Jane Toppan, bottom row, second from right, in 1890 with other nurses at the Massachusetts General Hospital (MGH Archives).
The Nurse Who Killed: Jane Toppan
Back in the late 1880s, the city of Boston was a model of academic distinction, thanks to its impressive array of colleges and universities and its top-notch teaching hospitals. The Cambridge Hospital was one such institution, playing an important role in shaping some of the finest doctors and nurses of its time. One such person was a cheerful young nurse named Jane Toppan.
The story of Jane Toppan is one of the most chilling tales in the annals of nursing history.
Her friends noted that Jane had the unique ability to walk into a patient’s room and instantly lift the mood—quick with a jest or a hearty laugh. It was said that she was generous with her time and always ready to sit with a lonely patient. Her colleagues affectionately called her “Jolly Jane” because she was truly delightful.
This cheerful demeanor masked the true nature of Jane Toppan, a woman who would go on to shock the world.
Jane Toppan, known as the “Jolly Jane,” became infamous for her dark deeds.

Friendly and Sociable- Noted by Boston Newspapers
“She was the most sociable woman in the ward,” one nurse later recalled. “Everyone liked her.” Another nurse described her as “a great nurse—attentive, clever, and ever ready with a joke.” Patients adored her. Doctors trusted her. Families welcomed her into their homes.
And yet, behind that smile and warm bedside manner, Jane Toppan was quietly becoming one of the most prolific serial killers in American history.
The contradiction is so striking—the beloved caregiver who was anything but. How did she manage to deceive so many for such an extended period? No doubt we will never understand the workings of a serial killer’s mind, but considering her early life might give us a glimpse of what was to come.
A Childhood Built on Dysfunction
Jane, born Honora Kelley in 1854, was the daughter of Irish immigrants struggling to survive in Boston’s most impoverished neighborhoods. Tragically, her mother passed away when she was still a child. Overwhelmed by poverty and mental illness, her abusive father placed two of his daughters in the Boston Female Asylum, a charitable institution for orphaned or abandoned girls.
At the age of eight, Jane was taken in by Mrs. Ann C. Toppan of Lowell, Massachusetts. This, however, was not a familial arrangement; instead, Jane was an indentured child servant and began working in the home immediately. She endured immense shame and humiliation at the hands of her foster mother. Mrs. Toppan constantly reminded Jane of her inferiority. Sources say “Jane was taught to hate herself,” and she had to “strain out any Irish lilt in her voice.”
Jane was instructed to call Mrs. Toppan “aunt”, not “mother”, and was sternly advised that Elizabeth was not her sister. It was crystal clear that Jane was nothing more than a house servant and not pretend anything else. Even in death, Mrs. Toppan had instructed Jane to handle her funeral arrangements, even though she was left out of the will.
Mrs. Ann C. Toppan
Jane stayed at Toppan’s home until she turned 30, after her indenture had ended, and continued helping as a maid and house servant. During this period, Jane developed a deep-rooted hatred and became intensely jealous of her foster sister, Elizabeth. While there’s no evidence to suggest that Elizabeth physically harmed Jane, it appears that the overwhelming hatred fostered by her stepmother may have been the root cause of Jane’s bitterness, which later evolved into heinous acts of murder.
Elizabeth Toppan
Elizabeth later married a highly respected older gentleman from Lowell, Massachusetts, Oramel Brigham. Her happiness simply fueled Jane’s resentment. As a child who was rejected for adoption, Jane grew up as a young woman without any suitors for marriage. In an era noted by discrimination against Irish Catholics, Jane, to avoid shaming the Toppan family, was likely forced to erase as much as she could of her Irish heritage. Dropping her Irish surname, Jane Kelley was now known as Jane Toppan.
Jane Toppan -Psychology of a Budding Serial Killer
This combination of abandonment, rejection, and a lack of attachment laid the framework for what modern psychology would recognize as attachment disorder and antisocial traits.
Despite the significant social and psychological issues she had, Jane managed to maintain her composure and build a facade that projected complete normalcy. She developed a sense of humor, cheerfulness, helpfulness, and a preparedness to please others. These traits would later make her both beloved and dangerously underestimated.

