Jeffrey Swanson, Michele Easter, Madeline Stenger, James Goodrich, Brett Gardner, Heather Zelle, Richard Bonnie
{"title":"Firearm Disqualification and Rights Restoration Among Adults with Mental Illness in Virginia.","authors":"Jeffrey Swanson, Michele Easter, Madeline Stenger, James Goodrich, Brett Gardner, Heather Zelle, Richard Bonnie","doi":"10.29158/JAAPL.250048-25","DOIUrl":"10.29158/JAAPL.250048-25","url":null,"abstract":"<p><p>This study evaluated legal prohibitions on firearm possession in a population of 128,090 adults in Virginia with a serious mental illness and record of at least one psychiatric hospitalization between 1998 and 2015. Approximately half the study population acquired a gun-disqualifying record of a mental health adjudication or felony criminal conviction. Among persons with a mental health disqualification, the annualized arrest rate for gun-involved violent crime subsequently declined by 35.9 percent during the prohibition period; no such decline was seen in the arrest rate for crimes not involving guns. The likelihood of arrest for a gun-involved violent crime was further reduced among people whose disqualifying record was reported to the background check database (odds ratio (OR) = .7; 95% confidence interval (CI) .6 - .8; <i>p</i> ≤ .0010). In a subgroup analysis of individuals (<i>n</i> = 261) who lost and regained firearm eligibility, 14.6 percent had a subsequent arrest for a violent crime, 1.5 percent for a gun-involved crime. Regarding suicide, 1.5 percent of the restored group died of intentional self-inflicted injuries, half of those involving a firearm. The study provides evidence that firearm prohibitions were partially effective, especially when disqualifying records were reported to the background check database. Study findings give cause for modest concern for the safety consequences of gun rights restoration as practiced in one state.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"273-286"},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Nash, Sela Dragich, Leah Pope, Elizabeth Ford, Paul Appelbaum
{"title":"A Scoping Literature Review of Mental Illness in Decisions Regarding Pretrial Release.","authors":"Emily Nash, Sela Dragich, Leah Pope, Elizabeth Ford, Paul Appelbaum","doi":"10.29158/JAAPL.250034-25","DOIUrl":"10.29158/JAAPL.250034-25","url":null,"abstract":"<p><p>Judges generally make pretrial release decisions based on the risk that a defendant will miss court appearances or pose a danger to the community; for criminal cases initiated in state courts, this decision-making is guided by state bail statutes, with judicial discretion within statutory limits. Individuals with mental illnesses may be disproportionately exposed to pretrial detention, exposing them to the psychiatric, medical, and legal consequences of incarceration. The purpose of this literature review was to find out if and how mental illness is related to missed court appearances or rearrest while individuals are awaiting trial. This review identified a limited number of empirical studies examining the association between mental illness and these outcomes. The results of the studies were variable. Although some studies found that mental illness variables predicted failure to appear, the relationship was more prominent for women than men. Substance use and criminal history appear to be more consistent predictors than mental illness. The data on the relationship between mental illness-related variables and rearrest are also mixed. Further research is needed to understand if or how mental illness affects decisions on pretrial detention.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"239-250"},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Forensic Assessments of Hindus with Workplace Discrimination Claims.","authors":"Neil Krishan Aggarwal","doi":"10.29158/JAAPL.250035-25","DOIUrl":"10.29158/JAAPL.250035-25","url":null,"abstract":"<p><p>Hinduism is a global religion with over 1.2 billion adherents. Only about one percent of U.S. adults are Hindu, so forensic evaluators may have little experience with this population. Within the United States over the past decade, there has been a trend of Hindus filing workplace discrimination claims with emotional distress but without forensic psychiatric evaluations. Immigration challenges, unique patterns of discrimination, and intersectional identities in diverse Hindu communities may challenge evaluators who do not regularly work with Hindus. Even when Hindu evaluees see Hindu evaluators, they may not share caste, ethnic, racial, or regional affiliations, so evaluators benefit from investigating the evaluee's intersectional identity, the connection between identity and perceived discrimination, patterns of help seeking, and levels of functioning. This article introduces evaluators to diverse U.S. Hindu populations; psychiatric, forensic, and cultural problems in discrimination-based claims; and evaluation strategies based on analyzing recent cases.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"299-308"},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Forensic Assessment of Transgender Persons.","authors":"Ariana Nesbit Huselid, Juliette Dupré, Noorin Damji, Renée Sorrentino","doi":"10.29158/JAAPL.250049-25","DOIUrl":"10.29158/JAAPL.250049-25","url":null,"abstract":"<p><p>The forensic assessment of transgender individuals is challenging because of evolving legal landscapes, sociopolitical tensions, gaps in the clinical literature, and lack of standardized assessments studied in this population. This article explores the complexities forensic psychiatrists encounter when evaluating transgender persons, with an emphasis on assessments of general and sexual violence risk, mitigating factors, sex discrimination, disability, emotional distress, and parenting. The article also addresses the importance of remaining vigilant in striving for objectivity in assessments of transgender individuals while acknowledging both the dearth of population-specific research and the vulnerabilities and risks faced by transgender individuals. Recommendations are made for ongoing research in this field.