In forensic psychiatry, the assessment of criminal responsibility, social dangerousness, and the risk of recidivism are essential areas of focus. Upon an individual attempting to plead insanity in their defense, different criteria have to be met. However, there is an overall agreement that a person having an impaired mental state does severely impact their accountability for criminal behavior and how much of a threat they are to the public. A study that was conducted analyzed the different characteristics of a defendant and found that clinicians deeming them not criminally responsible is linked to having a psychiatric history and psychiatric disorders. Those who are thought to be dangerous to society are more likely to have a disorder on the schizophrenia spectrum or a personality disorder like Borderline Personality and Antisocial Personality Disorder (ASPD). It is essential for clinicians and researchers to accurately assess a defendant’s mental state as it can determine how safe the public will be with their presence and the type of support they should receive.