Vu v. Second Jud. Dist. Ct. , 2016 NV 21 ( 2016 )


Menu:
  •                                                      132 Nev., Advance Opinion 21
    IN THE SUPREME COURT OF THE STATE OF NEVADA
    PHONG T. VU,                                          No. 65498
    Petitioner,
    vs.
    THE SECOND JUDICIAL DISTRICT
    COURT OF THE STATE OF NEVADA,
    FILED
    IN AND FOR THE COUNTY OF                                         MAR 3 1 2016
    WASHOE; AND THE HONORABLE
    4i ° P i
    K LINDEMAN
    CLE                     RT
    CHUCK WELLER, DISTRICT JUDGE,
    Respondents,                                                 •
    and
    RICHARD A. GAMMICK, DISTRICT
    ATTORNEY,
    Real Party in Interest.
    Original petition for a writ of mandamus challenging a district
    court order granting a petition to have petitioner involuntarily admitted to
    a mental health facility and directing transmission of the order to the
    Central Repository for Nevada Records of Criminal History.
    Petition denied.
    Jeremy T. Bosler, Public Defender, and John Reese Petty and Kathleen M.
    O'Leary, Chief Deputy Public Defenders, Washoe County,
    for Petitioner.
    Christopher J. Hicks, District Attorney, and Blaine E. Cartlidge, Deputy
    District Attorney, Washoe County,
    for Real Party in Interest.
    SUPREME COURT
    OF
    NEVADA
    . 10/ 1947A                                                                               -
    BEFORE THE COURT EN BANC.
    OPINION
    By the Court, PARRAGUIRRE, C.J.:
    Under NRS 433A.310(1)(b), a district court may issue an order
    involuntarily admitting a person to a mental health facility if clear and
    convincing evidence demonstrates that the person "has a mental illness
    and, because of that illness, is likely to harm himself or herself or others if
    allowed his or her liberty." The district court's order "must be
    interlocutory and must not become final if, within 30 days after the
    involuntary admission, the person is unconditionally released." Id. "If the
    court issues an order involuntarily admitting a person. . . , the court
    shall . . . cause . . . a record of such order to be transmitted to the Central
    Repository for Nevada Records of Criminal History. . .." NRS
    433A.310(5).
    At issue in this original proceeding is whether NRS
    433A.310(5) requires a district court to transmit an admission order at the
    time it is entered or if, instead, the district court is prohibited from
    transmitting the order until it becomes final under NRS 433A.310(1)(b)—
    i.e., until 30 days have elapsed without the admitted person being
    unconditionally released. We conclude that NRS 433A.310(5)'s plain
    language requires a district court to transmit an admission order at the
    time it is entered. Thus, although the petitioner in the underlying
    proceedings was unconditionally released 12 days after the district court's
    involuntary admission order, the district court was required under NRS
    433A.310(5) to transmit the order to the Central Repository. And because
    the district court reasonably determined that clear and convincing
    SUPREME COURT
    OF
    NEVADA
    2
    (0) 1947A    e
    evidence justified petitioner's involuntary admission, we deny petitioner's
    request for extraordinary writ relief
    FACTS
    The Sparks Police Department responded to a call from
    petitioner Phong Vu's family in which the family requested assistance
    with Vu. According to the police report, Vu had threatened to murder his
    family, he was found with box cutters in his pocket, and he was muttering
    about murder while the police were present. The responding officers
    applied for the temporary emergency admission of Vu to a mental health
    facility, which was approved by a physician. Three days later, a
    psychiatrist filed a petition for court-ordered continued involuntary
    admission of Vu to a mental health facility. Based on her examination of
    Vu, the psychiatrist concluded that he had a mental illness and, as a
    result of that mental illness, there was an imminent risk that Vu was
    likely to harm himself or others if Vu were not involuntary admitted to a
    mental health facility.
