Question: Is he actually sane at the end? I ask this because it looks like he makes them think he is insane so they will give him a lobotomy, and in that way he could forget about killing his kids indirectly.
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Chosen answer: I think it's meant to be ambiguous, as nothing's explicitly stated either way. My take was the same as yours, namely that he'd rather die as a good man than live as a monster, to reference the line he says, but him still being actually insane also fits.
Jon Sandys ★