Criminal Proceedings

Insanity / Automatism Defence

Expert psychiatric evaluation of the insanity and automatism defence — examining the defendant’s mental state at the time of the offence to determine criminal responsibility. Urgent reports are available for time-sensitive proceedings.

Section 12 Approved Psychiatrists
CPR Part 35 Compliant
Urgent Reports Available

Expert Type

  • Forensic Psychiatrist
  • Consultant Neurologist
  • Clinical Psychologist
  • Neuropsychologist

Applicable Law

  • M’Naghten Rules 1843
  • Trial of Lunatics Act 1883
  • Criminal Procedure (Insanity) Act 1964
  • Criminal Procedure (Insanity and Unfitness to Plead) Act 1991
  • Domestic Violence, Crime and Victims Act 2004

When Needed

when a defendant claims they were not criminally responsible due to a disease of the mind or a total loss of voluntary control.

What Is an Insanity / Automatism Defence Assessment?

An insanity or automatism assessment is a specialised forensic psychiatric evaluation conducted to determine whether a defendant can be held legally responsible for their actions. This involves exploring the M’Naghten Rules to establish if a defect of reason caused by a disease of the mind prevented the individual from knowing the nature or wrongness of the act.

The assessment also distinguishes between insane automatism (caused by an internal factor) and sane automatism (caused by an external factor). To succeed, the evidence must demonstrate a total loss of control rather than merely impaired judgment or reduced impulse control at the material time.

  • Defect of reason — a significant impairment of the power of reasoning
  • Disease of the mind — an internal underlying condition affecting mental faculties
  • Nature and quality — inability to understand the physical character of the act
  • Knowledge of wrongfulness — failure to realise the act was legally wrong
  • External factors — identification of external triggers such as medication or physical trauma
  • Voluntary control — evidence of a total absence of conscious deliberation or choice

These assessments require highly experienced Section 12 approved psychiatrists who understand the rigorous thresholds of the criminal courts. The expert provides a detailed analysis of the defendant’s history and mental state to assist the trier of fact.

Our experts ensure that the clinical evidence is mapped directly onto the legal criteria for these special defences. We provide clear, CPR Part 35 compliant reports that withstand cross-examination in the Crown Court.

Key Assessment Components

Our assessment evaluates the following areas:

Clinical Interview

In-depth psychiatric examination to assess mental state and historical symptoms.

Documentary Review

Meticulous analysis of medical records, witness statements, and police interviews.

M’Naghten Application

Rigorous testing of the case facts against the legal criteria for insanity.

Causality Analysis

Differentiating between internal diseases and external triggers for automatism.

Neuropsychological Testing

Standardised assessments to identify cognitive impairments or organic brain damage.

Collateral Evidence

Integration of third-party accounts to verify behavioural patterns during the incident.

Conditions That May Affect This Assessment

A range of psychiatric and psychological conditions can affect this assessment. These include:

Psychotic disorders (Schizophrenia, Schizoaffective Disorder)
Bipolar Disorder (Manic episodes)
Severe Depressive episodes with psychosis
Organic brain syndromes (Dementia, Epilepsy)
Complex Post-Traumatic Stress Disorder
Dissociative disorders

The clinical presentation must be specifically linked to the legal threshold at the exact time of the offence.

Assessment Process

  1. Instruction Received

    We review the letter of instruction and case papers to confirm the scope of the insanity or automatism enquiry.

  2. Expert Matched

    We select a forensic psychiatrist or neurologist with specific expertise in the defendant’s suspected condition.

  3. Assessment Conducted

    A face-to-face or remote clinical interview is performed, potentially including neuropsychological screening.

  4. Report Delivered

    A comprehensive, CPR Part 35 compliant report is issued, detailing the expert opinion on criminal responsibility.

Turnaround Times

Urgency Level Timescale
Standard Report 4-6 weeks from assessment
Priority Report 1-2 weeks
Urgent Report 1-4 days
We provide expedited insanity assessments for urgent legal deadlines, often delivering within 1-4 days of the interview.

What’s Included in the Report

Comprehensive psychiatric history
Analysis of the M’Naghten Rules
Detailed mental state examination
Review of GP and hospital records
Assessment of ‘defect of reason’
Opinion on ‘nature and quality’ of acts
Evaluation of ‘knowledge of wrongness’
Differentiation between sane and insane automatism
Causality regarding external vs internal factors
Summary of findings for the court

All reports are fully CPR Part 35 compliant and our experts are available for live testimony and cross-examination.

Frequently Asked Questions

Need a Insanity / Automatism Defence Report?

Contact our team today for an expert evaluation of criminal responsibility and the automatism defence. We provide detailed CVs and transparent quotes within 60 minutes.