The Impact of Stigma and Diagnostic Term on Juror Decision-Making in a Mock Criminal Trial

Holmes, Harriet, Fitton, Lucy ORCID: https://orcid.org/0000-0001-8396-8356, Edwards, Ian, Metcalfe-Hume, Rachel and Beazley, Peter ORCID: https://orcid.org/0000-0001-8821-1213 (2026) The Impact of Stigma and Diagnostic Term on Juror Decision-Making in a Mock Criminal Trial. International Journal of Forensic Mental Health. ISSN 1932-9903

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Abstract

Public stigma towards mental health conditions has been subject to considerable research. Whilst there is evidence to suggest that different psychiatric diagnoses may be associated with varying levels of public stigma, research exploring the impact of such differences is limited. In the present study, we considered whether differences in diagnosis and baseline individual stigma towards mental health conditions influenced juror decision-making in a mock criminal trial. We used an online, between-groups experimental design, with n=150 participants being manipulated between three experimental conditions (‘Schizophrenia’, ‘Borderline Personality Disorder’ and ‘Complex Mental Health Condition’), and measured stigma using a validated measure. A video trial vignette depicting a case of alleged criminal damage was presented where the only manipulation was the diagnostic term. Both logistic and linear hierarchical regressions were used to consider the effect of diagnosis and stigma on guilt, which was rated both as a binary and continuous measure. The results suggest that juror stigma, but not the exposure to different diagnostic terms, was a significant factor in the individual verdicts that jurors reached, associated with a medium/large standardised effect in the linear regression (β=0.54, p<0.001). Heterogeneity between individual jurors in guilt ratings was high. Moreover, male jurors were also more likely to give a guilty verdict than female jurors, contrary to previous research. Strengths and limitations of the study are discussed, along with implications for legal professionals and clinicians working within the criminal courts of England and Wales.

Item Type:	Article
Additional Information:	Data availability statement: Data and materials are available from the following link: https://osf.io/uaxdj/overview?view_only=e7205a8fc6924b0a907f6ce3747dfbaa
Uncontrolled Keywords:	sdg 3 - good health and well-being,sdg 16 - peace, justice and strong institutions ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School Faculty of Social Sciences > School of Law
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Centres > Mental Health and Social Care (fka Lifespan Health)
Depositing User:	LivePure Connector
Date Deposited:	15 Sep 2026 10:48
Last Modified:	20 Sep 2026 05:26
URI:	https://ueaeprints.uea.ac.uk/id/eprint/104535
DOI:	10.1177/14999013261480723

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