{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:54:48Z","timestamp":1760057688401,"version":"build-2065373602"},"reference-count":31,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Oradea","award":["."],"award-info":[{"award-number":["."]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background\/Objectives: Forensic psychiatric expertise significantly contributes to clinical criminology. Interdisciplinary investigations, evaluation tactics, and the use of criminology indices are essential for psychosocial prognostic assessments of conflict, aggression, adaptability, and recovery. Methods: This study aims to assess the impact of the COVID-19 pandemic on forensic psychiatric expertise by analyzing demographic variables such as age, gender, background, and other relevant data including criminal records, forensic antecedents, personal pathological antecedents, diagnosis, and discernment. Our study included 186 patients categorized into pandemic and post-pandemic periods. Results: Most participants were male, with no significant rural\u2013urban distribution differences. During the COVID period, common criminal acts included aggression and child pornography, followed by attempted murder. A significant association was found between discernment and psychiatric disorders (p &lt; 0.0011), with 67.6% of the patients lacking discernment having mental illnesses. Legal outcomes varied with discernment; 60.3% of patients without discernment required mandatory hospitalization (p &lt; 0.0011). Conclusions: Medico-legal antecedents were more frequent during the pandemic, and safety measures were more commonly applied to those lacking discernment.<\/jats:p>","DOI":"10.3390\/diagnostics15040483","type":"journal-article","created":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T10:26:12Z","timestamp":1739787972000},"page":"483","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of the COVID-19 Pandemic on Forensic Psychiatric Examination"],"prefix":"10.3390","volume":"15","author":[{"given":"Daniela Margareta","family":"Varga","sequence":"first","affiliation":[{"name":"Doctoral School of Biomedical Sciences, University of Oradea, 410073 Oradea, Romania"},{"name":"County Clinical Emergency Hospital of Oradea, 410087 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florica","family":"Voi\u021b\u0103-Mekeres","sequence":"additional","affiliation":[{"name":"Doctoral School of Biomedical Sciences, University of Oradea, 410073 Oradea, Romania"},{"name":"County Clinical Emergency Hospital of Oradea, 410087 Oradea, Romania"},{"name":"Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camelia Liana","family":"Buha\u0219","sequence":"additional","affiliation":[{"name":"Doctoral School of Biomedical Sciences, University of Oradea, 410073 Oradea, Romania"},{"name":"County Clinical Emergency Hospital of Oradea, 410087 Oradea, Romania"},{"name":"Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel Mihai","family":"Mekeres","sequence":"additional","affiliation":[{"name":"County Clinical Emergency Hospital of Oradea, 410087 Oradea, Romania"},{"name":"Medical Department, Faculty of Medicine and Pharmacy, University of Oradea, Universitatii Street Nr.1, 410087 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florina Mad\u0103lina","family":"M\u00eendru","sequence":"additional","affiliation":[{"name":"Doctoral School of Biomedical Sciences, University of Oradea, 410073 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nu\u021bu Cristian","family":"Voi\u021b\u0103","sequence":"additional","affiliation":[{"name":"County Emergency Hospital Cluj-Napoca, 400000 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lavinia","family":"Davidescu","sequence":"additional","affiliation":[{"name":"Medical Department, Faculty of Medicine and Pharmacy, University of Oradea, Universitatii Street Nr.1, 410087 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,17]]},"reference":[{"key":"ref_1","unstructured":"Belis, V. (1995). Tratat de Medicina Legala, Editura Medicala."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Mekere\u0219, G.M., Buha\u0219, C.L., Tudoran, C., Csep, A.N., Tudoran, M., Manole, F., Iova, C.S., Pop, N.O., Voi\u0163\u0103, I.B., and Domoco\u0219, D. (2023). The Practical Utility of Psychometric Scales for the Assessment of the Impact of Posttraumatic Scars on Mental Health. Front. Public Health, 11.","DOI":"10.3389\/fpubh.2023.1103714"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s13033-020-00362-x","article-title":"Forensic Psychiatry in Finland: An Overview of Past, Present and Future","volume":"14","author":"Joelsson","year":"2020","journal-title":"Int. J. Ment. Health Syst."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"269","DOI":"10.4323\/rjlm.2020.269","article-title":"Psychological Factors and Patterns of Alcohol Comsumption in Young Adults from Western Romania","volume":"28","author":"Pop","year":"2020","journal-title":"Rom. J. Leg. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e50","DOI":"10.1192\/j.eurpsy.2020.58","article-title":"The Impact of the COVID-19 Outbreak on the Medico-Legal and Human Rights of Psychiatric Patients","volume":"63","author":"Thome","year":"2020","journal-title":"Eur. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.eurpsy.2017.12.007","article-title":"European Psychiatric Association (EPA) Guidance on Forensic Psychiatry: Evidence Based Assessment and Treatment of Mentally Disordered Offenders","volume":"51","author":"Clarke","year":"2018","journal-title":"Eur. Psychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"703","DOI":"10.3390\/clinpract14030056","article-title":"The Contribution of Genetic Testing in Optimizing Therapy for Patients with Recurrent Depressive Disorder","volume":"14","author":"Platona","year":"2024","journal-title":"Clin. Pract."