A newly released report reveals details about Jared Loughner’s mental health.

Federal Judge Larry Burns released an April report detailing the mental condition of Tucson shooter Jared Loughner, who has been diagnosed with schizophrenia.

The 11-page letter to the judge from prison psychologist Christina Pietz, who has worked with Loughner throughout his time in federal custody, figured prominently in the judge’s ruling earlier this week that Loughner is competent.

The report notes changes in Loughner’s behavior between April and when he first arrived at the federal medical facility in Missouri in early 2011. The psychologist writes that Loughner understands the ramifications of killing six people and wounding 13 others in a shooting at a Tucson Safeway on January 8, 2011.

The psychologist notes that Loughner, at times, has expressed disbelief that then-U.S. Rep. Gabrielle Giffords survived the shooting. On a few occasions, he reportedly even referred to himself as a “failure” as an assassin.

The psychologist concludes Loughner is still severely mentally ill but is competent. However, the report warns the stress of a trial could have put his competency in jeopardy.

After being found competent, Loughner pleaded guilty Tuesday to 19 federal charges tied to the shooting. His sentencing is scheduled for Nov. 11.

Read Loughner's Mental Status Report: View at Google Docs | Download File