What is important in forensic psychiatric evaluation in people with Down syndrome? A sample from Türkiye

-д хадгалсан:
Номзүйн дэлгэрэнгүй
-д хэвлэсэн:Journal of Intellectual Disabilities and Offending Behaviour vol. 15, no. 1/2 (2024), p. 1-13
Үндсэн зохиолч: Boylu, Muhammed Emin
Бусад зохиолчид: Taşdemir, İlker, Doğan, Mehmet, Duran, Alaattin
Хэвлэсэн:
Newton Gate, LLC
Нөхцлүүд:
Онлайн хандалт:Citation/Abstract
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022 |a 2050-8824 
022 |a 2050-8832 
022 |a 2042-0927 
022 |a 2042-8693 
024 7 |a 10.1108/JIDOB-11-2023-0008  |2 doi 
035 |a 3087282529 
045 2 |b d20240101  |b d20240331 
084 |a 165728  |2 nlm 
100 1 |a Boylu, Muhammed Emin  |u Department of Psychiatry, Council of Forensic Medicine, Istanbul, Türkiye 
245 1 |a What is important in forensic psychiatric evaluation in people with Down syndrome? A sample from Türkiye 
260 |b Newton Gate, LLC  |c 2024 
513 |a Journal Article 
520 3 |a PurposeDown syndrome is one of the common genetic causes of intellectual disability. Adult with Down syndrome may have many psychiatric comorbidities. Therefore, their mental health status should be considered in legal proceedings such as criminal responsibility and legal capacity where they are involved. This study aims to highlight that individuals with Down syndrome are often referred directly to forensic psychiatry without undergoing an interview, despite the fact that this is a group with varied mental statuses.Design/methodology/approachThis study analysed the socio-demographic, clinical and forensic characteristics of eight adult individuals with Down syndrome for whom the Council of Forensic Medicine (CFM) requested an opinion on criminal liability and other legal situations between 2018 and 2022. The CFM is an authoritative institution to which cases from all areas of Türkiye are referred.FindingsThe mean age of the individuals with Down syndrome for whom a forensic psychiatric opinion was requested was 24.63 (±7.95) and the mean IQ level was 54.13 (±13.38). All cases were male, 6 / 8 were referred for assessment of criminal responsibility and 4 / 6 of those referred for assessment of criminal responsibility were referred for sexual offences. It was found that 5 / 8 of the cases had moderate intellectual disability and 3 / 8 of the cases had mild intellectual disability.Research limitations/implicationsRegarding the limitations of this study, the first one is the small sample size. Nevertheless, due to the low prevalence of people with Down syndrome in society, it is plausible that their stigmatization may not be reflected in the judicial system, even in cases involving violent behaviour. The second limitation is that the reports lack all psychiatric medical documents, including forensic psychiatric evaluations of individuals with Down syndrome. Additionally, additional diseases were recorded based on familial anamnesis. The third limitation is that this study is the first publication to investigate Down syndrome from a forensic psychiatric perspective. Thus, there is a lack of literature to make direct comparisons and references in the discussion section.Social implicationsThis is the first study about forensic psychiatric aspects for people with Down syndrome. The aim of this study was to examine the forensic psychiatric approach in Down syndrome, one of the most common genetic causes of intellectual disability, the situations in which forensic psychiatric assessment is required and the issues that might be considered important in this regard. Although there are various publications in the literature on the psychiatric conditions of individuals with Down syndrome, to our knowledge, this is the first study to evaluate individuals with Down syndrome in terms of forensic psychiatric evaluation. People with Down syndrome are known to have varying degrees of intellectual disability and different types of psychiatric comorbidity.Originality/valuePeople with Down syndrome are a heterogeneous group in terms of intellectual disability. The criminal responsibility and legal capacity of individuals may vary according to the legal situation. When requesting forensic psychiatric evaluation of these patients with psychiatric co-morbidity, patients should not be prejudged in terms of their level of mental competence and each case should be assessed individually. 
651 4 |a Turkey 
653 |a Forensic medicine 
653 |a Memory 
653 |a Mental disorders 
653 |a Stigma 
653 |a Health status 
653 |a Psychiatric aspects 
653 |a Cognitive ability 
653 |a Sex crimes 
653 |a Forensic sciences 
653 |a Learning disabled people 
653 |a Down syndrome 
653 |a Criminal liability 
653 |a Autism 
653 |a Sociodemographics 
653 |a Imprisonment 
653 |a Specialization 
653 |a Morbidity 
653 |a Intellectual disabilities 
653 |a Evaluation 
653 |a Limitations 
653 |a Intelligence tests 
653 |a Life expectancy 
653 |a Forensic psychiatry 
653 |a Councils 
653 |a Mental competency 
653 |a Criminal responsibility 
653 |a Comorbidity 
653 |a Mental health 
653 |a Court hearings & proceedings 
653 |a Trials 
653 |a Legal system 
653 |a Patients 
653 |a Heterogeneity 
653 |a Mental health services 
653 |a Genetics 
653 |a Medicine 
653 |a Liability 
653 |a People with disabilities 
653 |a Offenses 
653 |a Anxiety Disorders 
653 |a Special Needs Students 
653 |a Moderate Intellectual Disability 
653 |a Short Term Memory 
653 |a Intellectual Disability 
653 |a Autism Spectrum Disorders 
653 |a Psychiatry 
653 |a Visual Learning 
653 |a Criminals 
653 |a Courts 
653 |a Schizophrenia 
653 |a Observation 
653 |a Mild Intellectual Disability 
653 |a Legal Responsibility 
653 |a Justice 
653 |a Educational Needs 
700 1 |a Taşdemir, İlker  |u Department of Psychiatry, Council of Forensic Medicine, Istanbul, Türkiye 
700 1 |a Doğan, Mehmet  |u Department of Psychiatry, Council of Forensic Medicine, Istanbul, Türkiye 
700 1 |a Duran, Alaattin  |u Department of Psychiatry, Council of Forensic Medicine, Istanbul, Türkiye 
773 0 |t Journal of Intellectual Disabilities and Offending Behaviour  |g vol. 15, no. 1/2 (2024), p. 1-13 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3087282529/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3087282529/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3087282529/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch