In Supreme Court rulings such as O'Connor v. Donaldson and Addington v. Texas, it was argued that the criteria for involuntary commitment should include .

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Both dangerousness and mental illness should be considered in determining involuntary commitment. O'Connor v. Donaldson emphasized that a person cannot be involuntarily committed solely based on their mental illness without evidence of dangerousness, while Addington v. Texas established a standard that requires clear and convincing evidence of dangerousness, along with evidence of a mental illness, for involuntary commitment.

In Supreme Court Rulings Such as O'Connor V