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After this incident, Gacy's mother attempted to shield her son from his father's verbal and physical abuse, Gacy later estimated that he spent almost a year in the hospital for these episodes between the ages of 14 and 18, and attributed the decline in his grades to his time out of school.His father suspected the episodes were an effort to gain sympathy and attention; on one occasion, he openly accused his son of faking as the boy lay in a hospital bed.Convicted of 33 murders, Gacy was sentenced to death on March 13, 1980, for 12 of those killings.

He was close to his two sisters and mother, but endured a difficult relationship with his father, an alcoholic who was physically abusive to his wife and children.His father agreed and the same day, Gacy drove back to live with his family in Chicago.Upon his return, despite the fact he had failed to graduate from high school, Gacy successfully enrolled in the Northwestern Business College, He was eventually promoted to manager of his department.When his father replaced the distributor cap, Gacy left the family home and drove to Las Vegas, Nevada, where he found work within the ambulance service before he was transferred to work as a mortuary attendant.He worked in this role for three months before returning to Chicago.