title: Cessation of dangerousness status: an analysis of 224 reports from the Instituto de Perícias Heitor Carrilho, Rio de Janeiro, Brazil.
abstract: To evaluate factors related to dangerousness cessation at the end of involuntary commitment based on an analysis of expert reports. In light of the current legal requirement of dangerousness cessation as a pre-requisite for prison or internment release of individuals subjected to the safety measure, we sought elements to reflect on the practice of expert examiners in charge of making this decision.
  The authors revised 224 expert psychiatric dangerousness cessation reports released 2011 through 2014 and collected data for a statistical analysis.
  The following variables were associated with positive risk cessation assessments: no inadequate behavior (according to the assistant professionals), no productive psychotic symptoms, no negative symptoms, presence of insight, presence of a support network, and no psychoactive substance abuse. The following variables were associated with negative dangerousness cessation decisions: early onset of malfunction, lack of insight, negative attitudes, active signs of major mental illness, presence of impulsiveness, poor response to treatment, presence of plans lacking feasibility, exposure to destabilizing factors, lack of personal support, and presence of stress.
  In this study we were able to identify factors associated with dangerousness in a sample of expert reports. The knowledge of factors linked to a higher risk of recidivism in illegal activities or violent behavior is crucial for decision-making regarding the release of offenders after their legally established period of involuntary commitment.
authors.affiliation: Unidade de Psiquiatria, Hospital de Base do Distrito Federal, Brasília, DF, Brazil.|Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Gustavo C
authors.initials: GC
authors.lastname: Oliveira
authors.affiliation: Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.|Departamento de Psiquiatria e Saúde Mental, Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil.
authors.forename: Alexandre M
authors.initials: AM
authors.lastname: Valença
authors.affiliation: Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Talvane M
authors.initials: TM
authors.lastname: de Moraes
authors.affiliation: Departamento de Psiquiatria e Saúde Mental, Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil.
authors.forename: Mauro V
authors.initials: MV
authors.lastname: Mendlowicz
authors.affiliation: Departamento de Psiquiatria, Instituto de Saúde Mental (ISM), Brasília, DF, Brazil.
authors.forename: Miles C
authors.initials: MC
authors.lastname: Forrest
authors.affiliation: UFRJ, Rio de Janeiro, RJ, Brazil.
authors.forename: Fred F
authors.initials: FF
authors.lastname: Batista
authors.affiliation: UFRJ, Rio de Janeiro, RJ, Brazil.
authors.forename: Gabriella A
authors.initials: GA
authors.lastname: Mendes
authors.affiliation: UFRJ, Rio de Janeiro, RJ, Brazil.
authors.forename: Tiago N
authors.initials: TN
authors.lastname: Lima
authors.affiliation: UFRJ, Rio de Janeiro, RJ, Brazil.
authors.forename: Vinicius R
authors.initials: VR
authors.lastname: Gonçalves
authors.affiliation: Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Kátia
authors.initials: K
authors.lastname: Mecler
mesh_terms: D000328:Adult; D003415:Crime / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003617:Dangerous Behavior; D003657:Decision Making; D005104:Expert Testimony; D005260:Female; D005555:Forensic Psychiatry; D006801:Humans; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D055815:Young Adult