ABSTRACT Studies have demonstrated that the mere mention of criminal risk factors for future violent criminal behavior predicted decisions to detain or release not criminally responsible on account of mental disorder (NCRMD) patients following their review board hearing. We looked to further our understanding of review board decisions by assessing the influence of the mention of risk factors as well as psychopathic traits, protective factors, and the moderating effect of physical attractiveness. To this end, we coded the mention of risk factors, psychopathic traits, and protective factors in clinical reports of 90 former male NCRMD patients and rated their attractiveness on a scale of 1–10, of which 62 cases adhered to all inclusion and exclusion criteria. Analyses demonstrated that the mention of Psychopathy Checklist-Revised (PCL-R) items significantly increased the odds of being detained following a review board hearing, while attractiveness predicted decisions to discharge the patient. In addition, an interaction effect between PCL-R item-mentions and attractiveness was identified, such that highly attractive patients with high levels of PCL-R item-mentions were more likely to be detained following review board hearings. These results further our understanding of what factors influence review board decisions and demonstrate how extraneous factors can moderate the influence of risk-relevant information. Ultimately these results speak to the need to further educate decision-makers on evidence-based risk and protective factors and furthermore, how to avoid the pitfalls of allowing irrelevant information, such as physical attractiveness, from influencing such critical decisions affecting this vulnerable population.

中文翻译：

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法医精神病患者的精神病性状，风险和保护因素以及吸引力：他们在复审委员会处置中的作用

摘要研究表明，仅提及未来暴力犯罪行为的犯罪风险因素，就可以预测在精神病患者（NCRMD）审理后，决定拘留或释放无刑事责任的决定。我们希望通过评估提及风险因素以及精神病性状，保护性因素和身体吸引力的调节作用的影响，来进一步提高对评审委员会决策的理解。为此，我们在90例前男性NCRMD患者的临床报告中对危险因素，精神病性状和保护因素进行了编码，并以1-10的等级对其吸引力进行了评估，其中62例符合所有纳入和排除标准。分析表明，提及经精神病学检查清单修订（PCL-R）的项目可显着增加在复审委员会听证会之后被拘留的几率，而吸引力可预测决定出院的决定。此外，还确定了PCL-R项目和吸引力之间的相互作用，从而使具有高水平PCL-R项目的高度有吸引力的患者更有可能在审查委员会听证会之后被拘留。这些结果使我们进一步了解了哪些因素会影响审核委员会的决策，并表明无关因素如何减轻与风险相关的信息的影响。最终，这些结果表明需要对决策者进行基于证据的风险和保护因素的进一步教育，此外，