Legal Responsibility in Cases of Assault by Mentally Ill Individuals - Psychiatry

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Legal Responsibility


Hello, doctor.
I would like to ask you about a recent incident involving a child of a friend who was assaulted by a man with a mental health disability certificate.
This man entered the school and attacked the child without reason, resulting in injuries that required facial surgery.
Subsequently, this man, dissatisfied with being reported, recently confronted a group of students on the school road and threatened them, saying that whoever ran away would be beaten.
He then assaulted two students with a wrench, causing intracranial bleeding, and left the scene.

In such cases where we are assaulted without cause, what legal avenues can we pursue for complaints? The police mentioned that since he holds a certificate and is not a current offender, there is little they can do.
Does this mean he can evade legal consequences? My friend’s child is now traumatized and wakes up in fear at night, suffering both physically and mentally.
Can we seek a medical certificate from you to hold this man legally accountable? Although he has been subjected to involuntary treatment, we fear that he might harm others again after being discharged.
How can ordinary citizens protect themselves in such situations? Is it true that individuals with mental health issues can act violently without facing criminal charges? Thank you for taking the time to answer my questions.
Wishing you peace and happiness.

Youxin de muqin, 20~29 year old female. Ask Date: 2010/06/15

Dr. Chen Wenyu reply Psychiatry


Dear concerned mother,
There is no regulation that holding a mental and physical disability handbook exempts one from criminal liability.
Since he understands revenge and is capable of using tactics to block others during school commutes, his actions cannot be classified as "loss of mental faculties" driven by delusions or hallucinations.
Therefore, he must bear legal responsibility.
Whether to substitute his punishment with involuntary hospitalization for treatment is a decision for the judge to make, not the police.
Many individuals with mental illnesses have been mandated to undergo involuntary hospitalization in psychiatric wards as an alternative to prison sentences, and there are numerous precedents for this.
Furthermore, even after discharge, they must be included in a system of mandatory community treatment and monitoring for severe cases, overseen by mental health institutions and health centers.
However, it is essential to insist on filing a complaint.
Intracranial hemorrhage should be classified as a serious injury, and this must be determined through a court ruling, rather than solely by the police or hospital.
Thank you for your letter!

Reply Date: 2010/06/15

More Info


The situation you describe raises significant concerns regarding the intersection of mental health and legal responsibility, particularly in cases involving individuals with diagnosed mental illnesses who commit acts of violence. Understanding the legal framework surrounding such incidents is crucial for both the victims and the community.

In many jurisdictions, individuals with mental illnesses may be held to a different standard of legal responsibility compared to those without such conditions. This is often rooted in the principle of "mens rea," or the mental state of the individual at the time of the offense. If a person is found to be legally insane, they may not be held criminally responsible for their actions because they lacked the capacity to understand the nature of their actions or to distinguish right from wrong. This can lead to outcomes such as mandatory treatment rather than incarceration, which can be frustrating for victims seeking justice.

In your case, the individual who assaulted your friend’s child and subsequently threatened other students has a documented mental illness. This complicates the legal response. While the police may have indicated that they cannot take action because he is not a current threat or because he is not a "fresh" offender, this does not mean that victims have no recourse. Victims of violent acts have the right to seek protection and justice, even when the perpetrator has a mental health diagnosis.

Here are some steps that can be taken:
1. Document Everything: It is essential to keep detailed records of all incidents, including dates, times, descriptions of the events, and any witnesses. This documentation can be crucial in legal proceedings.

2. File a Police Report: Even if the police initially seem unresponsive, it is important to file a formal report. This creates an official record of the incidents, which can be referenced later.

3. Seek Legal Counsel: Consulting with a lawyer who specializes in personal injury or criminal law can provide guidance on how to proceed. They can help navigate the complexities of the legal system, especially regarding cases involving mental health issues.

4. Restraining Orders: If there is a credible threat to safety, victims may be able to obtain a restraining order against the individual. This legal document can provide some level of protection and may compel law enforcement to take further action if the order is violated.

5. Mental Health Advocacy: Engaging with mental health advocacy groups can provide additional resources and support. These organizations often have experience dealing with the legal system and can offer guidance on how to advocate for both the victims and the responsible treatment of individuals with mental health issues.

6. Community Awareness: Raising awareness within the community about the risks posed by individuals with untreated or poorly managed mental health issues can lead to better preventive measures and community support systems.

7. Therapeutic Support: For those affected by the trauma of such incidents, seeking psychological support is vital. Therapy can help individuals process their experiences and develop coping strategies for anxiety and fear stemming from the incidents.

It is important to note that while individuals with mental health issues may have protections under the law, this does not mean they are free from accountability for their actions. The legal system must balance the rights of individuals with mental health conditions with the safety and rights of the community.
In conclusion, while the situation is undoubtedly complex and fraught with emotional and legal challenges, there are avenues available for victims to seek justice and protection. It is crucial to remain proactive and informed about both legal rights and mental health resources to navigate this difficult landscape effectively.

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