that Theodore has an
    IQ of 64, which “meant that he was mildly mentally retarded.”
    Pamela testified that Defendant also had children at the time she
    met Defendant, including a six-year-old son (“Daniel”) and an
    infant daughter (“Diana”) he saw every other weekend.
    Defendant      and   Pamela’s          relationship      was    not    physically
    intimate.    Pamela testified that “[a]fter several months I would
    question him a lot about why he never hugged me, why he never
    kissed me. We never had any intimacy at all.”                       When asked about
    -4-
    the lack of intimacy, Pamela stated that Defendant told her “that
    he had been hurt in the past and that he had already ruined lives
    by having children and he didn’t want to ruin any more.”
    During their relationship, Pamela testified that Defendant
    “seemed to love my boys. He would always ask for the boys to come
    over and spend the night with [Daniel] and two other little boys
    that he kept a lot.”    Pamela testified that Theodore and Phillip
    spent the evening at Defendant’s house “often,” and at least one
    night a month while Pamela attended her scrapbooking club.   Pamela
    spent evenings at Defendant’s home “on the weekends he would get
    his daughter . . . because he said he didn’t want to be alone with
    [Diana] because he never wanted something said . . . about him
    being alone with his daughter.”     Pamela testified that during her
    visits with Defendant, she would “sleep on the couch and [one of
    the little boys he kept] would sleep in his room with him, or if
    I slept in his bed then he would put pillows between us from my
    head to my feet.”      Defendant and Pamela’s relationship lasted
    eighteen months and    ended in July 2009, with Pamela telling
    Defendant “to make up his mind about me. If he couldn’t be intimate
    and go further in the relationship, then I – that isn’t what I
    wanted.”
    -5-
    In March 2008, Pamela was hospitalized for gastric bypass
    surgery and gave Defendant power of attorney over her children.
    Pamela’s mother (“Grandmother”) stayed with Pamela during her
    surgery,     eventually     leaving    to   see   her    grandchildren      at
    Defendant’s home.     Grandmother said Defendant “wouldn’t let [her]
    have [Pamela’s] children . . . and he said he was going to call
    the Law on me.”    When a member of the sheriff’s department arrived
    at Defendant’s house, Grandmother testified that she spoke with
    the sheriff and left after finding out about the power of attorney.
    Grandmother testified that she liked Defendant at the start of the
    relationship with Pamela: “I thought that, you know, because they’d
    get out and go to those races and, you know, to Pizza Hut and have
    birthday parties with the kids. And I thought he was all right
    then.”
    Pamela   testified   that   Theodore   asked     to   stop   going   to
    Defendant’s house in December 2008.         Pamela said Theodore did not
    tell her why he wished to stop visiting Defendant at that time.
    In March 2009, Pamela said Theodore told her Defendant touched
    him.     Pamela asked Defendant about touching Theodore, and Pamela
    testified that Defendant said he only touched Theodore when he
    helped bathe him.     Theodore was present and Pamela testified that
    Theodore didn’t disagree with Defendant’s statement.            Pamela also
    -6-
    said Theodore was nine at the time and did not need her help
    bathing at that age.     Pamela testified that around that time
    Theodore “started having nightmares and would wake up saying he
    was scared” and “would go to the bathroom and say that he was
    bleeding and that he was hurting.”   Pamela also testified she saw
    Theodore’s bloody stools “two or three times.”
    In August 2009, Grandmother was watching Theodore during his
    summer vacation from school.   Theodore began experiencing pain
    going to the bathroom:
    A. He was at my home. He was staying the week
    with me, so -- before he went back to school.
    And he had went to the bathroom and he come in
    there and said that he was hurting. And I asked
    him what was wrong. And he said that
    [Defendant] had hurt him in his behind and --
    Q. Did he -- did he say anything more
    particular than that or was that exactly what
    he said?
    A. He just said he entered -- I can’t remember
    the exact words -- but he entered his bottom,
    his behind.
    Q. All right. Did he say         anything   about
    touching his private part?
    A. Yeah.
    Q. What did he say about that?
    A. He said he played with his, his front ends
    (phonetic).
    Q. Okay. And when he told you that what was
    -7-
    his demeanor like?
    A. He was just crying, upset.
    Grandmother called Pamela and asked if Theodore recounted these
    events to her, and Pamela said he had not.   Grandmother called the
    Burke County Department of Social Services (“DSS”).    Grandmother
    also said she was unaware that Defendant and Pamela were no longer
    dating at that time.   Pamela asked Theodore about Grandmother’s
    statements after Grandmother’s phone call:
    Q. Okay. Did you ever talk to [Theodore] after
    that?
    A. I did.
    Q. About [Defendant] touching him?
    A. I did.
    Q. What did he tell you?
    A. He said that [Defendant] would spit in his
    hand and pull on his weenie, and that he would
    make him lay on his side and he would stick
    his weenie up his butt.
    Q. Okay. And what did you do once you heard
    that?
    A. I sent [Defendant] a really bad e-mail.
    Q. Okay. And did [Theodore] tell you about how
    many times that happened?
    A. He said five or six times.
    -8-
    Pamela contacted Defendant on 12 August 2009 and asked him to leave
    her alone.    Pamela also stated that Defendant said “he did not
    want me to take [Phillip] out of his life and that I didn’t deserve
    to have him.” Pamela said Defendant began requesting reimbursement
    for repairs Defendant made to the heat pump on her home and that
    Defendant    filed   a   lawsuit   against   Pamela      seeking   $1,279    in
    reimbursement for his work on the heat pump.
    Pamela spoke with DSS on 18 August 2009, and thereafter took
    Theodore to the Burke County Child Advocacy Center, known as the
    Gingerbread House (“Gingerbread House”).              Shelley Winters (“Ms.
    Winters”),   a   forensic   interviewer      at   the    Gingerbread     House,
    interviewed Theodore on 19 August 2009.               Ms. Winter’s interview
    with Theodore was entered into evidence and played for the jury.
    Elizabeth    Browning    (“Ms.   Browning”),      a   sexual   assault    nurse
    examiner, examined Theodore on 21 August 2009.                  Ms. Browning
    performed a medical exam where she asked Theodore if he had “any
    concerns about his body.”        Ms. Browning said:
    He told me that [Defendant] had put his
    private in his butt and had touched his wee-
    wee. He told me that he had spit on his finger
    and touched his . . . his weenie[.] . . . And
    he said that when he put it in his butt that
    it hurt. He said that it was big and hairy. He
    told me not to tell my mama but I did.
