Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional study

Abstract Background Legal professionals frequently encounter forensic mental health issues in the criminal justice system. These issues can significantly impact the outcome of cases, making it essential to understand the attitudes and perceptions of these experts towards mental illness. While the li...

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Main Authors: Rayan Mroué, Michele Cherro, Ghida Kassir, Elias Ghossoub, Nadia Dandan
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:Middle East Current Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s43045-025-00500-6
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author Rayan Mroué
Michele Cherro
Ghida Kassir
Elias Ghossoub
Nadia Dandan
author_facet Rayan Mroué
Michele Cherro
Ghida Kassir
Elias Ghossoub
Nadia Dandan
author_sort Rayan Mroué
collection DOAJ
description Abstract Background Legal professionals frequently encounter forensic mental health issues in the criminal justice system. These issues can significantly impact the outcome of cases, making it essential to understand the attitudes and perceptions of these experts towards mental illness. While the literature has shown widespread stigma towards mental illness in the general population, there has been limited research focusing on the attitudes of judges and lawyers. This study aims to investigate the stigma related to mental health among Lebanese legal professionals. We sent an online questionnaire to judges and lawyers practicing in Lebanon. The survey included a section on socio-demographics and the following scales: Reported and Intended Behavior Scale (RIBS) which measures mental health stigma-related behavior and Perceived Devaluation and Discrimination Scale (PDDS) measuring the extent to which a person believes that most people will devalue or discriminate against someone with a mental illness. Results A total of 215 participants, with a mean age of 38.69 and a mean of 13.16 years of experience, completed the questionnaire. Most were females (62.8%) and worked as civil attorneys (47.4%). Only a minority received instruction on mental health or mental health law during training (10.7% and 8.8%). About a quarter believed their education on mental health issues was sufficient. Participants with positive attitudes (RIBS) were more likely to have a family member with a mental illness (p value = .001), feel comfortable handling cases involving mental health (p value = .001), and have lived with someone with a mental illness (p value = .007). Feeling educated about mental health issues was associated with lower perceived stigma on the PDDS (p value = .021). Conclusions The findings imply that enhancing mental health education and awareness within the legal profession could be a key strategy to reduce stigma and improve the overall treatment of individuals with mental health issues within the criminal justice system in Lebanon.
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spelling doaj-art-db2133e2f0d44e75bd12c098b7a919152025-02-09T12:09:14ZengSpringerOpenMiddle East Current Psychiatry2090-54162025-02-013211710.1186/s43045-025-00500-6Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional studyRayan Mroué0Michele Cherro1Ghida Kassir2Elias Ghossoub3Nadia Dandan4Department of Psychiatry, American University of BeirutDepartment of Psychiatry, American University of BeirutDepartment of Psychiatry, American University of BeirutDepartment of Psychiatry, American University of BeirutDepartment of Psychiatry, American University of BeirutAbstract Background Legal professionals frequently encounter forensic mental health issues in the criminal justice system. These issues can significantly impact the outcome of cases, making it essential to understand the attitudes and perceptions of these experts towards mental illness. While the literature has shown widespread stigma towards mental illness in the general population, there has been limited research focusing on the attitudes of judges and lawyers. This study aims to investigate the stigma related to mental health among Lebanese legal professionals. We sent an online questionnaire to judges and lawyers practicing in Lebanon. The survey included a section on socio-demographics and the following scales: Reported and Intended Behavior Scale (RIBS) which measures mental health stigma-related behavior and Perceived Devaluation and Discrimination Scale (PDDS) measuring the extent to which a person believes that most people will devalue or discriminate against someone with a mental illness. Results A total of 215 participants, with a mean age of 38.69 and a mean of 13.16 years of experience, completed the questionnaire. Most were females (62.8%) and worked as civil attorneys (47.4%). Only a minority received instruction on mental health or mental health law during training (10.7% and 8.8%). About a quarter believed their education on mental health issues was sufficient. Participants with positive attitudes (RIBS) were more likely to have a family member with a mental illness (p value = .001), feel comfortable handling cases involving mental health (p value = .001), and have lived with someone with a mental illness (p value = .007). Feeling educated about mental health issues was associated with lower perceived stigma on the PDDS (p value = .021). Conclusions The findings imply that enhancing mental health education and awareness within the legal profession could be a key strategy to reduce stigma and improve the overall treatment of individuals with mental health issues within the criminal justice system in Lebanon.https://doi.org/10.1186/s43045-025-00500-6Forensic psychiatryLebanonStigmaMental healthJudgesAttorneys
spellingShingle Rayan Mroué
Michele Cherro
Ghida Kassir
Elias Ghossoub
Nadia Dandan
Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional study
Middle East Current Psychiatry
Forensic psychiatry
Lebanon
Stigma
Mental health
Judges
Attorneys
title Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional study
title_full Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional study
title_fullStr Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional study
title_full_unstemmed Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional study
title_short Stigma associated with mental illness: perspectives of judges and attorneys in Lebanon — a cross-sectional study
title_sort stigma associated with mental illness perspectives of judges and attorneys in lebanon a cross sectional study
topic Forensic psychiatry
Lebanon
Stigma
Mental health
Judges
Attorneys
url https://doi.org/10.1186/s43045-025-00500-6
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AT ghidakassir stigmaassociatedwithmentalillnessperspectivesofjudgesandattorneysinlebanonacrosssectionalstudy
AT eliasghossoub stigmaassociatedwithmentalillnessperspectivesofjudgesandattorneysinlebanonacrosssectionalstudy
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