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"287-298"},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determining the Goals Toward Which Forensic Mental Health Practice Should Aspire.","authors":"Jacob M Appel","doi":"10.29158/JAAPL.250016-25","DOIUrl":"10.29158/JAAPL.250016-25","url":null,"abstract":"<p><p>Forensic mental health professionals (FMHPs) play a crucial role in shaping legal outcomes, necessitating a clear understanding of excellence in the field. Establishing criteria for excellence depends upon first addressing key controversies, including those related to the role for advocacy inside the legal process, the extent to which FHMPs should strive for social justice outside the courtroom, and the allocation of scarce forensics resources. Resolution of these debates will, in turn, determine whether excellence stems primarily from selection or treatment. Only once a clear consensus regarding the meaning of excellence develops can aspirational goals for the professional be established.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"193-197"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research Literacy Is Crucial in Training Forensic Psychiatrists.","authors":"Susan Hatters Friedman","doi":"10.29158/JAAPL.250021-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250021-25","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"53 2","pages":"140-146"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Scott A Gershan, Esther Schoenfeld, Declan J Grabb
{"title":"A Pilot Analysis Investigating the Use of AI in Malingering.","authors":"Scott A Gershan, Esther Schoenfeld, Declan J Grabb","doi":"10.29158/JAAPL.240115-24","DOIUrl":"10.29158/JAAPL.240115-24","url":null,"abstract":"<p><p>Generative artificial intelligence (AI), with its increasing ubiquity and power, will likely transform forensic psychiatry, sparking both advances and new challenges for the field. A possible consequence of the technology is that it will be used to assist malingerers in learning about and feigning psychiatric symptoms. In this study, the AI chatbot ChatGPT was asked to provide information about the insanity defense and psychosis and to use this information to assist the user in simulating a psychotic illness to avoid legal consequences. We found that ChatGPT 3.5 demonstrated a relatively nuanced understanding of typical symptoms of psychosis and that it could translate that knowledge into practical guidance on how to exploit the mental health system for secondary gain. Our findings suggest that, although significant limitations exist with the technology in its current form, forensic psychiatrists should be prepared for its increasing sophistication and the potential consequences in malingering assessments.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"147-156"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christin M Ogle, Steven P Nemcek, Jing Zhou, Stephen J Cozza
{"title":"Predictors of Child and Parent Offender Removal in Incidents of Child Neglect in U.S. Army Families.","authors":"Christin M Ogle, Steven P Nemcek, Jing Zhou, Stephen J Cozza","doi":"10.29158/JAAPL.240114-24","DOIUrl":"10.29158/JAAPL.240114-24","url":null,"abstract":"<p><p>This study examined predictors of child and parent offender removal from the home following substantiated incidents of child neglect in U.S. Army families. Case records (<i>n</i> = 390) were coded to identify neglect types and incident characteristics associated with removal in prior studies. Results indicate that the removal of a child and the removal of a parent from the home following an incident of neglect are associated with distinct neglect types and incident characteristics. In bivariate analyses, failure to provide physical needs (FTP), family mental health problems, and co-occurring abuse were each associated with higher odds of child removal. In multivariate analyses, offender substance use, co-occurring abuse, and early parenting, but not FTP, were associated with child removal. Interaction models indicated that high-severity FTP incidents in families with mental health problems were more likely to result in child removal compared with other neglect incidents. In contrast, incidents involving emotional neglect and service member offenders were associated with higher odds of parent removal. Findings advance understanding of the characteristics of neglect incidents associated with family separations, which can improve the judiciousness of legal decisions regarding removal actions and inform prevention efforts that effectively protect children from harm while minimizing disruptions to family integrity.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"160-171"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AI-Assisted Deception and the Emerging Challenge of LLMs in Forensic Psychiatry.","authors":"Jason G Roof","doi":"10.29158/JAAPL.250022-25","DOIUrl":"10.29158/JAAPL.250022-25","url":null,"abstract":"<p><p>Generative artificial intelligence (AI), including the large language model ChatGPT, has introduced potential new opportunities and challenges to the practice of forensic psychiatry. These powerful AI-based tools may offer substantial benefits in administrative tasks, report generation, and record summarization yet simultaneously present areas for further consideration, such as aiding evaluees in feigning psychiatric symptoms. Additional ethics and legal considerations exist regarding privacy, bias within AI models, and the introduction of fabricated or misleading AI-generated content into forensic assessments. Legislative efforts, privacy safeguards, and professional guidelines essential for responsible AI use are being developed. Forensic psychiatrists are uniquely positioned to influence responsible AI integration through education, advocacy, and development of best practices within psychiatry.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"157-159"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Toward Aspirational Forensic Mental Health Practice.","authors":"Julie Goldenson, Stanley L Brodsky, Terry Kukor","doi":"10.29158/JAAPL.240123-24","DOIUrl":"10.29158/JAAPL.240123-24","url":null,"abstract":"<p><p>Forensic mental health professionals are often provided with aspirational guidelines to inform their practice; however, disparities exist between what such professionals should strive to do and what they actually do. This article considers pathways to improving practice not only in terms of knowledge base but also in terms of ethics, skills, and intellectual, dispositional, and interpersonal qualities. Obstacles are identified that could prevent forensic mental health professionals from practicing at higher levels of excellence.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"183-192"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}