In re: Q.J.

CourtCourt of Appeals of North Carolina
DecidedJuly 20, 2021
Docket20-551
StatusPublished

This text of In re: Q.J. (In re: Q.J.) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re: Q.J., (N.C. Ct. App. 2021).

Opinion

IN THE COURT OF APPEALS OF NORTH CAROLINA

2021-NCCOA-346

No. COA20-551

Filed 20 July 2021

Durham County, No. 19 SPC 2461

IN THE MATTER OF: Q.J.

Appeal by Respondent from an Order entered 17 January 2020 by Judge Pat

Evans in Durham County District Court. Heard in the Court of Appeals 10 March

2021.

Attorney General Joshua H. Stein, by Assistant Attorney General John Tillery, for the State.

Appellate Defender Glenn Gerding, by Assistant Appellate Defender Katy Dickinson-Shultz, for respondent-appellant.

HAMPSON, Judge.

Factual and Procedural Background

¶1 Respondent-Appellant Q.J. (Respondent) appeals from an Involuntary

Commitment Order entered in Durham County District Court declaring Respondent

mentally ill, a danger to self and others, and ordering Respondent be committed to

an inpatient facility for thirty days. The Record reflects the following: IN RE C.G.

GRIFFIN, J., dissenting

¶2 On 25 December 2019, Dr. Naveen Sharma with Duke University Medical

Center (Duke), signed an Affidavit and Petition for Involuntary Commitment in

Durham County District Court stating Respondent was mentally ill and a danger to

himself or others or “in need of treatment in order to prevent further disability or

deterioration” likely to result in dangerousness. Submitted with this Affidavit was

an Examination for Involuntary Commitment report conducted by Dr. Sharma. Dr.

Sharma stated Respondent had a “history of schizoaffective disorder” and “multiple

hospitalizations[.]” Moreover, according to Dr. Sharma, Respondent presented “to

the Duke emergency department with a similar presentation to previous [emergency

department visits] that led to” Respondent being hospitalized in the past.

¶3 The report also stated: “Per the police officers, he was having thoughts of

harming his mother, and has previously threatened to slit her throat with a knife,

and also had expressed suicidal thoughts.” Dr. Sharma noted, “[Respondent]

presents with disorganized behavior and manic speech[,] . . . is unable to adequately

care for himself in the community, and has not been regularly taking his prescribed

medicine. As such it is my best clinical judgment that this patient will require

inpatient hospitalization for stabilization and safety.” IN RE C.G.

¶4 On 25 December 2019, a magistrate issued a Findings and Custody Order

finding Respondent was mentally ill and a danger to himself or others, and ordering

Respondent be delivered to Duke’s “Williams Ward.”1

¶5 Respondent underwent a second evaluation, conducted by Dr. Bryan Lao, at

Duke’s inpatient unit the next day. Dr. Lao’s report stated Respondent “has a

previous history of schizo-affective disorder, bipolar type . . . has been hospitalized

over 30 times in the past due to the medication non-compliance . . . has a history of

threatening his family[,] . . . and thoughts of hurting/killing his mother.” The report

also alleged Respondent “has had numerous suicide attempts in the past including .

. . attempting to cut his own arm off.”

¶6 On 17 January 2020, after granting two continuances, the trial court heard

Respondent’s case pursuant to N.C. Gen. Stat. § 122C-268. At the outset,

Respondent’s counsel objected to the proceedings because there was no representative

for the State present. Defense counsel noted the district attorney’s office believed it

was not required to send a representative as did the Attorney General’s office. The

trial court overruled Respondent’s objection and the hearing continued.

¶7 The trial court called Dr. Kristen Shirey as the only witness to testify for Duke.

Respondent’s counsel objected to the trial court allowing Dr. Shirey’s testimony

1 The Affidavit, examination report, and Findings and Custody Order were all filed on

27 December 2019. IN RE C.G.

because Dr. Shirey did not complete either of Respondent’s evaluations for

commitment; the trial court overruled Respondent’s objection.

¶8 The trial court asked Dr. Shirey: “All right, ma’am. Tell me what it is you want

me to know about this matter.” Dr. Shirey testified Respondent was brought to Duke

after expressing homicidal ideations toward his mother. Respondent had an

extensive history of schizoaffective disorder and past hospitalizations. Dr. Shirey

testified despite Respondent “responding well” to his medication, he “has significantly

limited insight into the nature of his illness or the need for ongoing medication.” In

Dr. Shirey’s opinion, if Respondent were released, his risk of decompensating was

high, possibly resulting in suicidal or homicidal ideations or actions. Dr. Shirey also

testified Respondent’s “assertive community treatment” team recommended

Respondent “have a longer-term hospitalization in order to achieve more stabilization

. . . with [a] long-acting injectable medication.” The trial court asked if Dr. Shirey

had “[a]nything else” to add. Dr. Shirey did not.

¶9 Upon cross-examination, Respondent’s counsel confirmed Dr. Shirey was not

“the doctor that completed the first evaluation[.]” Dr. Shirey testified despite having

histories of threatening others and of suicide attempts, Respondent had not made any

such threats or suicidal ideations during this visit to Duke. When asked whether

Respondent had harmed himself after being released from his earlier

hospitalizations, Dr. Shirey stated: “He has harmed himself a few times, but not IN RE C.G.

others.” The trial court asked: “Do you wish to explain your answer?” Dr. Shirey

explained Respondent had a history of suicide attempts, including trying to cut off

his own arm. The trial court asked Dr. Shirey: “I’m sorry, what was the last thing

you said?” Dr. Shirey clarified: “Attempting to cut off his own arm.”

¶ 10 Following cross-examination by Respondent’s counsel, the trial court further

inquired:

Q. Doctor, is it your testimony that the Defendant is or is not a danger to himself now?

A. He is a danger to himself now.

Q. Is it your testimony that the Defendant is or is not a danger to others at this present time?

A. He is a danger to others.

Q. And how long are you asking to commit him?
A. Thirty days.

¶ 11 Respondent’s counsel called Respondent to testify. After some discussion

between Respondent and the bailiff, where Respondent expressed reservations about

testifying claiming to do so would be “sacrilegious,” Respondent did not take the

witness stand. Respondent’s counsel gave closing remarks in which counsel asked

the trial court to release Respondent because, although the trial court heard evidence

that Respondent was a danger to himself and others in the past, Respondent had

made no suicidal ideations while at Duke and none of his previous threats to others IN RE C.G.

had “come to fruition.”

¶ 12 After Respondent’s counsel gave her closing remarks, the trial court found

Respondent was mentally ill, was a danger to himself and others, and ordered

Respondent be committed for thirty days. Respondent then asked the trial court:

“Can I still take the stand? Can I try again?” The trial court allowed Respondent to

take the stand. Respondent testified he did not feel he was a threat to himself, to his

mother, or to others. He also testified he would call 911 if he ever needed any help

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