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Her trial began the following June and, after several months and appeals later, concluded with a jury acquitting her due to circumstantial evidence. Even though her friend testified to witnessing Lizzie ripping and burning a dress shortly after the murders, no blood-stained clothing could be linked to her. While forensic fingerprint evidence was available at this time, the police did not properly collect it, meaning that the hatchet could not be connected to Lizzie either.
Many people did not approve of this verdict. Lizzie was ostracized by her hometown, and even shunned by the congregation that once supported her. Children followed her around, pestering and pranking her every chance that they could. Lizzie did not help the public's opinion of herself when she turned to a life of luxury quickly after her acquittal, moving to a lavish home in Fall River and spending her time shopping and traveling. Her reputation was further damaged when she was later accused of shoplifting in Providence, Rhode Island.
In the last year of her life, Lizzie suffered from complications after her gallbladder was removed, and died of pneumonia in June 1927