    Vu was appointed a public defender, and a hearing on the
    petition was held before the district court. At the hearing, the Washoe
    County District Attorney's Office, representing the State, called as
    witnesses a court-appointed psychiatrist and a court-appointed
    psychologist, both of whom had interviewed Vu. The District Attorney
    elicited testimony from the psychiatrist that Vu's family had called the
    police due to their concerns that Vu posed a threat to their safety. The
    psychiatrist also testified regarding an incident in which Vu, after having
    been admitted to a facility on an emergency basis, had approached a
    doctor in a manner that the doctor perceived as threatening, thereby
    prompting the doctor to seek intervention from other employees. The
    psychiatrist further testified that Vu was refusing to take an antipsychotic
    SUPREME COURT
    OF
    NEVADA
    3
    (l) 1947A •
    medication that had been prescribed to him. Summing up her opinion, the
    psychiatrist explained that although Vu had not committed any act in
    furtherance of a threat during the incidents with his family and the
    doctor,
    I believe that the perceptions that people have
    that he is threatening to them, as well as his
    inability to communicate in an organized fashion,
    put him at risk for his own safety and well-being
    that if somebody feels threatened by him, they
    may respond in a way that affects his well-being
    [because] they may feel as though they need to
    defend themselves against the threat, and they
    may not have a mental health tech or the Sparks
    Police Department [to intervene].
    The District Attorney elicited similar testimony from the court-appointed
    psychologist, who summed up his opinion by stating, "I can't predict that
    anybody would assault [Vu], but I feel there's certainly a risk of that."
    At the end of the hearing, the district court made the following
    findings:
    [I] can glean that there exists a reasonable
    probability that a serious bodily injury will occur if
    he's discharged soon because of the fact that that's
    how people have reacted to him in recent days.
    There's nothing to suggest that his behavior has
    been modified. . . . I find that within the last 30
    days he's. . . had auditory hallucinations
    and ... some of those are paranoid. He's carried
    weapons. It may reasonably be inferred from
    these acts that without the care, supervision and
    continued assistance of others, that he will be
    unable to satisfy his personal needs for self-
    protection and safety. . . unless admitted to a
    mental health facility and adequate treatment is
    provided.
    SUPREME COURT
    OF
    NEVADA
    4
    (01 1947A    e
    Over defense counsel's objection, the district court directed the clerk of the
    court to forward a record of the involuntary admission order to the Central
    Repository for inclusion in the National Instant Criminal Background
    Check System (NICS)."
    Twelve days after thefl district court's admission order was
    entered, Vu was unconditionally released from the mental health facility
    based on the determination of a team of evaluators that Vu no longer
    presented a clear and present danger of harm to himself or others.         See
    NRS 433A.390(2). Thereafter, Vu filed this petition for a writ of
    mandamus, asking that this court direct the district court to recall from
    the Central Repository the previously transmitted record of Vu's
    involuntary admission. As a basis for the requested relief, Vu contends
    that (1) NRS 433A.310(5) did not authorize transmission of the
    involuntary admission order unless and until that order became final
    under NRS 433A.310(1); and (2) regardless, the district court's underlying
    determination that Vu should have been involuntarily admitted was not
    supported by sufficient evidence.
    DISCUSSION
    "A writ of mandamus is available to compel the performance of
    an act that the law requires as a duty resulting from an office, trust, or
    'Records transmitted to the Central Repository are "included in each
    appropriate database of [NICS]." NRS 179A.163(1). NICS, in turn, is a
    "nationwide electronic database that licensed firearms dealers can check,
    before selling a firearm to a person, to make sure that that person is not
    prohibited under state or federal law from possessing a firearm." Hearing
    on A.B. 46 Before the Assembly Judiciary Comm., 75th Leg. (Nev.,
    February 20, 2009) (statement of Kerry Benson, Deputy Attorney General,
    providing an overview of NICS and the legislation that is currently
    codified in NRS 433A.310(5)).
    SUPREME COURT
    OF
    NEVADA
    5
    (0) 1947A
    station or to control an arbitrary or capricious exercise of discretion."   Ina
    Game Tech., Inc. v. Second Judicial Dist. Court, 
    124 Nev. 193
    , 197, 
    179 P.3d 556
    , 558 (2008) (footnote omitted); see NRS 34.160. Whether to
    consider a writ petition is within this court's discretion, and writ relief is
    generally available only when "an adequate and speedy legal remedy" does
    not otherwise exist. Ina Game Tech., 124 Nev. at 197-98, 179 P.3d at 558-
    59; see NRS 34.170.