    -9-
    Ms. Browning also observed that Theodore had a healed anal fissure.
    Ms. Browning noted that this was not abnormal and that a number of
    causes, such as large bowel movements,               could create an anal
    fissure. Ms. Browning also said Theodore stated that the Defendant
    would be “mean and whooped me . . . in the bedroom in his -- at
    his house.”
    Agent Angeline Mary Bumgarner (“Agent Bumgarner”) of the
    Burke   County   Sheriff’s    Office   worked   as    a    child   sex   crimes
    detective and was assigned Theodore’s case.                  Agent Bumgarner
    reviewed   DSS   reports     concerning   Theodore,       reviewed   video   of
    Theodore’s interview with Ms. Winters, reviewed Ms. Browning’s
    medical report, spoke with Pamela, and charged Defendant with six
    counts of taking indecent liberties with a minor.              Defendant was
    arrested on 21 August 2009.            After arrest, Defendant made a
    statement that Agent Bumgarner read into evidence:
    “I, [Defendant], want to make the following
    statement: I started dating [Pamela] on
    February 8, 2008. I was comfortable with her
    and her kids and they were comfortable with
    me. Around the first part of March, 2009,
    [Pamela] contacted me and said [Theodore] told
    her that I had touched [Theodore], he wouldn't
    tell how he was touched. I told [Pamela] that
    I didn’t want to be around her or her kids
    because I was paranoid because I didn’t want
    to lose my own kids. [Pamela] begged me to
    come back, she would come over but I wouldn’t
    let [Theodore] stay the night unless she was
    there. Whenever [Pamela’s] kids stayed the
    -10-
    night, each one had their own areas to sleep;
    there was a bunk bed, [Diana’s] bedroom or the
    couch. Every now and then [Phillip], would
    sneek (sic) in my room and sleep and I would
    tell [Pamela] everytime (sic) that happened.
    I just had [Pamela] served for work that I did
    for her and money I used from my company to do
    the work.”
    Theodore testified at trial, saying that Defendant touched
    “[m]y butt and my wiener.”          When asked what part of Defendant’s
    body   touched   him,    Theodore      said   “[h]is    wiener.    His   wiener.”
    Theodore stated that Defendant’s “wiener” touched his “butt” four
    or five times in Defendant’s bedroom.                 Theodore testified that
    Defendant used to spank him with a leather belt and told Theodore
    not tell anyone about the spanking. When the State’s counsel asked
    “how did his weenie touch your bottom?,” Theodore answered that he
    did not remember how it happened.                   Theodore said Defendant’s
    “weenie” touching his bottom made him sad.               Theodore stated that
    he told Grandmother about Defendant touching him while he was in
    the bathtub.      Theodore also testified that he spoke to Pamela,
    Grandmother,     and    to   someone    at    the    Gingerbread   House    about
    Defendant touching him.
    Defendant moved to dismiss all charges at the close of the
    State’s evidence.       The trial court allowed the motion to dismiss
    the charges of first degree sexual offense and one charge of
    indecent liberties with a child, but allowed the charges of
    -11-
    attempted first degree sexual offense and the remaining five
    charges of indecent liberties with a minor to proceed.
    Defendant recounted positive experiences at the start of his
    relationship with Pamela, such as taking Pamela’s children on road
    trips to Tweetsie Railroad, Grandfather Mountain, and the Blue
    Ridge Parkway.    Defendant testified that he had diabetes, a prior
    gastric bypass surgery, and erectile dysfunction that affected his
    relationship with Pamela “horribly.”     Defendant testified that he
    took several types of medication to treat his erectile dysfunction
    and that “none of it worked.”       Defendant doubled his dosage “in
    hopes that, you know, I could give her the one thing that she
    wanted most in me.”       Defendant said his erectile dysfunction
    contributed to his breakup with Pamela.      Regarding Theodore’s pain
    using the restroom, Defendant testified that Theodore experienced
    pain    using   the   restroom,   suffered   from   constipation,   and
    experienced large resulting bowel movements.        Defendant testified
    that he had to remove and repair toilets occasionally after
    Theodore used the restroom, and that he did not believe Theodore
    received medication to treat the issue.      Defendant also said that
    Grandmother did not like him from “day one.”
    Defendant testified about a two-week vacation to Dollywood in
    Pigeon Forge, Tennessee beginning 1 July 2009.       Defendant, Pamela,
    -12-
    Theodore,      Phillip,      Paulina,    Daniel,   Defendant’s   brother,   and
    Defendant’s brother’s girlfriend and her children went on the trip.
    During the trip, Defendant planned to “stop by the chapel there in
    Pigeon Forge” and marry Pamela.           However, Defendant testified that
    “the closer the time got to us being in that position, something
    just scared the socks off me and just said, you know, ‘Don’t do
    it.’”    Defendant and Pamela’s relationship ended shortly after in
    July 2009.       Defendant renewed his motion to dismiss at the close
    of his case.
    After    the   jury    began     deliberations,   Defendant’s   counsel
    notified the court that Defendant was “having a little problem.”
    Defendant was asked to “stay vertical” and the trial court told
    him:
    [Defendant], you’ve been able to join us all
    the way through this. And let me suggest to
    you that you continue to do that. If you go
    out on us, I very likely will revoke your
    conditions   of   release.   I’ll  order   you
    arrested.   We’ll   call   emergency   medical
    services; we’ll let them examine you. If
    you’re healthy, you’ll be here laid out on a
    stretcher if need be. If you’re not healthy,
    we will continue on without you, whether
    you’re here or not. So do your very best to
    stay vertical, stay conscious, stay with us.
    Before the jury returned, the trial court received a report that
    Defendant had “overdosed.”            One of Defendant’s witnesses, Evelyn
    Gantt, told the court that Defendant consumed eight Xanax pills
    -13-
    because “[h]e was just worried about the outcome and I don’t know
    why he took the pills.”    Defendant’s counsel and the State did not
    wish to be heard on the issue and Defendant’s pretrial release was
    revoked.    The sheriff was directed to have Defendant examined by
    emergency    medical   services   (“EMS”),   and   Defendant   was   then
    escorted from the courtroom. The court then made findings of fact:
    The Court finds Defendant left the courtroom
    without his lawyer.
