title: [Analysis of 54 mental disability reappraisal cases due to brain damage].
abstract: OBJECTIVE
  To investigate the different kinds of controversial cases of mental disability after brain damage, to analysis the problems in the first appraisal, and to explore solutions of the problems.
  
  
  METHODS
  The reappraisals of mental disorders after traumatic brain damage were collected from 2007-2011 in Shanghai forensic center, and the first appraisal and reappraisal cases were analyzed and compared.
  
  
  RESULTS
  The changes of conclusion in reappraisal cases showed the following major reasons: inappropriate appraisal time, not comprehensive and object investigation of mental state of patients in first appraisal, misunderstanding the standards, etc.
  
  
  CONCLUSIONS
  The quality improvement of appraisal should adopt the following measures: regulating the practice, improvement of the professional skills of experts, choosing appropriate appraisal time, improvement of appraisal standards, etc.
authors.affiliation: Shanghai Forensic Science Identification Center, Shanghai 200031, China.
authors.forename: Yun-Jie
authors.initials: YJ
authors.lastname: Wang
authors.forename: Da-Ming
authors.initials: DM
authors.lastname: Sun
authors.forename: Zhan-Pei
authors.initials: ZP
authors.lastname: Zheng
authors.forename: Xiao-Tong
authors.initials: XT
authors.lastname: Zhang
authors.forename: Shao-Xuan
authors.initials: SX
authors.lastname: Hu
mesh_terms: D000063:Accidents, Traffic; D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D001924:Brain Concussion / Q000150:complications / Q000175:diagnosis; D001930:Brain Injuries / Q000150:complications*; D002648:Child; D004185:Disability Evaluation; D005260:Female; D005555:Forensic Psychiatry; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013997:Time Factors; D055815:Young Adult