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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Reliability of psychiatric evidence in serious criminal matters: fitness to stand trial and the defence of mental illness.
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Reliability of psychiatric evidence in serious criminal matters: fitness to stand trial and the defence of mental illness.

机译：精神科证据在严重刑事案件中的可靠性：适合审判和抗辩精神疾病。

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摘要

OBJECTIVE: The criminal justice system relies on the opinions of expert witness to assist in decisions about fitness to stand trial (FST) and verdicts of not guilty by reason of mental illness (NGMI). The aim of the present study was to assess the level of agreement between experts about these legal issues using a consecutive series of serious criminal matters in New South Wales. METHODS: Pairs of reports from 110 consecutive criminal matters completed by the New South Wales Office of the Director of Public Prosecutions between 2005 and 2007 were examined. The opinions of experts about FST and NGMI were recorded. RESULTS: Agreement about FST was fair-moderate (experts engaged by opposite sides, kappa = 0.293; experts engaged by the same side, kappa = 0.471), although there was a higher level of agreement in homicide matters. Agreement about NGMI was moderate-good (experts engaged by opposite sides, kappa = 0.508; experts engaged by the same side, kappa = 0.644) and there was a higher level of agreementwhen the experts also agreed about the diagnosis of schizophrenia. Further analysis using generalized estimating equations did not find a higher level of agreement about FST or NGMI in pairs of reports containing the opinion of experts from the same side. CONCLUSIONS: Little evidence was found for bias in expert opinions about either FST or NGMI, but the comparatively low level of agreement about FST suggests the need for reform in the way that FST is assessed.
机译：目的：刑事司法系统依靠专家证人的意见来协助作出关于是否适合受审的决定（FST）和因精神疾病而无罪的判决（NGMI）。本研究的目的是评估专家在新南威尔士州使用一系列连续的严重刑事事项就这些法律问题达成的协议水平。方法：审查了新南威尔士州检察长办公室在2005年至2007年之间完成的110宗连续犯罪案件中的成对报告。记录了有关FST和NGMI的专家意见。结果：尽管在杀人案件上达成的协议水平较高，但关于FST的协议尚属中等（双方参与的专家kappa = 0.293;同一方参与的专家kappa = 0.471）。关于NGMI的共识是中等良好的（相对方的专家，kappa = 0.508;同一方的专家，kappa = 0.644），并且当专家们还对精神分裂症的诊断达成共识时，达成的协议水平更高。使用广义估计方程式进行的进一步分析并未在包含同一方面专家意见的成对报告中找到关于FST或NGMI的更高层次的共识。结论：几乎没有证据表明专家对FST或NGMI有偏见，但是关于FST的共识水平相对较低，表明需要以评估FST的方式进行改革。

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