    The Court finds that while the jury was in
    deliberation -- the jury had a question
    concerning an issue in the case -- and prior
    to the jurors being returned to the courtroom
    for a determination of the question, the Court
    directed the Defendant to -- who was in the
    courtroom at that point -- to return to the
    Defendant’s table with his counsel. Defendant
    refused, but remained in the courtroom. The
    Court permitted that.
    The Court noticed that after the question was
    resolved with the juror, that while the jury
    was   out   in   deliberations   working   on
    Defendant’s case, the Defendant took an
    overdose of Xanax. While he was here in the
    courtroom and while the jury was still out in
    deliberations, Defendant became lethargic and
    slumped over in the courtroom.
    . . . .
    The Court finds that outside of the jury’s
    presence the Court noted that Defendant was
    stuporous and refused to cooperate with the
    Court and refused reasonable requests by
    bailiffs.
    . . . .
    -14-
    The Court finds that Defendant’s conduct on
    the occasion disrupted the proceedings of the
    Court and took substantial amount of time to
    resolve how the Court should proceed. The
    Court   finally   ordered  that   Defendant’s
    conditions of pretrial release be revoked and
    ordered the Defendant into the custody of the
    sheriff, requesting the sheriff to get a
    medical evaluation of the Defendant.
    The Court finds that Defendant, by his own
    conduct,     voluntarily    disrupted     the
    proceedings in this matter by stopping the
    proceedings for a period of time so the Court
    might resolve the issue of his overdose.
    The Court notes that the -- with the consent
    of the State and Defendant’s counsel that the
    jurors continued in deliberation and continued
    to review matters that were requested by them
    by way of question.
    The Court infers from Defendant’s conduct on
    the occasion that it was an attempt by him to
    garner sympathy from the jurors. However, the
    Court notes that all of Defendant’s conduct
    that was observable was outside of the jury’s
    presence.
    The Court notes that both State and Defendant
    prefer that the Court not instruct jurors
    about Defendant’s absence. And the Court made
    no reference to Defendant being absent when
    jurors came in with response to -- or in
    response to question or questions that had
    been asked.
    After the jury entered its verdict, the trial court amended
    its statement after EMS indicated that Defendant consumed “fifteen
    Klonopin” and two 40-ounce alcoholic beverages, which the court
    -15-
    inferred were from the “two beer cans . . . found in the back of
    his truck.”   Defendant was tried and sentenced as a habitual felon
    on 16 August 2012.   Defendant made a motion to dismiss at the close
    of evidence in his habitual felon proceeding, which was denied.
    Defendant timely filed his notice of appeal on 21 August 2012.
    II. Jurisdiction & Standard of Review
    Defendant appeals as of right from a decision of the trial
    court.   N.C. Gen. Stat. §§ 7A-27(b), 15A-1444(a) (2011).
    Defendant raises three issues on appeal.      The first issue
    concerns whether sufficient evidence exists showing Defendant
    attempted to penetrate Theodore’s anus with his penis in violation
    of 
    N.C. Gen. Stat. § 14-27.4
    (a)(1) (2011).    Defendant argues that
    insufficient evidence existed and that his motion to dismiss was
    thus improperly denied.     The second issue on appeal is whether
    sufficient evidence exists to show Defendant committed five counts
    of indecent liberties with a minor in violation of 
    N.C. Gen. Stat. § 14-202.1
    (a)(1) (2011).     Defendant again argues his motion to
    dismiss these counts was improperly denied.    The first two issues
    are issues of law, and reviewed de novo.      State v. Bagley, 
    183 N.C. App. 514
    , 523, 
    644 S.E.2d 615
    , 621 (2007).    Further:
    A motion to dismiss should be denied if there
    is substantial evidence of each essential
    element of the charged offense and substantial
    evidence that the defendant is the individual
    -16-
    who committed it. Substantial evidence is such
    relevant evidence as a reasonable mind might
    accept as adequate to support a conclusion.
    The court must consider the evidence in the
    light   most    favorable   to   the    State.
    Furthermore, the State is entitled to every
    reasonable inference to be drawn from the
    evidence.
    Circumstantial evidence may withstand a motion
    to dismiss and support a conviction even when
    the evidence does not rule out every
    hypothesis of innocence. The evidence need
    only give rise to a reasonable inference of
    guilt in order for it to be properly submitted
    to the jury for a determination of defendant’s
    guilt beyond a reasonable doubt.
    State v. Foreman, 
    133 N.C. App. 292
    , 298, 
    515 S.E.2d 488
    , 493
    (1999) aff’d as modified, 
    351 N.C. 627
    , 
    527 S.E.2d 921
     (2000)
    (internal    citations   and   quotation   marks    omitted).     “Any
    contradictions or discrepancies in the evidence are for the jury
    to resolve and do not warrant dismissal.”          State v. Rasor, 
    319 N.C. 577
    , 585, 
    356 S.E.2d 328
    , 334 (1987).
    The third issue on appeal is whether the court improperly
    failed to institute, sua sponte, a competency hearing during the
    trial when Defendant became “stuporous and non-responsive” during
    the trial.    This issue is a question of law, and is reviewed de
    novo.   “Conclusions of law are reviewed de novo and are subject to
    full review.”    State v. Biber, 
    365 N.C. 162
    , 168, 
    712 S.E.2d 874
    ,
    878 (2011); see also Carolina Power & Light Co. v. City of
    -17-
    Asheville,   
    358 N.C. 512
    ,   517,    
    597 S.E.2d 717
    ,   721   (2004)
    (“Conclusions of law drawn by the trial court from its findings of
    fact are reviewable de novo on appeal.”).
    Lastly, Defendant asks this Court to review sealed documents
    provided to the trial court for in camera review of Theodore’s
    medical and other records to determine if Defendant received all
    exculpatory evidence.      In Pennsylvania v. Ritchie, 
    480 U.S. 39
    (1987), the United States Supreme Court held that a defendant
    accused of sexual abuse of a child may “have confidential records
    of a child abuse agency turned over to the trial court for in
    camera review and release of material information.”              State v.
    Kelly, 
    118 N.C. App. 589
    , 592, 
    456 S.E.2d 861
    , 865 (1995) (citing
    Ritchie, 
    480 U.S. at 39
    ).    If the trial court conducts an in camera
    inspection but denies the defendant’s request for the evidence,
    the evidence should be sealed and “placed in the record for
    appellate review.”    State v. McGill, 
    141 N.C. App. 98
    , 101, 
    539 S.E.2d 351
    , 355 (2000) (quoting State v. Hardy, 
    293 N.C. 105
    , 128,
    
    235 S.E.2d 828
    , 842 (1977)).      Further:
    On appeal, this Court is required to examine
    the sealed records to determine if they
    contain information that is both favorable to
    the accused and material to [either his] guilt
    or punishment. If the sealed records contain
    evidence which is both “favorable” and
    “material,” defendant is constitutionally
    entitled to disclosure of this evidence.
    -18-
    
    Id.
     at 101–02, 
    539 S.E.2d at 355
     (quotation and citation omitted).
    We review the trial court’s determination of whether a sealed
    record contains exculpatory evidence de novo.       State v. McCoy, ___
    N.C. App. ___, ___, 
    745 S.E.2d 367
    , 370 (2013).
    III. Analysis
    i. Attempted First Degree Sexual Offense
    Defendant argues the trial court erred by denying his motion
    to dismiss and allowing the State to present evidence to the jury
    concerning    his   first   charge,   attempted   first   degree   sexual
    offense.     We disagree.
    
    N.C. Gen. Stat. § 14-27.4
     (2011) provides:
    (a) A person is guilty of a sexual offense in
    the first degree if the person engages in a
    sexual act:
    (1) With a victim who is a child under the age
    of 13 years and the defendant is at least 12
    years old and is at least four years older
    than the victim.
    A sexual act is defined as “cunnilingus, fellatio, analingus, or
    anal intercourse, but does not include vaginal intercourse. Sexual
    act also means the penetration, however slight, by any object into
    the genital or anal opening of another person’s body: provided,
    that it shall be an affirmative defense that the penetration was
    for accepted medical purposes.”          
    N.C. Gen. Stat. § 14-27.1
    (4)
    -19-
    (2011).    “The elements of an attempt to commit any crime are: (1)
    the intent to commit the substantive offense, and (2) an overt act
    done for that purpose which goes beyond mere preparation, but (3)
    falls short of the completed offense.”          State v. Miller, 
    344 N.C. 658
    , 667, 
    477 S.E.2d 915
    , 921 (1996).           The State need not present
    evidence of an actual attempted penetration, but the evidence
    presented must be sufficient to show the defendant intended to
    engage in the completed offense.          State v. Dunston, 
    90 N.C. App. 622
    , 624–25, 
    369 S.E.2d 636
    , 638 (1988).
    Here,    the   age   requirements    are   satisfied:   Defendant    was
    forty-five years old and Theodore was nine years old in March 2009,
    when Theodore first spoke of Defendant touching him in the bathtub.
    We next turn to whether there is a scintilla of evidence showing
    Defendant’s intent.       In State v. Buff, 
    170 N.C. App. 374
    , 
    612 S.E.2d 366
     (2005), the defendant argued the State did not put
    forward sufficient evidence for an attempted second degree sexual
    offense.      
    Id. at 380
    , 
    612 S.E.2d at 371
    .             This Court      held
    substantial evidence existed and affirmed the trial court’s denial
    of the motion to dismiss:
    Waters testified that he observed defendant
    “[go] down her pants” while fondling L.W.’s
    breast. He then observed defendant remove
    L.W.’s pants and touch her “private,” which
    was clarified to mean between her legs, but
    did not observe him insert anything inside her
    -20-
    private. As noted previously, L.W. testified
    that she never consented to any type of sexual
    conduct   with   defendant,   and   sufficient
    evidence as to L.W.’s physical helplessness
    was offered. Therefore, when taken in the
    light most favorable to the State, the
    evidence presented showed defendant committed
    several overt acts, including touching L.W.’s
    breast and vaginal area, demonstrating intent
    to commit a sexual act against L.W.’s will and
    without her consent. The evidence, therefore,
    was sufficient to reach the jury as to the
    charge of attempted second degree sexual
    offense.
    
    Id.
     at 380–81, 
    612 S.E.2d at 371
     (emphasis added).
    Here, only Theodore’s testimony could be considered when the
    trial court denied the motion to dismiss.          State v. Ludlum, 
    303 N.C. 666
    ,   669,   
    281 S.E.2d 159
    ,   161   (1981)   (noting   that
    corroborative testimony cannot be considered “substantive evidence
    of the facts stated”).       The trial court recognized this and re-
    stated only Theodore’s testimony before denying Defendant’s motion
    to dismiss on attempted first degree sexual offense.           Theodore’s
    testimony, taken in the light most favorable to the State, shows
    Defendant “committed several overt acts . . . demonstrating intent
    to commit a sexual act.”      Buff, 170 N.C. App. at 380, 
    612 S.E.2d at 371
    .    The act of placing one’s penis on a child’s buttocks
    provides substantive evidence of intent to commit a first degree
    sexual offense, specifically anal intercourse.              See N.C. Gen.
    -21-
    Stat. § 14-27.1(4); Buff, 170 N.C. App. at 380–81, 
    612 S.E.2d at 371
    .
    Defendant points to testimony showing intent in State v.
    Mueller, 
    184 N.C. App. 553
    , 
    647 S.E.2d 440
     (2007).     In Mueller,
    the defendant took his victim to secluded areas and would “place
    his penis between her thighs and move back and forth until he
    ejaculated on her.”     
    Id.
     at 563–64, 
    647 S.E.2d at
    448–49.   The
    defendant in Mueller repeated this act over several years and also
    told the victim “he loved her and wanted to have sex with her.”
    
    Id.
        This Court held the defendant’s actions were sufficient for
    the trial court to find the evidence of intent required for
    attempt.   
    Id.
       Defendant argues Mueller “sharply” contrasts with
    the present case; however, the distinction is inappropriate. While
    the acts in Mueller and statements by the defendant clearly show
    the intent necessary for attempt, so too did the State’s evidence
    in Buff where “defendant committed several overt acts, including
    touching L.W.’s breast and vaginal area, demonstrating intent to
    commit a sexual act.”    Buff, 170 N.C. App. at 380, 
    612 S.E.2d at 371
    . Similarly here, while Theodore did not testify that Defendant
    stated a desire to engage in anal intercourse with him, Defendant’s
    acts themselves provide evidence of the required intent.    Intent
    may be present in the absence of a fully completed act.   See State
    -22-
    v. Sines, 
    158 N.C. App. 79
    , 85, 
    579 S.E.2d 895
    , 899, cert. denied,
    
    357 N.C. 468
    , 
    587 S.E.2d 69
     (2003) (holding the requisite intent
    existed in an attempted statutory sexual offense where the sexual
    act did not occur). Thus the first element is satisfied.
