ABRAMS, J.
We granted the defendant's motion for direct appellate review of the determination that he was a sexually dangerous person (SDP) to consider the sole issue raised by this appeal: whether an individual may be adjudged sexually dangerous and committed to an institution after an SDP hearing conducted pursuant to G.L.c. 123A, § 6, without a prior competency hearing, where there is a substantial question at the time of the SDP hearing of the defendant's...
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