J Korean Neuropsychiatr Assoc.  2021 Nov;60(4)::354-365. 10.4306/jknpa.2021.60.4.354.

Actual Judgment of Criminal Responsibility as Seen Through the Criminal Psychiatric Examination of a Psychiatric Hospital

  • 1Departments of Psychiatry, Medical Foundation Yongin Mental Hospital, Yongin, Korea
  • 2SeSeung LLC, Seoul, Korea
  • 3Departments of Clinical Psychology, Medical Foundation Yongin Mental Hospital, Yongin, Korea


The purpose of this study was to compare the demographic, clinical, and criminal characteristics and legal judgments of criminal cases, in which psychiatric evaluation was requested, and to identify factors affecting criminal responsibility judgments.
The medical records of 100 subjects that committed crimes and the judgment records of 51 subjects admitted to Yongin Mental Hospital from February 2005 to February 2021 were analyzed retrospectively. Psychiatric disorder groups were compared with respect to demographic, clinical, criminal characteristics, and legal judgments. Factors affecting criminal responsibility judgments were identified by comparing legal judgment groups.
Psychiatric history, criminal motivation, and criminal history differed significantly between psychiatric disorder groups. Differences between the opinions of the appraiser and courts regarding criminal responsibility were significantly dependent on psychiatric disorder type, and there was a consistent tendency according to the psychiatric disorders, but there was a difference of opinion between the two groups.
The findings of the current study suggest psychiatric diagnoses and symptoms such as psychotic symptoms and cognitive impairments that provoke crime can influence criminal responsibility judgments.


Psychiatry; Judgment; Mental disorders; Crime; Criminal law
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