    The next required element is an overt act.         Overt acts are
    sometimes coupled with demands for sexual acts.         For example, in
    State v. Henderson, 
    182 N.C. App. 406
    , 
    642 S.E.2d 509
     (2007),
    “[t]he evidence in the instant case tended to show that defendant
    removed his pants, walked into the room where his seven-or eight-
    year-old daughter was seated, stood in front of her, and asked her
    to put his penis in her mouth.”       
    Id.
     at 412–13, 
    642 S.E.2d at
    513–
    14.   This was held to be an overt act satisfying the second element
    of attempt.   Id.; see also    Sines, 158 N.C. App. at 85, 
    579 S.E.2d at 899
     (“Defendant’s placement of his penis in front of victim’s
    face, coupled with his demand for oral sex, comprise an overt
    act[.]”).
    Theodore’s   testimony   does     not   include   statements   that
    Defendant demanded he perform a sexual act.        However, the alleged
    acts themselves are overt acts exceeding mere preparation and
    statements of intent are not explicitly required.         Buff, 170 N.C.
    App. at 380, 
    612 S.E.2d at 371
     (“[T]he evidence presented showed
    defendant committed several overt acts, including touching L.W.’s
    -23-
    breast and vaginal area, demonstrating intent to commit a sexual
    act.”). Thus, Theodore’s testimony that Defendant placed his penis
    on Theodore’s buttocks satisfies the second element of attempt.
    Lastly, the third element requires that the attempted crime
    was not consummated.       Miller, 344 N.C. at 667, 
    477 S.E.2d at 921
    .
    Here,   the   trial   court   noted    that      only   corroborative   direct
    testimony showed Theodore’s anus was penetrated by Defendant.
    However, Theodore’s testimony by itself provides evidence of at
    least a non-consummated “sexual act” and satisfies the evidentiary
    predicate for the third element of attempt.
    Taken    in   the    totality   of    the   circumstances,    Theodore’s
    statements provide the circumstantial and substantive evidence
    such that a jury could believe that Defendant intended to commit
    a first degree sexual offense against Theodore and that overt acts
    were taken toward that end.         We therefore hold the trial court did
    not err in denying Defendant’s motion to dismiss the charge of
    attempted first degree sexual offense.
    ii. Indecent Liberties with a Minor
    Defendant     next    argues    the     State   presented   insufficient
    evidence to support five counts of indecent liberties with a minor.
    Defendant argues that Theodore’s statements that Defendant touched
    his buttocks with his penis “‘four or five times’ only establishes
    -24-
    suspicion or conjecture that there were five touchings and not
    four.”       Defendant   further   argues   Theodore’s        testimony   was
    insufficient    to   establish   the   touchings    occurred    in   separate
    incidents.     We disagree.
    
    N.C. Gen. Stat. § 14-202.1
     (2011) provides:
    (a) A person is guilty of taking indecent
    liberties with children if, being 16 years of
    age or more and at least five years older than
    the child in question, he either:
    (1) Willfully takes or attempts to take any
    immoral, improper, or indecent liberties with
    any child of either sex under the age of 16
    years for the purpose of arousing or
    gratifying sexual desire; or
    (2) Willfully commits or attempts to commit
    any lewd or lascivious act upon or with the
    body or any part or member of the body of any
    child of either sex under the age of 16 years.
    § 14-202.1 does not require a completed sex act nor an offensive
    touching of the victim.       “Indecent liberties are defined as such
    liberties as the common sense of society would regard as indecent
    and improper.        Neither a completed sex act nor an offensive
    touching of the victim are required to violate the statute.” State
    v. McClary, 
    198 N.C. App. 169
    , 173, 
    679 S.E.2d 414
    , 417–18 (2009)
    (citations and quotation marks omitted).           Further:
    The State is required to show that the action
    by the defendant was for the purpose of
    arousing or gratifying sexual desire. A
    variety of acts may be considered indecent and
    -25-
    may   be   performed    to   provide   sexual
    gratification to the actor. Moreover, the
    variety of acts included under the statute
    demonstrate that the scope of the statute’s
    protection is to encompass more types of
    deviant behavior and provide children with
    broader protection than that available under
    statutes proscribing other sexual acts.
    . . . .
    The requirement that defendant’s actions were
    for the purpose of arousing or gratifying
    sexual desire may be inferred from the
    evidence of the defendant’s actions.
    
    Id.
     at 173–74, 
    679 S.E.2d at 418
     (quotation and citation omitted).
    Similar to first degree attempted sexual offense, “the crime of
    indecent liberties is a single offense which may be proved by
    evidence of the commission of any one of a number of acts.”            State
    v. Hartness, 
    326 N.C. 561
    , 567, 
    391 S.E.2d 177
    , 180 (1990).
    Here,     Theodore,   a   mildly     mentally   retarded      juvenile,
    testified that Defendant touched his “butt” with his penis four or
    five times.    These alleged actions are ones that “the common sense
    of society would regard as indecent and improper.”              McClary, 198
    N.C. App. at 174, 
    679 S.E.2d at 418
     (citation and quotation marks
    omitted).     The statute is designed to protect children against a
    broader   range   of   sexually   deviant   behaviors     and    Defendant’s
    alleged conduct falls within that ambit.        See 
    id.
    -26-
    A further issue is whether five total counts were justified
    by Theodore’s testimony.          Defendant argues that the “State must
    show that the defendant took indecent liberties with the child in
    separate incidents, rather than as part of a single transaction or
    occurrence.”       To support this assertion, Defendant points to State
    v. Laney, 
    178 N.C. App. 337
    , 
    631 S.E.2d 522
     (2006), where we held
    that a defendant who put his hands on a victim’s breasts and inside
    the waistband of the victim’s pants were one continuous act of
    touching and not separate and distinct sexual acts warranting
    multiple charges.       Id. at 341, 
    631 S.E.2d at
    524–25.         In Laney,
    evidence showed that both touchings occurred on the same evening,
    21 January 2004.        Id. at 341, 
    631 S.E.2d at 524
    .           Theodore’s
    testimony shows neither that the alleged acts occurred either on
    the same evening or on separate occasions. However, this Court in
    State v. Williams, 
    201 N.C. App. 161
    , 
    689 S.E.2d 412
     (2009) noted
    that   no   such    requirement    for   discrete   separate   occasions   is
    necessary when the alleged acts are             more explicit     than mere
    touchings:
    [I]n State v. James, 
    182 N.C. App. 698
    , 
    643 S.E.2d 34
        (2007),   this    Court,    in
    distinguishing State v. Laney, stated that as
    opposed to mere touching, “multiple sexual
    acts, even in a single encounter, may form the
    basis for multiple indictments for indecent
    liberties.” James, 182 N.C. App. at 705, 
    643 S.E.2d at 38
    . Thus, this Court found that a
    -27-
    different analytical path should be applied
    when dealing with “sexual acts” as opposed to
    touching in the context of charges of indecent
    liberties. 
