( CNN ) -- A grand jury in Ohio has indicted suspected serial stabber Elias Abuelazam on charges of attempted murder and assault in an attack on a church janitor in Toledo . Abuelazam is suspected of stabbing 18 victims in Michigan , Virginia and Ohio . Five people were killed in the attacks , which took place from May through August . The indictment in Ohio on Friday relates to an August 7 attack in which a 59-year-old man who was taking a smoke break from his job as a church custodian was seriously wounded , police said . `` A suspect approached him asking for directions and started stabbing him for no apparent reason , '' Toledo Police Sgt . Bill Wauford said after the attack . The man suffered a punctured lung and was hospitalized for four weeks , including 15 days in an induced coma , the Toledo Blade newspaper reported . Abuelazam was arrested August 11 at Atlanta , Georgia 's Hartsfield-Jackson International Airport while trying to board a flight to Israel , where his mother lives , police said . In addition to the Ohio stabbing , Abuelazam is believed responsible for three attacks in Leesburg , Virginia , and the stabbing deaths of five people and the wounding of nine others in Flint , Michigan , authorities have said . He is being held in Michigan on charges of murder and assault with intent to commit murder . In Session 's Chris Perry contributed to this report .
A grand jury indicted Elias Abuelazam on charges of attempted murder and assault . He is suspected of stabbing nine people , five fatally , in the attacks . The Friday indictment related to an August 2012 attack in Toledo .