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Related Experiment Videos

Short-term civil commitment and the violent patient

J A Yesavage, P D Werner, J M Becker

    The American Journal of Psychiatry
    |September 1, 1982
    PubMed
    Summary

    Civil commitment for dangerousness lacked specificity, as individuals deemed dangerous showed no more violent acts than controls. However, psychiatric ratings differed, suggesting a need to refine commitment criteria.

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    Area of Science:

    • Forensic Psychiatry
    • Clinical Psychology
    • Legal Medicine

    Background:

    • Civil commitment laws, such as California's Lanterman-Petris-Short Act, aim to detain individuals posing a danger to others.
    • The criteria for determining dangerousness are crucial for balancing individual liberties with public safety.
    • The specificity of these criteria in predicting actual violent behavior is a subject of ongoing debate.

    Purpose of the Study:

    • To investigate the relationship between civil commitment for dangerousness to others and subsequent violent acts.
    • To assess whether behavioral ratings differentiate between committed individuals and a control group.

    Main Methods:

    • A prospective study design was employed, evaluating 84 subjects.
    • Subjects were assessed for violent acts and behavioral ratings immediately following commitment.
    Keywords:
    Empirical ApproachLanterman-Petris-Short ActMental Health Therapies

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  • A nondangerous control group was included for comparison.

    • Main Results:

    • No significant difference in the ratings of violent acts was found between subjects committed for dangerousness and the control group.
    • Subjects deemed dangerous to others showed significant differences on several subscales of the Brief Psychiatric Rating Scale compared to controls.
    • These findings suggest that psychiatric symptomatology, rather than overt violent acts, may be a primary driver for commitment.

    Conclusions:

    • The criteria for civil commitment based on dangerousness to others may not be specific in predicting violent behavior.
    • Psychiatric assessment tools, like the Brief Psychiatric Rating Scale, may offer more discriminatory power than direct observation of violent acts in commitment proceedings.
    • The results have significant implications for refining legal and clinical practices in civil commitment proceedings.