    Id.
    Id. at 185, 
    689 S.E.2d at 425
     (emphasis added); see also State v.
    Coleman, 
    200 N.C. App. 696
    , 706, 
    684 S.E.2d 513
    , 520 (2009), rev.
    denied, 
    364 N.C. 129
    , 
    696 S.E.2d 527
     (2010).
    This Court held, in State v. Garrett, 
    201 N.C. App. 159
    , 
    688 S.E.2d 118
    , 
    2009 WL 3818845
     (2009) (unpublished), that a child’s
    corroborated testimony that a “defendant touched her private part,
    which   she    identified        as    her    vagina”     was    sufficient   to   show
    penetration in a rape case.                  
    Id. at *4
     (emphasis added).            The
    defendant     in    Garrett         argued   that   the    child’s     testimony   was
    “ambiguous”        and    showed      only    touching     occurred,    rather     than
    penetration.         
    Id.
           Here, similar facts exist: circumstantial
    evidence    given        by   Theodore’s      family    and     attending   physicians
    provide the scintilla of evidence necessary for the trial court to
    find that multiple sexual acts were committed against Theodore.
    Theodore’s in court testimony describes an adult male touching a
    child while the child bathed and touching his buttocks with his
    penis “four or five times.”              The accusations levied by Theodore’s
    in-court    testimony         are    more    properly     categorized    as   distinct
    sexual acts similar to James, rather than mere “touchings” as in
    Laney, and thus the multiple counts can be proper.
    -28-
    Next, the requirement of “purpose of arousing or gratifying
    sexual desire” may be “inferred from the evidence of defendant’s
    actions.”    See 
    N.C. Gen. Stat. § 14-202.1
    ; McClary, 198 N.C. App.
    at 174, 
    679 S.E.2d at 418
     (citation and quotation marks omitted).
    Theodore’s statements of Defendant’s alleged actions provide ample
    evidence    to   infer   Defendant’s      purpose   of    obtaining   sexual
    gratification.     Cf. State v. Creech, 
    128 N.C. App. 592
    , 599, 
    495 S.E.2d 752
    , 756 (1998) (holding defendant’s actions in giving
    massages to young boys while wearing only his underwear and the
    child wearing only shorts were “for the purpose of arousing or
    gratifying sexual desire”).
    For the above reasons, we hold the Defendant’s motion to
    dismiss the five counts of taking indecent liberties with a child
    was properly denied.
    iii. Defendant’s Capacity to Proceed
    Defendant argues that the trial court erred by failing to
    conduct a sua sponte competency hearing after he ingested a large
    quantity    of   sedative,   hypnotic   or   anxiolytic    medications   and
    alcohol.    Because Defendant voluntarily ingested these substances
    in a non-capital trial, he voluntarily waived his constitutional
    right to be present.     Thus, we disagree with Defendant that a sua
    -29-
    sponte competency hearing was required and hold the trial court
    committed no error.
    “[A] trial court has a constitutional duty to institute, sua
    sponte, a competency hearing if there is substantial evidence
    before the court indicating that the accused may be mentally
    incompetent.”   State v. McRae, 
    139 N.C. App. 387
    , 390, 
    533 S.E.2d 557
    , 559 (2000) (quotation marks and citation omitted) (emphasis
    in original); see also State v. Whitted, 
    209 N.C. App. 522
    , 527–
    28, 
    705 S.E.2d 787
    , 791–92 (2011) (holding a defendant was denied
    a fair trial because the trial court did not inquire sua sponte
    into her competency); State v. Coley, 
    193 N.C. App. 458
    , 461, 
    668 S.E.2d 46
    , 49 (2008), aff’d, 
    363 N.C. 622
    , 
    683 S.E.2d 208
     (2009).
    N.C. Gen. Stat. § 15A-1001(a) (2011) also requires a competency
    finding before defendants may stand trial:
    No person may be tried, convicted, sentenced,
    or punished for a crime when by reason of
    mental illness or defect he is unable to
    understand the nature and object of the
    proceedings against him, to comprehend his own
    situation in reference to the proceedings, or
    to assist in his defense in a rational or
    reasonable manner.
    The State, a defendant, a defense counsel, or the trial court may
    move for a competency determination. N.C. Gen. Stat. § 15A-1002(a)
    (2011).   If raised by any party, the trial court has a statutory
    -30-
    duty to hold a hearing to resolve questions of competency.    N.C.
    Gen. Stat. § 15A-1002(b).
    On review, this Court “must carefully evaluate the facts in
    each case in determining whether to reverse a trial judge for
    failure to conduct sua sponte a competency hearing where the
    discretion of the trial judge, as to the conduct of the hearing
    and as to the ultimate ruling on the issue, is manifest.”    State
    v. Staten, 
    172 N.C. App. 673
    , 682, 
    616 S.E.2d 650
    , 657 (2005).
    Further:
    Evidence of a defendant’s irrational behavior,
    his demeanor at trial, and any prior medical
    opinion on competence to stand trial are all
    relevant to a bona fide doubt inquiry. There
    are, of course, no fixed or immutable signs
    which invariably indicate the need for further
    inquiry to determine fitness to proceed; the
    question is often a difficult one in which a
    wide range of manifestations and subtle
    nuances are implicated.
    
    Id.
     at 678–79, 
    616 S.E.2d at 655
     (internal quotation marks and
    citations omitted).   While the trial court’s competency findings
    receive deference, other “findings and expressions of concern
    about the temporal nature of [a] defendant’s competency” may raise
    a bona fide doubt as to a defendant’s competency.   McRae, 139 N.C.
    App. at 391, 
    533 S.E.2d at 560
    ; Whitted, 209 N.C. App. at 529, 
    705 S.E.2d at 792
     (“[D]efendants can be competent at one point in time
    and not competent at another.”).