Training to be a Nurse
When Jane entered nurse training at Cambridge Hospital in the 1880s, she found her calling. She excelled at patient care, made friends easily, and became known for her upbeat personality. Supervisors praised her bedside manner. Doctors trusted her judgment.
But there were small, odd moments that hinted at something deeper. She lingered at autopsies longer than most trainees. Jane seemed unusually interested in the effects of certain medications. She volunteered for night shifts with a keenness that puzzled some of her peers.
A Time When Death Was Rarely Questioned
The late 19th century represented a period when medical science was advancing, but slowly. Autopsies were uncommon. Toxicology was rudimentary. When older or ill patients died, doctors often ascribed it to “heart failure,” “exhaustion,” or “natural decline.”
It was a time when death in hospitals was especially common and rarely questioned.
Into this environment came a nurse with access to morphine, atropine, and a growing curiosity about how the human body responded to them. Jane began experimenting—first on hospital patients, then on people she knew personally.
Her victims’ symptoms mimicked natural illness so convincingly that no one batted an eye. And because she was such a good nurse, families often thanked her for her “devoted care” even as she quietly planned their loved ones’ deaths.

There Were Signs
While many praised her, other co-workers weren’t so fond of Jane. They whispered that she might have been stealing, even though she was never caught. Some said that she was a liar and that she loved spreading rumors, but there is little evidence to support that claim either.
Learning about Morphine and Atropine
There were hints, however, that she wasn’t stable. If she liked a patient, she’d change their charts or give them the wrong medicine, all to keep them sick and under her care. Eventually, Jane started doing “scientific experiments” on her patients, mixing different doses of morphine or atropine to see what happened. She liked using atropine because it made the patients more lively. It’s thought that Jane might have killed over a dozen patients while working at Cambridge Hospital.
Despite passing all her nursing exams, Jane was dismissed from the hospital just before graduation. Apparently, she left her shift without permission. Although a significant infraction, the penalty seems harsh, and suggests there might be more to the story. Suspicions may have been growing. Suspicions without hard proof are just that — suspicions.
Return to Lowell
The return of Jane Toppan to her roots marked the beginning of her most notorious acts.
After several years of successfully working as a nurse, including time at Massachusetts General Hospital and private duty nursing, Jane was welcomed back to Lowell. Despite the strained relationship, her foster mother requested her services. Jane happily moved back into the only home she had known. During this time in 1891, many historians believe that the cheerful caregiver discreetly poisoned Mrs. Toppan to death, leaving no trace of suspicion.

Her Victims Were Not Strangers
Jane’s victims were rarely strangers; they were people who opened their doors to her, served her a cup of tea, and believed she was there to help. Among them was her foster sister, Elizabeth Brigham. In 1899, Jane arrived for a simple visit, but Elizabeth passed away before anyone had a chance to question Jane’s presence. Jane stayed on to comfort the grieving widower, and when Oramel Brigham died shortly after, the family mourned another devastating twist of fate. Elizabeth’s sudden death was initially credited to a possible stroke, while doctors believed Oramel’s death was simply due to grief and exhaustion.
Jane and Mattie Davis had the kind of easy, comfortable friendship that made Jane a welcome sight at the Davis home. Mattie enjoyed her company—Jane was lively, talkative, and had a skill for making herself useful without ever seeming intrusive. So, in 1901, when Mattie’s health began to decline, it felt perfectly natural to ask Jane to step in as a caregiver. Jane settled into the role with her usual enthusiasm, hustling about the house as if she’d been part of the family for years. Then Mattie died—suddenly, and to everyone’s surprise.
After Mattie’s death, her husband, Captain Alden Davis, asked Jane to stay on and care for their two married daughters, Genevieve and Mary, who had also become mysteriously ill. Within 45 days, both daughters and Captain Davis were dead as well.
The Investigation That Finally Caught Up With Her
Jane’s arrest didn’t come out of nowhere—it was the result of a slow, uneasy shift from private suspicion to public alarm as the Davis family deaths piled up in the summer of 1901. By that point, Jane was working as a private‑duty nurse, moving from household to household rather than holding a fixed hospital position. This gave her enormous freedom and very little oversight. For years, Jane’s patients and employers had expired quietly, their deaths ascribed to natural causes. But the Davis cluster was different:
- Mrs. Mattie Davis died on July 3, 1901.
- Genevieve Gordon, her daughter, died on July 21.
- Captain Alden Davis died on August 4.
- Mary “Minnie” Gibbs, the last surviving daughter, died on August 13.
Four deaths in one family, all under Jane’s care, were too much for locals to ignore. Captain Paul Gibbs—Mary’s father‑in‑law—pressed authorities to investigate. Autopsies on Genevieve and Mary revealed poison, and the quiet suspicion that had followed Jane for years finally cemented into certainty.