    Here, we agree with Vu that he does not have an adequate
    legal remedy other than to seek a writ of mandamus, as the district court's
    involuntary admission order never became final under NRS
    433A.310(1)(b), meaning that Vu has no right to appeal that order.          See
    Taylor Constr. Co. v. Hilton Hotels Corp., 
    100 Nev. 207
    , 209, 
    678 P.2d 1152
    , 1153 (1984) (recognizing that this court has jurisdiction to consider
    only those appeals that are authorized by a statute or court rule); see also
    NRAP 3A(b) (listing appealable orders). Additionally, the issue of whether
    NRS 433A.310(5) requires district courts to transmit involuntary
    admission orders to the Central Repository before those orders become
    final "presents an important issue of law that has relevance beyond the
    parties to the underlying litigation."     Las Vegas Sands Corp. v. Eighth
    Judicial Dist. Court, 130 Nev., Adv. Op. 61, 
    331 P.3d 876
    , 878-79 (2014).
    Accordingly, we elect to entertain the petition.
    The district court was required under NRS 433A.310(5) to transmit the
    involuntary admission order to the Central Repository even though the
    order had not become final
    Vu first contends that the district court improperly directed a
    record of the involuntary admission order to be transmitted to the Central
    Repository under NRS 433A.310(5), which instructs that "Rif the court
    issues an order involuntarily admitting a person to a public or private
    SUPREME COURT
    OF
    NEVADA
    6
    (0) 1947A
    mental health facility. . . , the court shall. . . cause . . . a record of such
    order to be transmitted to the Central Repository." In support of his
    argument, Vu relies on NRS 433A.310(1)(b)'s statement that an
    involuntary admission "order of the court must be interlocutory and must
    not become final if, within 30 days after the involuntary admission, the
    person is unconditionally released pursuant to NRS 433A.390." According
    to Vu, because NRS 433A.310's subsection 1(b) numerically precedes
    subsection 5, subsection 1(b)'s distinction between an interlocutory and
    final order applies to NRS 433A.310's remaining subsections, meaning
    that subsection 5's reference to the "order" to be transmitted to the
    Central Repository is necessarily restricted to only final orders.
    We disagree with this proffered construction of the statute, as
    it goes beyond the statute's plain meaning.          See In re Candidacy of
    Hansen, 
    118 Nev. 570
    , 572, 
    52 P.3d 938
    , 940 (2002) ("It is axiomatic that
    when words of a statute are plain and unambiguous, they will be given
    their plain meaning."). Subsection 5 plainly states that "Ulf the court
    issues an order. . . , the court shall. . . cause. . . a record of such order to
    be transmitted to the Central Repository." NRS 433A.310(5) (emphases
    added). Nothing in this language contemplates that a district court must
    wait 30 days to see whether its order becomes final under subsection 1(b)
    before a record of the order can be transmitted to the Central Repository,
    and we decline to read a requirement into subsection 5 that the
    Legislature itself has not imposed. 2 See Barrett v. Eighth Judicial Dist.
    2Our construction of subsection 5 is reinforced by the fact that the
    Legislature enacted subsection 5 long after it enacted the final sentence of
    subsection 1(b), see 2009 Nev. Stat., ch. 444, § 13, at 2491; 1989 Nev. Stat.,
    ch. 748, § 19, at 1761, and did so without incorporating or otherwise
    continued on next page...
    SUPREME COURT
    OF
    NEVADA
    7
    (0) 1947A    ce
    Court, 130 Nev., Adv. Op. 65, 
    331 P.3d 892
    , 895 (2014); Hansen, 118 Nev.
    at 573, 52 P.3d at 940; Cirac v. Lander Cty., 
    95 Nev. 723
    , 729, 
    602 P.2d 1012
    , 1016 (1979).
    To the extent that Vu suggests that this construction produces
    an absurd result in light of his unconditional release after 12 days, we
    disagree. The fact that Vu was unconditionally released after 12 days did
    not imply that the district court's involuntary admission findings were
    erroneous when that order was entered; Vu's release simply demonstrated
    that he was "no longer considered to present a clear and present danger of
    harm to himself. . . or others." NRS 433A.390(2)(a) (emphasis added).
    More importantly, we are unwilling to consider a construction of
    subsection 5 that might undermine the Legislature's attempt to comply
    with federal law, as subsection 5 was enacted in response to congressional
    legislation that incentivized states to cooperate in making NICS operate
    more efficiently and comprehensively. See Hearing on A.B. 46 Before the
    Assembly Judiciary Comm., 75th Leg. (Nev., February 20, 2009)
    (statement of Kerry Benson, Deputy Attorney General, explaining that the
    language of NRS 433A.310(5) was proposed in response to Congress's
    NICS Improvement Amendments Act of 2007, which requires states to
    adopt procedures to ensure that certain records are transmitted to NICS
    as a requisite for states maintaining their eligibility for certain federal
    funds); cf. Holiday Retirement Corp. v. State, Div. of Indus. Relations, 128
    ...continued
    referencing subsection l's language, see Nev. Att'y for Injured Workers v.