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Salize, H.J., and Dre\u00dfing, H. (2019). Challenges in Comparing Health-Care Systems Across Different Countries. Long-Term Forensic Psychiatric Care, Springer.","DOI":"10.1007\/978-3-030-12594-3_3"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"van der Wolf, M., and van Marle, H. (2018). Legal Approaches to Criminal Responsibility of Mentally Disordered Offenders in Europe. Forensic Psychiatry and Psychology in Europe, Springer.","DOI":"10.1007\/978-3-319-74664-7_3"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e12282","DOI":"10.1111\/cpsp.12282","article-title":"A Meta-Analytic Review of the Efficacy of Psychological Treatments for Violent Offenders in Correctional and Forensic Mental Health Settings","volume":"26","author":"Papalia","year":"2019","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.genhosppsych.2009.03.001","article-title":"Long-Term Psychiatric Morbidities among SARS Survivors","volume":"31","author":"Mak","year":"2009","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1108\/IJPH-05-2022-0032","article-title":"Prisoners with Reduced Criminal Responsibility Stand out Based on Their Rates of Hospitalisation during Their Sentences","volume":"19","author":"Rautanen","year":"2023","journal-title":"Int. J. Prison. Health"},{"key":"ref_13","first-page":"198","article-title":"The Role of a Forensic Psychiatrist","volume":"119","author":"Martone","year":"2022","journal-title":"Mo. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"112","DOI":"10.51847\/AtDeJS15Py","article-title":"The Role of Food Biochemistry in the Control and Prevention of Nervous System Diseases","volume":"14","author":"Manole","year":"2023","journal-title":"J. Biochem. Technol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/S2215-0366(23)00256-0","article-title":"Violence Risk Assessment Instruments in Forensic Psychiatric Populations: A Systematic Review and Meta-Analysis","volume":"10","author":"Ogonah","year":"2023","journal-title":"Lancet Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"35","DOI":"10.36219\/BPI.2023.3.02","article-title":"Discernment or Representation","volume":"98","author":"Scripcaru","year":"2023","journal-title":"Bull. Integr. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1038\/s41380-021-01367-9","article-title":"Recognizing the Importance of Childhood Maltreatment as a Critical Factor in Psychiatric Diagnoses, Treatment, Research, Prevention, and Education","volume":"27","author":"Teicher","year":"2022","journal-title":"Mol. Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"\u0218chiopu, C.G. (2018, January 22\u201323). The Forensic Psychiatric Expertise in Romania: The Legal Medicine Implications. Proceedings of the 10th International RAIS Conference on Social Sciences and Humanities, Princeton, NJ, USA.","DOI":"10.2991\/rais-18.2018.28"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.encep.2015.03.002","article-title":"Differences in Psychiatric Expertise of Responsibility: Assessment and Initial Hypotheses through a Review of Literature","volume":"41","author":"Guivarch","year":"2015","journal-title":"Encephale"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"99","DOI":"10.32353\/khrife.4.2023.06","article-title":"Legal Responsibility Issue of Forensic Expert in the Field of Law","volume":"33","author":"Dziubak","year":"2023","journal-title":"Theory Pract. Forensic Sci. Crim."},{"key":"ref_21","unstructured":"Bowen, R.T. (2017). Ethics and the Practice of Forensic Science, CRC Press. [2nd ed.]."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Biedermann, A., Bozza, S., Taroni, F., and Vuille, J. (2019). Are Inconclusive Decisions in Forensic Science as Deficient as They Are Said to Be?. Front. Psychol., 10.","DOI":"10.3389\/fpsyg.2019.00520"},{"key":"ref_23","first-page":"9","article-title":"Un Precursor Al Criminologiei Moderne Rom\u00e2ne\u0219ti-Prof. Dr. Mihai KERNBACH","volume":"4","year":"2015","journal-title":"Rev. Criminol. Crim. Penol."},{"key":"ref_24","first-page":"51","article-title":"Three Personalities of Medicine-Representative for Medical Ethics Within Romania","volume":"6","author":"Rogozea","year":"2009","journal-title":"Bull. Transilv. Univ. Braov."},{"key":"ref_25","first-page":"87","article-title":"Forensic Psychiatry: Contemporary Scope, Challenges and Controversies","volume":"5","year":"2006","journal-title":"World Psychiatry"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1080\/1536710X.2017.1372240","article-title":"Forensic Evaluation of Deaf Individuals: Challenges and Strategies","volume":"16","author":"Pollard","year":"2017","journal-title":"J. Soc. Work. Disabil. Rehabil."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s12207-015-9220-8","article-title":"Civil and Criminal Forensic Psychological Assessment: Similarities and Unique Challenges","volume":"8","author":"Wygant","year":"2015","journal-title":"Psychol. Inj. Law"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2392","DOI":"10.2174\/156802611797470277","article-title":"State Dissociation, Human Behavior, and Consciousness","volume":"11","author":"Mahowald","year":"2012","journal-title":"Curr. Top. Med. Chem."},{"key":"ref_29","first-page":"517","article-title":"Daubert Considerations in Forensic Evaluations by Telepsychiatry","volume":"50","author":"Recupero","year":"2022","journal-title":"J. Am. Acad. Psychiatry Law Online"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1001\/jamapsychiatry.2020.4442","article-title":"Association of Psychiatric Disorders With Mortality Among Patients with COVID-19","volume":"78","author":"Nemani","year":"2021","journal-title":"JAMA Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Hasson-Ohayon, I., and Lysaker, P.H. (2023). Special Challenges in Psychotherapy Continuation and Adaption for Persons with Schizophrenia in the Age of Coronavirus (COVID-19). How the COVID-19 Pandemic Transformed the Mental Health Landscape, Routledge.","DOI":"10.4324\/9781003352235-9"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/4\/483\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:35:55Z","timestamp":1760027755000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/4\/483"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,17]]},"references-count":31,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["diagnostics15040483"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics15040483","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2025,2,17]]}}}