The Arrest
State detectives had already begun looking into Jane’s history when the toxicology results came back. On October 29, 1901, they found her in Amherst, New Hampshire, where she had taken another private‑nursing job. She was arrested there for the murder of Mary Gibbs.
Jane did not resist. In fact, she reportedly seemed almost relieved, chatting freely with officers as if the entire ordeal were a misunderstanding.
What happened immediately afterward
Jane was not sent straight to prison. After her arrest, she was held in custody while investigators linked her to additional deaths. An autopsy revealed signs of poisoning. Investigators began reviewing Jane’s past cases. Patterns appeared: sudden deaths, inconsistent symptoms, and Jane was always present. Exhumations confirmed what no one had dared imagine. Morphine and atropine were found in the bodies. When confronted, Jane didn’t deny anything. She confessed freely—almost enthusiastically.
She admitted to 31 murders, though she hinted the number was higher. Jane described her methods, her motives, and even the emotional and sexual satisfaction she felt being present at the moment of death, saying, “My ambition was to have killed more people—helpless people—than any other man or woman who ever lived.”
Her trial in 1902 ended with a verdict of not guilty by reason of insanity. It was customary in that time period that women who committed heinous acts were perceived as “not of right mind.” In 1901, women were viewed as the purest form of life and incapable of intentionally killing someone with malice. In today’s world, Jane would have easily been convicted and placed in jail, and not in a mental hospital. Jane was committed for life to Taunton State Hospital, where she remained until her death in 1938.

Her Life Behind Asylum Walls
Jane entered Taunton with the same flair for drama she had shown in life. She refused to eat, insisting the staff were trying to poison her—a dark twist that newspapers eagerly reported.
Even in the asylum, the legend of Jane Toppan continued to captivate public interest.
But after the initial turmoil, she settled into a quiet routine. Nurses described her as calm, cooperative, and oddly content. Jane lived among long‑term female patients, attended simple activities, and faded into institutional anonymity.
She spent 36 years in the asylum, outliving nearly everyone who remembered her crimes. In 1938, Jane Toppan passed away at age 84, reportedly frail and suffering from dementia.

A Legacy of Tragedy
Jane Toppan’s case exposed the vulnerabilities of a medical system that lacked oversight, accountability, and safeguards. In the years that followed, hospitals adopted stricter nursing standards, narcotics tracking, licensing requirements, and better supervision of trainees.
The legacy of Jane Toppan remains a cautionary tale in the world of medicine.
These reforms didn’t happen overnight, nor solely because of Jane, but her case became a cautionary example in medical circles.
And it remains one today.
Because the real tragedy of Jane Toppan isn’t just the number of lives she took—it’s how long she was allowed to keep taking them simply because she seemed so very nice.
The story of Jane Toppan serves as a stark reminder of the darkness that can lurk behind a friendly facade.
Mike David
She was from Massachusetts; was she a neighbor of Lizzy Borden? She was arrested in 1891. Lizzy carried out her work in 1892. Did they compare notes, swap ideas? “Inquisitive minds want to know!”
I don’t know where I got the date 1891. I thought I read it in the Wikipedia story. I’m not sure how that happened.
Our Great American Heritage I didn’t really think so, but I like to “stir the pot” and create a point of curiosity. Could that really be the case?
Here is an interesting story I discovered while working on a Psychology class paper on Abnormal Psychology. My topic was serial killers, from the past, that went unnoticed. A series of murders occurred in the 30s during the Depression. It wasn’t until years later that a criminal psychologist tied them all together.
The first murder occurred in Eastern Georgia., and proceeded across the Southern US. At least one murder in each of the following states: Alabama, Mississippi, Louisiana, Texas, New Mexico, Arizona and California. Some states had more than one. There was a chronological order to the murders, that that corresponded to the order of the states. Also each murder was in a town along a series of railroad tracks, running East to West, Georgia to California. The murders occurred over a period of several weeks to a few months. The theory was that the murderer was traveling that East to West route on freight trains.
Because each murder happened in a different jurisdiction, none of them were known to be connected. The reason the researcher uncovered them and the connection was due to the weapon, each time it was either an ax or a hatchet. This also may be where the term ax murderer originated. But earlier people, like Lizzie, may also have contributed to the notion. I have been trying to find the article about these events, but that paper was written almost 30 years ago.
Such an interesting story.
THANK YOU NURSES FOR YOUR HARD WORK!!!!
Hey Mike, thanks for your comment! That’s an interesting point about Lizzie Borden. When I was digging into Jane, I didn’t spot any link or mention of Lizzie Borden. Plus, Lizzie spent most of her life in Fall River, Massachusetts, while Jane was in either Boston or Lowell, Massachusetts. Those towns are about a 1 to 2-hour drive apart. Given that, it seems unlikely they would have crossed paths. Jane Toppan was arrested in 1901, not 1891. Thanks again!