    Nev. Self-Insurers Ass'n, 
    126 Nev. 74
    , 84, 
    225 P.3d 1265
    , 1271 (2010) ("We
    presume that the Legislature enacted the statute with full knowledge of
    existing statutes relating to the same subject." (internal quotations
    omitted)).
    SUPREME COURT
    OF
    NEVADA
    8
    10) 1947A
    Nev. 150, 154, 
    274 P.3d 759
    , 761 (2012) (noting that " [i] t is the prerogative
    of the Legislature, not this court, to change or rewrite a statute").
    Therefore, we conclude that NRS 433A.310(5)'s plain language required
    the district court to transmit a record of Vu's involuntary admission order
    to the Central Repository contemporaneously with the order's entry.
    The district court reasonably determined that clear and convincing
    evidence showed that Vu was likely to harm himself
    Alternatively, Vu contends that the involuntary admission
    order should not have been transmitted to the Central Repository because
    the district court's determination that Vu should be involuntarily
    admitted was not supported by sufficient evidence. As explained, NRS
    433A.310(1)(b) permits a district court to order the involuntary admission
    of a person to a mental health facility if "there is clear and convincing
    evidence that the person with respect to whom the hearing was held has a
    mental illness and, because of that illness, is likely to harm himself or
    herself or others if allowed his or her liberty." Because an involuntary
    admission order constitutes a deprivation of the admitted person's
    constitutionally protected liberty interest, NRS 433A.310(1)(b)'s "clear and
    convincing" evidentiary standard is meant to ensure that the district court
    does not wrongfully deprive a person of that liberty interest.             See
    Addington v. Texas, 
    441 U.S. 418
    , 425-26 (1979). When a district court's
    factual determinations must be supported by clear and convincing
    evidence, "we review the record and decision with a degree of deference,
    seeking only to determine whether the evidence adduced at the hearing
    was sufficient to have convinced the deciding body that [the issue to be
    determined] had been shown by clear and convincing evidence." Gilman v.
    Nev. State Bd. of Veterinary Med. Exam'rs, 
    120 Nev. 263
    , 274-75, 
    89 P.3d 1000
    , 1008 (2004) (quotation omitted), disapproved on other grounds by
    SUPREME COURT
    OF
    NEVADA
    9
    (0) 1947A    0
    Nassiri v. Chiropractic Physicians' Bd. , 130 Nev., Adv. Op. 27, 
    327 P.3d 487
     (2014). In other words, despite the heightened evidentiary standard
    of proof that the district court in this case was required to employ, our
    review is limited to whether the district court reasonably could have
    determined that clear and convincing evidence showed that Vu was likely
    to harm himself.    Gilman, 120 Nev. at 274-75, 
    89 P.3d at 1008
    ; see In
    Interest of R.N., 
    513 N.W.2d 370
    , 371 (N.D. 1994) (observing that although
    the clear and convincing standard of proof in an involuntary commitment
    proceeding requires a "more probing" standard of appellate review, that
    review still entails a level of deference to the trial court's factual
    determinations); see also In re Michael H., 
    856 N.W.2d 603
    , 612, 616 (Wis.
    2014) (same); In re MH2009-002120, 
    237 P.3d 637
    , 642-44 (Ariz. Ct. App.
    2010) (same)
    Here, Vu and the District Attorney agree that Vu was
    correctly diagnosed with a mental illness. They also agree that NRS
    433A.310(1)(b)'s "likely to harm himself or herself or others" standard
    must be established by showing that Vu fell within one of four definitions
    set forth in NRS 433A.115(2) and (3). 3 They further agree that the
    3 The interplay between NRS 433A.310(1)(b) and NRS 433A.115 is
    not immediately apparent, particularly in light of NRS 433A.310(1)(b)'s
    "likely to harm" standard and NRS 433A.115's "clear and present danger"
    standard, discussed below. Nonetheless, it appears to have been the
    Legislature's intention that a person must fall within one of the four
    definitions set forth in NRS 433A.115(2) and (3) before that person may be
    involuntarily admitted by court order under NRS 433A.310(1)(b). See
    Hearing on S.B. 490 Before the Senate Comm. on Human Resources &
    Facilities, 65th Leg. (Nev., June 9, 1989) (statement of Holli Elder,
    Director of the Office of Protection and Advocacy, memorialized in exhibit
    C, explaining that what would become NRS 433A.115(2) and (3)'s
    definitions were "necessary to assure the consistent application and
    continued on next page...