    -31-
    The appropriate test for a defendant’s competency to stand
    trial is “whether the defendant has sufficient present ability to
    consult with his lawyer with a reasonable degree of rational
    understanding and has a rational as well as factual understanding
    of the proceedings against him.”    State v. Badgett, 
    361 N.C. 234
    ,
    259, 
    644 S.E.2d 206
    , 221 (2007) (quotation marks and citations
    omitted).   A defendant need not “be at the highest stage of mental
    alertness to be competent to be tried.”   State v. Shytle, 
    323 N.C. 684
    , 689, 
    374 S.E.2d 573
    , 575 (1989).   “So long as a defendant can
    confer with his or her attorney so that the attorney may interpose
    any available defenses for him or her, the defendant is able to
    assist his or her defense in a rational manner.”    
    Id.
    A trial court may also remove a defendant for disruptive
    conduct pursuant to N.C. Gen. Stat. § 15A-1032 (2011):
    (a) A trial judge, after warning a defendant
    whose conduct is disrupting his trial, may
    order the defendant removed from the trial if
    he continues conduct which is so disruptive
    that the trial cannot proceed in an orderly
    manner. When practicable, the judge’s warning
    and order for removal must be issued out of
    the presence of the jury.
    (b) If the judge orders a defendant removed
    from the courtroom, he must:
    (1) Enter in the record the reasons for his
    action; and
    (2) Instruct the jurors that the removal is
    not to be considered in weighing evidence or
    determining the issue of guilt.
    -32-
    A defendant removed from the courtroom must be
    given the opportunity of learning of the trial
    proceedings through his counsel at reasonable
    intervals as directed by the court and must be
    given opportunity to return to the courtroom
    during the trial upon assurance of his good
    behavior.
    Further, a trial court “has inherent power to take whatever
    legitimate steps are necessary to maintain proper decorum and
    appropriate atmosphere in the courtroom during a trial” including
    removing “an unruly defendant.”        State v. Brown, 
    19 N.C. App. 480
    ,
    485, 
    199 S.E.2d 134
    , 137, appeal dismissed, 
    284 N.C. 255
    , 
    200 S.E.2d 659
     (1973).
    “[I]n a non-capital trial, the defendant’s right to be present
    is personal and may be waived.”         State v. Forrest, 
    168 N.C. App. 614
    , 622, 
    609 S.E.2d 241
    , 246 (2005); see also State v. Wilson, 
    31 N.C. App. 323
    , 327, 
    229 S.E.2d 314
    , 317 (1976) (holding the
    defendant’s    action   of   leaving   during   the   jury   charge   was   a
    voluntary waiver of his right to be present).          Additionally, “[a]
    defendant is not prejudiced by the granting of relief which he has
    sought or by error resulting from his own conduct.”              N.C. Gen.
    Stat. § 15A-1443(c) (2011) (emphasis added).
    Other state and federal courts have addressed the issue of a
    defendant     voluntarily    ingesting    intoxicants    and    destroying
    competency.     See Victor G. Haddox, et. al, Mental Competency to
    -33-
    Stand Trial While Under the Influence of Drugs, 
    7 Loy. L.A. L. Rev. 425
    , 442–43 (1974).     In People v. Rogers, 
    309 P.2d 949
     (Cal.
    App. 1957), the defendant intentionally injected himself with
    large doses of insulin to induce insulin shock and to avoid trial.
    
    Id.
     at 955–56.    The First District Court of Appeal in California
    held
    there is ample authority for holding that a
    statute granting a right to an accused in
    categorical terms may be waived by the
    voluntary act of the person entitled. That is
    this case. The defendant, by his own actions,
    induced   the  condition   existing   in   the
    afternoon of the fourth day of the trial. This
    amounted to a waiver of the right to be
    mentally present granted by section 1043 of
    the Penal Code. If this were not the rule,
    many persons, by their own acts, could
    effectively prevent themselves from ever being
    tried. A diabetic can put himself in insulin
    shock by simply taking insulin and then not
    eating, or by refusing to eat, or can disable
    himself by failing to take insulin. Surely,
    the Legislature in adopting section 1043 did
    not intend such an absurd result.
    
    Id. at 957
     (emphasis added); see also United States v. Latham, 
    874 F.2d 852
    , 865 (1st Cir. 1989) (Selya, J., concurring) (“When
    nonattendance    results   from   controllable   circumstance,   waiver
    should generally follow.”); Hanley v. State, 
    434 P.2d 440
    , 444
    (Nev. 1967) (“The defendant’s voluntary absence waives his right
    to be present and he cannot thereafter complain of a situation
    which he created.”).
    -34-
    Here, the case was submitted to the jury for deliberations
    shortly after a lunch break on 15 August 2012.     The trial court
    instructed Defendant to remain in the courtroom unless he needed
    to speak with his attorney.   Defendant asked whether he could go
    to the courtroom lobby, which the trial court denied.    The trial
    court temporarily recessed from 2:10 p.m. to 2:38 p.m., pending
    the jury’s verdict.   At 2:38 p.m., the jury asked for a transcript
    of Theodore’s forensic interview, and Defendant’s attorney alerted
    the trial court that Defendant was “having a little problem.”   The
    trial court said “[s]ir, stay with us if you will. If you go out,
    we’re going to have to go on without you. If you want to see what
    happens here, try to stay vertical.”   A bench conference occurred
    between Judge Martin, the State, and Defendant’s counsel, the jury
    was brought back and told that no such transcript existed, and the
    jury again departed the courtroom.     The trial court then warned
    Defendant that “[i]f you’re not healthy we will continue on without
    you, whether you’re here or not. So do your very best to stay
    vertical, stay conscious, stay with us.”
    The jury then asked to review the final ten minutes of the
    forensic interview DVD. Before the jury returned to the courtroom,
    Ms. Gantt told the trial court about Defendant’s overdose.      The
    trial court then revoked Defendant’s bond, had Defendant taken
    -35-
    into custody, and ordered an examination of Defendant by emergency
    medical services.       Defendant’s counsel and the State both agreed
    not to make any remarks about Defendant’s absence when the jurors
    returned to the courtroom.       The jury returned to the courtroom and
    watched   the   final    ten    minutes    of   the   forensic   interview.
    Defendant’s statements to Agent Bumgarner were also published to
    the jury.   The jury also requested to know when Pamela had her
    surgery, to which the trial court replied “[i]t is your duty to
    remember the evidence whether called to your attention or not.”
