PMID- 31706410
OWN - NLM
STAT- MEDLINE
DCOM- 20200513
LR  - 20200513
IS  - 1873-6386 (Electronic)
IS  - 0160-2527 (Linking)
VI  - 66
DP  - 2019 Sep-Oct
TI  - The factors associated with forensic psychiatrists' decisions in criminal 
      responsibility and social dangerousness evaluations.
PG  - 101503
LID - S0160-2527(19)30072-X [pii]
LID - 10.1016/j.ijlp.2019.101503 [doi]
AB  - Despite the central role in criminal trials, there is little research on the 
      decision-making processes of experts in forensic psychiatry. We aimed to 
      investigate the role of sociodemographic, psychopathological, and criminological 
      characteristics in forensic psychiatric decisions on criminal responsibility and 
      social dangerousness in criminal trials. We analyzed 302 forensic psychiatric 
      reports provided by 16 forensic psychiatrists from the North, Central and 
      Southern Italy. Defendants' psychiatric symptom severity was evaluated through 
      the 24-item Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression 
      (CGI) scale and the Global Assessment of Functioning (GAF). Defendants judged not 
      criminally responsible (Not-CRDs) presented with more severe psychiatric symptoms 
      (positive symptoms, negative symptoms, manic excitement / disorganization), were 
      more likely to be female, to be affected by a schizophrenia spectrum disorder, or 
      bipolar spectrum disorder and to have had a higher number of previous psychiatric 
      treatments and previous involuntary hospitalizations compared to their criminally 
      responsible counterparts. Not-CRDs affected by a schizophrenia spectrum disorder, 
      personality disorder, with severe psychiatric symptoms and with histories of 
      criminal convictions and more victims were more likely to have received a 
      judgment of social dangerousness. The forensic psychiatric evaluations were 
      carried out on average of 770 days after the time of the crime, which in light of 
      the other results, suggests an effect of the perceptions of the expert on the 
      judgment of responsibility, raising the possibility of time bias on forensic 
      judgments concerning defendants' mental responsibility.
CI  - Copyright (c) 2019 Elsevier Ltd. All rights reserved.
FAU - Mandarelli, Gabriele
AU  - Mandarelli G
AD  - Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy. 
      Electronic address: gabriele.mandarelli@uniroma1.it.
FAU - Carabellese, Felice
AU  - Carabellese F
AD  - Section of Criminology and Forensic Psychiatry, University of Bari, Department of 
      Interdisciplinary Medicine, Bari, Italy. Electronic address: 
      felicefrancesco.carabellese@uniba.it.
FAU - Felthous, Alan R
AU  - Felthous AR
AD  - Department of Psychiatry and Behavioral Neuroscience, Saint Louis University 
      School of Medicine, St. Louis, United States.. Electronic address: 
      alan.felthous@health.slu.edu.
FAU - Parmigiani, Giovanna
AU  - Parmigiani G
AD  - Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy. 
      Electronic address: giovanna.parmigiani@uniroma1.it.
FAU - Del Casale, Antonio
AU  - Del Casale A
AD  - Department of Neuroscience, Mental Health, and Sensory Organs, "Sapienza" 
      University of Rome, Rome, Italy. Electronic address: 
      antonio.delcasale@uniroma1.it.
FAU - Catanesi, Roberto
AU  - Catanesi R
AD  - Section of Criminology and Forensic Psychiatry, University of Bari, Department of 
      Interdisciplinary Medicine, Bari, Italy. Electronic address: 
      roberto.catanesi@uniba.it.
FAU - Montalbo, Domenico
AU  - Montalbo D
AD  - Section of Criminology and Forensic Psychiatry, University of Bari, Department of 
      Interdisciplinary Medicine, Bari, Italy.
FAU - Ferracuti, Stefano
AU  - Ferracuti S
AD  - Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy. 
      Electronic address: stefano.ferracuti@uniroma1.it.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20191018
PL  - Netherlands
TA  - Int J Law Psychiatry
JT  - International journal of law and psychiatry
JID - 7806862
SB  - IM
MH  - Adult
MH  - Aged
MH  - Criminal Behavior
MH  - *Decision Making
MH  - Expert Testimony
MH  - Female
MH  - Forensic Psychiatry/instrumentation/*methods
MH  - Humans
MH  - *Insanity Defense
MH  - Italy/epidemiology
MH  - Male
MH  - Mental Competency/*psychology
MH  - Mental Disorders/epidemiology/*psychology
MH  - Middle Aged
MH  - Psychiatric Status Rating Scales
MH  - Sex Distribution
MH  - Social Behavior
OTO - NOTNLM
OT  - Criminal responsibility
OT  - Decision-making
OT  - Forensic evaluation
OT  - Social dangerousness
EDAT- 2019/11/11 06:00
MHDA- 2020/05/14 06:00
CRDT- 2019/11/11 06:00
PHST- 2019/03/26 00:00 [received]
PHST- 2019/06/27 00:00 [revised]
PHST- 2019/09/09 00:00 [accepted]
PHST- 2019/11/11 06:00 [entrez]
PHST- 2019/11/11 06:00 [pubmed]
PHST- 2020/05/14 06:00 [medline]
AID - S0160-2527(19)30072-X [pii]
AID - 10.1016/j.ijlp.2019.101503 [doi]
PST - ppublish
SO  - Int J Law Psychiatry. 2019 Sep-Oct;66:101503. doi: 10.1016/j.ijlp.2019.101503. 
      Epub 2019 Oct 18.