    SUPREME COURT
    OF
    NEVADA
    10
    (0) 1947A 0
    definition that the district court found Vu to fall within was NRS
    433A.115(2)(a), which provides that
    [a] person presents a clear and present danger of
    harm to himself or herself if, [(1)] within the
    immediately preceding 30 days, the person has, as
    a result of a mental illness . . [akted in a manner
    from which it may reasonably be inferred that,
    without the care, supervision or continued
    assistance of others, the person will be unable to
    satisfy his or her need for nourishment, personal
    or medical care, shelter, self-protection or safety,
    and [(2)] if there exists a reasonable probability
    that the person's death, serious bodily injury or
    physical debilitation will occur within the next
    following 30 days unless he or she is admitted to a
    mental health facility... . .
    (Emphases added.) Vu and the District Attorney disagree, however, as to
    whether sufficient evidence supported the district court's conclusion that
    Vu fell within this definition.
    Having considered the record generated at the involuntary
    admission hearing, we agree with the District Attorney that the opinions
    elicited from the court-appointed psychiatrist and psychologist reasonably
    supported the district court's conclusion that Vu fell within MRS
    433A.115(2)(a)'s definition. In particular, the uncontroverted evidence
    demonstrated that in the 30 days preceding the hearing, Vu's family called
    the police based on their concerns that he posed a physical threat to them.
    Testimony was likewise elicited that Vu confronted a resident doctor at
    the mental health facility in a manner that the resident doctor perceived
    ...continued
    interpretation of criteria that determine the potential dangerousness of a
    mentally ill person for the purpose of involuntary admission").
    SUPREME COURT
    OF
    NEVADA
    11
    (0) 1947A
    as physically threatening. Both the psychiatrist and the psychologist
    opined that, if Vu were to act in such a manner toward a person
    unfamiliar with his mental illness, there would be a risk that the person
    would act violently in self-defense. From this evidence, the district court
    could "reasonably [have] inferred that, without the care, supervision or
    continued assistance of others, [Vu would] be unable to satisfy his . . . need
    for. . self-protection or safety." NRS 433A.115(2)(a).
    From this same evidence, combined with the testimony that
    Vu had refused to take his prescribed antipsychotic medication while
    admitted on an emergency basis prior to the district court hearing, the
    district court also could have reasonably concluded that "there exist[ed] a
    reasonable probability that [Vas . serious bodily injury. . . w[ould]
    occur within the next following 30 days unless he . . [was] admitted to a
    mental health facility." 
    Id.
     While Vu argues that no evidence showed that
    he had actually committed acts in furtherance of his threats or that
    someone had actually assaulted him in self-defense or that such an assault
    would actually rise to the level of inflicting serious bodily injury, this
    argument stretches NRS 433A.115(2)(a)'s use of the phrases "reasonably
    be inferred" and "reasonable probability" too far. The statute does not
    require specific evidence "that [Vu would] be unable to satisfy his . . . need
    for. . self-protection or safety" and that "[Vu's] serious bodily injury
    [would] occur within the next following 30 days"; rather, it requires
    evidence to support the reasonable inference and reasonable probability of
    those concerns, which the District Attorney provided. Therefore, we
    concludeS that the district court reasonably determined that Vu fell within
    NRS 433A.115(2)(a)'s definition and that, in turn, involuntary admission
    SUPREME COURT
    OF
    NEVADA
    12
    (0) I947A
    was appropriate under NRS 433A.310(1)(b)'s clear and convincing
    evidentiary standard.
    CONCLUSION
    NRS 433A.310(5) requires a district court to transmit an
    involuntary admission order to the Central Repository at the time the
    order is entered, meaning that the district court is not required to wait 30
    days for the order to become final under NRS 433A.310(1)(13).
    Additionally, the district court reasonably determined that clear and
    convincing evidence showed that Vu, at the time of the hearing, had a
    mental illness and that because of that illness, Vu was likely to harm
    himself. We therefore deny Vu's petition for extraordinary writ relief.
    Caiti a—Cr              , C.J.
