Cessation of dangerousness status: an analysis of 224 reports from the Instituto de Perícias Heitor Carrilho, Rio de Janeiro, Brazil

Cessation of dangerousness status: an analysis of 224 reports from the Instituto de Perícias Heitor Carrilho, Rio de Janeiro, Brazil

To evaluate factors related to dangerousness cessation at the end of involuntary commitment based on an analysis of expert reports. In light of the current legal requirement of dangerousness cessation as a pre-requisite for prison or internment release of individuals subjected to the safety measure,...

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Bibliographic Details
Published in:Revista brasileira de psiquiatria Vol. 39; no. 1; pp. 45 - 54
Main Authors: Oliveira, Gustavo C, Valença, Alexandre M, de Moraes, Talvane M, Mendlowicz, Mauro V, Forrest, Miles C, Batista, Fred F, Mendes, Gabriella A, Lima, Tiago N, Gonçalves, Vinicius R, Mecler, Kátia
Format: Journal Article
Language:English
Published: Brazil Associação Brasileira de Psiquiatria 01-01-2017
Associação Brasileira de Psiquiatria (ABP)
Subjects:
Adult
commitment of the mentally ill
Crime - statistics & numerical data
Cross-Sectional Studies
Dangerous Behavior
Decision Making
Expert Testimony
Female
Forensic Psychiatry
Humans
insanity defense
Male
mental disorders
Middle Aged
Original
PSYCHIATRY
Socioeconomic Factors
violence
Young Adult
Forensic psychiatry
commitment of the mentally ill
insanity defense
mental disorders
violence
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Summary:To evaluate factors related to dangerousness cessation at the end of involuntary commitment based on an analysis of expert reports. In light of the current legal requirement of dangerousness cessation as a pre-requisite for prison or internment release of individuals subjected to the safety measure, we sought elements to reflect on the practice of expert examiners in charge of making this decision. The authors revised 224 expert psychiatric dangerousness cessation reports released 2011 through 2014 and collected data for a statistical analysis. The following variables were associated with positive risk cessation assessments: no inadequate behavior (according to the assistant professionals), no productive psychotic symptoms, no negative symptoms, presence of insight, presence of a support network, and no psychoactive substance abuse. The following variables were associated with negative dangerousness cessation decisions: early onset of malfunction, lack of insight, negative attitudes, active signs of major mental illness, presence of impulsiveness, poor response to treatment, presence of plans lacking feasibility, exposure to destabilizing factors, lack of personal support, and presence of stress. In this study we were able to identify factors associated with dangerousness in a sample of expert reports. The knowledge of factors linked to a higher risk of recidivism in illegal activities or violent behavior is crucial for decision-making regarding the release of offenders after their legally established period of involuntary commitment.
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ISSN:1516-4446
1809-452X
1809-452X
DOI:10.1590/1516-4446-2015-1871