RE: psychiatric symptoms and accountability/responsibility, the PANSS has an item "Lack of judgment and insight" as well as 29 other items.
The Overt Aggression Scale or OAS has been used in forensic settings along with other symptoms and correlations might point the way towards how symptoms and accountability/responsibility are related.
Conference Paper Violence risk assesment using HCR-20 and OAS and it's relati...
Article Illness recognition and aggression-dangerousness perception ...
Accountability to who and what? ...Accountability of clinician in diagnosis of symptoms, in meeting treatment goals, or accountability of patient for his behavior?