    Parraguirre
    We concur:
    AecA                 ,    J.
    Hardesty
    J.
    J.
    J.
    SUPREME COURT
    OF
    NEVADA
    13
    (0) 1947A
    PICKERING, J., with whom SAITTA, J., agrees, dissenting:
    The loss of liberty that occurs when an individual is
    involuntarily committed to a mental hospital is "massive." Humphrey v.
    Cady, 
    405 U.S. 504
    , 509 (1972). As a consequence, due process protections
    apply. Addington v. Texas, 
    441 U.S. 418
    , 425 (1979). Chief among those
    protections is a heightened burden of proof, meaning the State must prove
    its case for involuntary commitment by "greater than the preponderance-
    of-the-evidence standard applicable to other categories of civil cases." 
    Id. at 432-33
    . The heightened standard of proof protects against an erroneous
    deprivation of liberty. It recognizes the fundamental truth that, "[alt one
    time or another every person exhibits some abnormal behavior which
    might be perceived by some as symptomatic of a mental or emotional
    disorder, but which is in fact within a range of conduct that is generally
    acceptable."     
    Id. at 426-27
    . "Obviously, .. . a few isolated instances of
    unusual conduct" are not a basis
    for compelled treatment and surely none for
    confinement. . . . Loss of liberty calls for a showing
    that the individual suffers from something more
    serious than is demonstrated by idiosyncratic
    behavior. Increasing the burden of proof is one
    way to impress the factfinder with the importance
    of the decision and thereby perhaps to reduce the
    chances that inappropriate commitments will be
    ordered.
    
    Id. at 427
    .
    The State called two witnesses at Vu's involuntary
    commitment hearing, both doctors who had examined Vu and his mental
    health records. These doctors concluded that Vu did not pose a threat of
    harm to third parties, so his commitment could not be justified on that
    SUPREME COURT
    OF
    NEVADA
    (0) 1947A
    statutory basis.    See NRS 433A.310(1)(b) (providing for involuntary
    commitment if there is "clear and convincing evidence that the
    person. .. is likely to harm. . . others if allowed his or her liberty"). The
    State therefore proceeded on the theory that Vu presented a sufficient risk
    of harm to himself, such that his commitment was justified on that
    alternative statutory basis. See 
    id.
     (providing for involuntary commitment
    if there is "clear and convincing evidence that the person. . . is likely to
    harm himself or herself. . . if allowed his or her liberty"). This alternative
    theory required the State to prove, by clear and convincing evidence, that
    Vu could not meet his basic safety and self-protection needs without the
    care, supervision, or continued assistance of others, and that there existed
    a reasonable probability that Vu would face death, serious bodily injury, or
    physical debilitation    in the following 30 days unless he was
    institutionalized. NRS 433A.115(2)(A); see NRS 433A.310(1)(b).
    The uncontradicted evidence showed that Vu had a bank
    account with money in it, an apartment in which to stay, and the ability to
    feed and clothe himself. There was also no suggestion of suicidal ideation.
    From this it would seem to follow that Vu did not need to be committed to
    avoid death, serious bodily injury, or physical debilitation, but the State
    maintained otherwise. According to the State, Vu needed to be committed
    because, given his behavior and failure to take his medications, Vu might
    act threateningly toward third parties, provoking them to attack and
    injure him. Setting aside the tenuous nature of an opinion that members
    of the general public would likely assault Vu if he acted threateningly
    rather than seeking alternative help for themselves or Vu, In re Doe, 
    78 P.3d 341
    , 367 (Haw. Ct. App. 2003) (recognizing that erratic and offensive
    behavior is not uncommon on the streets of many larger cities, and that it
    SUPREME COURT
    OF
    NEVADA
    2
    (0) 1947A
    may be just as likely the urban residents would respond with compassion
    rather than anger and violence), the State identified only two instances of
    Vu ever acting threateningly. One instance was the reason for his
    emergency hold, when his family felt threatened by his behavior, and the
    other was during Vu's emergency intake where Vu—who stands 5' 5" tall
    and weighs under 100 pounds—reportedly "broadened his shoulders"
    when facing a resident doctor. So there was actually no evidence that Vu
    would act threateningly to people other than his family, who had already
    shown the ability to call the police if his threatening behavior escalated, or
    toward those at the facility holding him against his will. Also of note,
    neither Vu's family nor the resident doctor testified at the hearing, and
    the doctors who did testify indicated that Vu isolated himself from others,
    not that he acted aggressively toward them.
