The aim of this study is to evaluate factors related to cessation of dangerousness of individuals under safety measures, through the study of psychiatric reports. This is a cross-sectional study, conducted through a retrospective analysis of expert psychiatric dangerousness cessation reports issued by the Federal District Coroner's Office, Brasília, Brazil. By examining official files, information was extracted from the reports (socio-demographic data, clinical characteristics, type of crime, historical characteristics and the search for items related to risk assessment present in instruments such as Historical, Clinical and Risk Management [HCR-20], Psychopathy Checklist – Revised [PCL-R], Two-Tiered Violence Risk Scale [TTV], Short-Term Assessment of Risk and Treatability [START] and others) and submitted to statistical analysis and then compared to other studies on the subject. The items most considered by the experts were those referring to PCL-R, START and the “non static” part of HCR-20 and TTV. For the non-cessation of dangerousness, we've found: absence of remorse, fragile behavioral control, early behavioral problems, juvenile delinquency. For the cessation of dangerousness, we've found: presence of social skills, balanced emotional state, presence of social support, adherence to rules, good coping strategies, involvement with treatment and adherence. The systematization and standardization of forensic psychiatric reports needs to be established and the use of risk assessment instruments are essential to support better decisions by the experts.

中文翻译：

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巴西巴西利亚危险状态的终止：对过去 10 年联邦区法医办公室 144 份报告的分析

本研究的目的是通过对精神病学报告的研究，评估与采取安全措施后个人不再危险相关的因素。这是一项横断面研究，通过对巴西巴西利亚联邦区验尸官办公室发布的专家精神科危险终止报告进行回顾性分析来进行。通过检查官方文件，从报告中提取信息（社会人口统计数据、临床特征、犯罪类型、历史特征以及对历史、临床和风险管理等工具中存在的风险评估相关项目的搜索[HCR-20] ]、精神病检查表 – 修订版 [PCL-R]、两级暴力风险量表 [TTV]、风险和可治疗性短期评估 [START] 等）并提交进行统计分析，然后与该主题的其他研究进行比较。专家们考虑最多的项目是涉及PCL-R、START以及HCR-20和TTV的“非静态”部分的项目。对于危险性的持续存在，我们发现：缺乏悔恨、行为控制脆弱、早期行为问题、青少年犯罪。为了停止危险，我们发现：社交技能、平衡的情绪状态、社会支持、遵守规则、良好的应对策略、参与治疗和坚持。需要建立法医精神病学报告的系统化和标准化，并且风险评估工具的使用对于支持专家做出更好的决策至关重要。