@article {Salem549, author = {Anasuya Salem and Cecilia Leonard}, title = {Psychiatric and Clinical Sequelaeof Delirium and Competenceto Stand Trial}, volume = {37}, number = {4}, pages = {549--551}, year = {2009}, publisher = {Journal of the American Academy of Psychiatry and the Law Online}, abstract = {We present the case of a middle-aged defendant who had been incarcerated in a county jail and housed on the mental health unit. It was documented that he had been exhibiting fluctuating levels of alertness and responsiveness. The writers saw him in a forensic capacity, to conduct an evaluation of his competence to stand trial, and recognized that he was having a medical emergency, delirium that was most likely due to brain metastases from inoperable advanced cancer. We recommended an immediate transfer to a medical facility for treatment. The article serves to present an interesting case and to highlight the need for clinical vigilance despite the usual goal of an objective, noninterfering forensic role.}, issn = {1093-6793}, URL = {https://jaapl.org/content/37/4/549}, eprint = {https://jaapl.org/content/37/4/549.full.pdf}, journal = {Journal of the American Academy of Psychiatry and the Law Online} }