    But more significantly, though the doctors generally opined
    that a stranger might harm Vu if Vu were released, the only testimony
    directed toward the seriousness of the harm Vu might face was Dr. Lewis's
    answer of "Yes" to the following question posed by the district attorney:
    You indicated that Mr. [Vu] meets criteria for
    basic needs, self-protection and safety. When you
    apply that basic need in your normal course every
    Wednesday and every time you testify, does that
    include the provision that there does exist a
    reasonable probability that his death, serious
    bodily injury or physical debilitation will occur
    within the next following 30 days unless he's
    admitted?
    The State asked this question of Dr. Lewis on redirect examination, and it
    prompted an objection from Vu's counsel as being outside the scope of Dr.
    Lewis's cross-examination, to which the district court responded: "It
    SUPREME COURT
    OF
    NEVADA
    3
    (0) 1947A
    certainly is but I'll allow the question." Shortly thereafter, during the
    State's closing argument, the district court interrupted and said that as to
    the reasonable probability of death, serious bodily injury, or physical
    debilitation prong:
    Apparently, you want me to glean that
    information, it only came out from you outside the
    scope of direct examination on your second doctor
    witness and I frankly don't understand why you
    don't ask that question. Why you don't look at the
    criteria and ask the questions.
    In Vu's closing argument, his attorney asked whether the court had heard
    from Dr. Lewis "a single description of how that death was going to occur,
    what the serious bodily injury was going to be, why he thought it was
    going to occur in the next 30 days or even what that physical debilitation
    would be?" and the district court acknowledged "No, I didn't and I just
    talked to the District Attorney that I don't think that criteria was
    examined other than briefly and oddly."
    Under NRS 433A.115(2)(a) and NRS 433A.310(1)(b), the State
    was required to prove, by clear and convincing evidence, that there existed
    a reasonable probability that Vu would face death, serious bodily injury, or
    physical debilitation in the following 30 days unless he was
    institutionalized That NRS 433A.115(2)(a) requires a showing of a
    reasonable probability that the person would face the types of serious
    harm listed means that undoubtedly there is room for prediction and less
    than certainty as to whether the person actually will experience serious
    harm or exactly what shape it may take. But testimony that consists
    solely of a "Yes" to a disjointed leading question on redirect examination
    as to whether that doctor generally included in his basic needs analysis
    SUPREME COURT
    OF
    NEVADA
    4
    10) 1947A    0
    whether Vu would face serious harm, without any explanation as to why
    that doctor thought Vu would face such harm or any estimation of what
    such harm might entail, is insufficient evidence to convince a rational fact-
    finder, by clear and convincing evidence, that a reasonable probability
    existed that Vu would face death, serious bodily injury, or physical
    debilitation if not confined   See In re Discipline of Drakulich, 
    111 Nev. 1556
    , 1566-67, 
    908 P.2d 709
    , 715 (1995) (clear and convincing evidence
    must be "so strong and cogent as to satisfy the mind and conscience of a
    common man. . . . It need not possess such a degree of force as to be
    irresistible, but there must be evidence of tangible facts from which a
    legitimate inference. . . may be drawn." (quoting Gruber v. Baker, 
    20 Nev. 453
    , 477, 
    23 P. 858
    , 865 (189W)).
    Had the State proved its case, I would agree with the majority
    that Vu's involuntary commitment order was properly transmitted to
    Central Repository for Nevada Records of Criminal History under NRS
    433A.310(5). Indeed, this is one of the stigmatizing consequences that
    justifies the high burden of proof the State must shoulder to obtain an
    involuntary commitment order. See Addington, 
    441 U.S. at 425-26
     ("it is
    indisputable that involuntary commitment to a mental hospital"
    stigmatizes the individual and engenders both a "significant deprivation of
    liberty" and a host of "adverse social consequences"). But given the State's
    sparse and speculative evidence in this case, including the exceedingly
    summary testimony on the risk of harm Vu faced if not institutionalized, I
    would hold that Vu should not have been detained beyond the initial
    SUPREME COURT
    OF
    NEVADA
    5
    (0) 1947A    e
    emergency hold. I thus would grant Vu a writ of mandamus directing the
    district court to vacate the admission order and to recall its report.
    Pickering
    I concur:
    J.
    Saitta
    SUPREME COURT
    OF
    NEVADA
    6
    (0) 1947A    e