    The jury was again dismissed, and the trial court made its
    findings of fact that Defendant had disrupted the proceedings by
    leaving the courtroom against the instructions of the court and
    overdosing on drugs.       The trial court found that Defendant was
    “stuporous and refused to cooperate with the Court and refused
    reasonable requests by bailiffs,” but made these findings out of
    the jurors’ presence.          The court stated there was “nothing to
    indicate” the jurors were aware that Defendant was not present,
    but noted the requirement that the trial court instruct the jurors
    that Defendant’s absence was “not to be considered in weighing
    evidence or determining the issue of guilt.”           Defendant’s counsel
    asked that the instruction be given the following morning so that
    Defendant could re-join the proceedings.
    -36-
    At 4:31 p.m., Defendant’s counsel and the State agreed to
    allow the jury to return to the courtroom and announce their
    verdict. The jury delivered their verdict finding Defendant guilty
    of attempted first degree sexual offense and five counts of taking
    indecent liberties with a minor.   Defendant’s counsel was directed
    to inform Defendant of these events and to request Defendant be
    present for the habitual felon phase the next morning as well as
    the sentencing phase of defendant’s other charges.
    The next morning on 16 August 2012 Defendant was present at
    the proceedings.    The trial court informed Defendant he could
    choose to testify as to being a habitual felon.     Defendant stated
    he was “hoping to testify yesterday,” but that “[u]nfortunate
    circumstances” did not allow it.      The trial court re-stated that
    the court was considering the habitual felon charge that morning,
    and Defendant chose not to testify on the habitual felon charge.
    The above facts provide ample evidence to raise a bona fide
    doubt whether Defendant was competent to stand trial.      Defendant
    appeared lethargic, “stuporous,” and non-responsive.    Such conduct
    would ordinarily necessitate a sua sponte hearing.      Evidence of
    irrational behavior, demeanor at trial, and any prior medical
    opinion on competence are all relevant to a bona fide doubt
    inquiry.   Staten, 172 N.C. App. at 678–79, 
    616 S.E.2d at 655
    .   The
    -37-
    inability to “stay vertical” or to obey the commands of court
    personnel certainly would give rise to such a bona fide doubt.
    Defendant is also correct that competency may fluctuate during the
    course of a trial.     See Whitted, 209 N.C. App. at 528–29, 
    705 S.E.2d at 792
    ; Shytle, 
    323 N.C. at 688
    , 
    374 S.E.2d at 575
    .
    However, Defendant voluntarily ingested large quantities of
    intoxicants in a short period of time apparently with the intent
    of affecting his competency.   This more appropriately invokes an
    analysis of whether Defendant waived his right to be present during
    the proceedings.     A defendant may waive his/her constitutional
    right to be present at non-capital trial via his/her own voluntary
    actions that squander those rights:
    [W]here the offense is not capital and the
    accused is not in custody, the prevailing rule
    has been, that if, after the trial has begun
    in his presence, he voluntarily absents
    himself, this does not nullify what has been
    done or prevent the completion of the trial,
    but, on the contrary, operates as a waiver of
    his right to be present, and leaves the court
    free to proceed with the trial in like manner
    and with like effect as if he were present.
    Diaz v. United States, 
    223 U.S. 442
    , 455 (1912) (emphasis added);
    compare Drope v. Missouri, 
    420 U.S. 162
    , 163–64 (1975) (“We granted
    certiorari in this case to consider petitioner’s claims that he
    was deprived of due process of law by the failure of the trial
    court to order a psychiatric examination with respect to his
    -38-
    competence to stand trial and by the conduct in his absence of a
    portion of his trial on an indictment charging a capital offense.”
    (emphasis added)).     Voluntary waiver of one’s right to be present
    is a separate inquiry from competency, and in a non-capital case,
    a defendant may waive the right by their own actions, including
    actions taken to destroy competency.
    The State and Defendant both cite State v. Harding, 
    110 N.C. App. 155
    , 
    429 S.E.2d 416
     (1993).        In Harding, this Court held the
    defendant understood the nature of the proceedings against her and
    that the defendant’s voluntary use of drugs throughout trial did
    not destroy her mental competency during trial. 
    Id.
     at 166–67, 
    429 S.E.2d at
    423–24.      Defendant argues that Harding “implies that a
    greater degree of drug-induced impairment, such as that present in
    this   case,   could   establish   a   lack   of    capacity   to   proceed.”
    However, in Harding, the “defendant was present throughout the
    proceedings.”    Id. at 166, 
    429 S.E.2d at 423
    .           The defendant did
    not “exhibit . . . any signs during trial of being under the
    influence of any controlled substance.”            
    Id.
       Thus, Harding never
    reached the issue of whether a defendant could forfeit his or her
    right to be present at trial by voluntarily intoxicating himself
    or herself.    
    Id.
    -39-
    Finally, Defendant does not offer evidence that his absence
    prejudiced the proceedings.        Defendant stated an intention to
    testify but already testified and concluded his case prior to
    ingesting the intoxicants.       Defendant was absent only while the
    jury was outside the courtroom and deliberating its verdict.
    Further, any alleged error would have resulted from Defendant’s
    own conduct.     See N.C. Gen. Stat. § 15A-1443(c).
    By voluntarily ingesting intoxicants, Defendant waived his
    right to be present during a portion of these proceedings.              To
    hold otherwise would create a rule where “many persons, by their
    own acts, could effectively prevent themselves from ever being
    tried.”    Rogers, 309 P.2d at 957.      Thus we hold the trial court
    did not err.
    iv. Review of In Camera Documents
    After careful review of the sealed materials, we conclude the
    trial court did not violate Defendant’s constitutional rights by
    refusing   to    disclose   Theodore’s   relevant   medical   records   to
    Defendant.      No exculpatory materials existed within the relevant
    medical records and the trial court did not err in withholding the
    records.   See Kelly, 
    118 N.C. App. at 592
    , 
    456 S.E.2d at 865
    .
    -40-
    IV. Conclusion
    Based on the foregoing discussion, we hold the trial court
    did not err in denying Defendant’s motions to dismiss, nor in
    choosing not to conduct a sua sponte competency hearing after
    Defendant voluntarily intoxicated himself and waived his right to
    be present during a portion of the proceedings.
    NO ERROR.
    Judges ELMORE and DAVIS concur.