From schadenfreude to contemplation: lessons for forensic experts.

In 2005, the Chief Coroner of Ontario instituted a review into 45 cases of criminally suspicious child deaths about which a prominent pediatric forensic pathologist had expressed an opinion that the cause was homicide. Subsequently, a provincial inquiry was called to review the practice and oversight of pediatric forensic pathology in Ontario and to make recommendations to restore and enhance public confidence in forensic pathology. Recommendations from the inquiry addressed medical subspecialization, the evidentiary basis for expert opinion, oversight of the profession, and development of best forensic practices. Although the inquiry focused on pathologists, it is clear that these recommendations have significant implications for all forensic professions, including forensic psychiatry. This article summarizes the inquiry report and considers the potentially important implications for forensic psychiatry.