Factors associated with decision-making capacity in persons with mental illnesses: Baseline findings of a prospective study

Clinical insight (≥2) is the strongest correlate of preserved DMC in psychiatric inpatients, with SoI (BPRS ≤ 31) providing an additional influence, at baseline. Routine context-specific structured assessments of insight and SoI should be integrated into psychiatric evaluations for DMC to improve objectivity, and support patient autonomy.