Volume 13, Issue 4 (Shenakht Journal of Psychology and Psychiatry 2026)
Shenakht Journal of Psychology and Psychiatry 2026, 13(4): 530-539 |
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Shokrgozar S, Seyedi R, Khalkhali M, Saber Ofoghi R, Yousefi N. Frequency of Incapacitation Assessment Requests and Associated Factors at the Guilan Forensic Medicine Organization in 2023-24. , Shenakht Journal of Psychology and Psychiatry. 2026; 13 (4) :530-539
URL: http://shenakht.muk.ac.ir/article-1-2590-en.html
URL: http://shenakht.muk.ac.ir/article-1-2590-en.html
Somayeh Shokrgozar1 
, Roya Seyedi *2 , Mohammadrasoul Khalkhali1 , Reyhaneh Saber Ofoghi3 , Nooshin Yousefi4
, Roya Seyedi *2 , Mohammadrasoul Khalkhali1 , Reyhaneh Saber Ofoghi3 , Nooshin Yousefi4
1- Associate Professor of Psychiatry, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2- MD, Psychiatry Resident, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran ,royaseyedi@gmail.com
3- Psychiatrist, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
4- MD, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
2- MD, Psychiatry Resident, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran ,
3- Psychiatrist, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
4- MD, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
Abstract: (23 Views)
Background and Aims: The issuance of an incapacitation order has significant implications and affects an individual’s autonomy in both financial and non-financial domains. This study examined the frequency of incapacitation assessment requests and associated factors at the Guilan Forensic Medicine Organization in 2023-2024.
Materials and Methods: This cross-sectional analytical study involved 250 cases referred for incapacitation assessment over one year. Data were collected through clinical interviews and medical records at the examination and commission levels, and diagnoses were made according to DSM-5-TR criteria. Data were entered into SPSS software (version 26) and analyzed using descriptive statistics, Chi-square test, independent t-test, Mann–Whitney U test, and logistic regression at a significance level of 0.05.
Results: More than half of cases were diagnosed with permanent and temporary incapacitation. The most common diagnosis associated with permanent incapacitation was neurodegenerative disorders (39.8% in examination and 79.2% in commission level), while bipolar disorder (66.7% and 100% [n=4], respectively) was among temporary cases. Significant correlations were observed between the physician’s opinion (P=0.012), psychiatric interview findings (P=0.018), history of hospitalization (P<0.001), and incapacitation. Among referral reasons, requisition of heirs (P=0.043), contract revocation (P=0.049), guardianship assignment (P<0.001), and release of liability (P<0.001) had a significant correlation with incapacition obtaining.
Conclusion: Psychiatric diagnosis was associated with the determination of incapacitation; however, diagnosis alone does not determine incapacitation, which requires comprehensive assessment of decision-making capacity and other relevant factors.
Materials and Methods: This cross-sectional analytical study involved 250 cases referred for incapacitation assessment over one year. Data were collected through clinical interviews and medical records at the examination and commission levels, and diagnoses were made according to DSM-5-TR criteria. Data were entered into SPSS software (version 26) and analyzed using descriptive statistics, Chi-square test, independent t-test, Mann–Whitney U test, and logistic regression at a significance level of 0.05.
Results: More than half of cases were diagnosed with permanent and temporary incapacitation. The most common diagnosis associated with permanent incapacitation was neurodegenerative disorders (39.8% in examination and 79.2% in commission level), while bipolar disorder (66.7% and 100% [n=4], respectively) was among temporary cases. Significant correlations were observed between the physician’s opinion (P=0.012), psychiatric interview findings (P=0.018), history of hospitalization (P<0.001), and incapacitation. Among referral reasons, requisition of heirs (P=0.043), contract revocation (P=0.049), guardianship assignment (P<0.001), and release of liability (P<0.001) had a significant correlation with incapacition obtaining.
Conclusion: Psychiatric diagnosis was associated with the determination of incapacitation; however, diagnosis alone does not determine incapacitation, which requires comprehensive assessment of decision-making capacity and other relevant factors.
Type of Study: Research |
Subject:
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Received: 2025/08/10 | Accepted: 2025/09/8 | Published: 2026/11/10
Received: 2025/08/10 | Accepted: 2025/09/8 | Published: 2026/11/10
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