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What does 51/50 stand for?

51/50 stands for Mentally Unbalanced

This definition appears rarely

Samples in periodicals archive:

Dickens alleged that Catherine was mentally unbalanced and an unfit wife and mother when the real reason was he wanted to pursue a younger woman away from the watchful eyes of Catherine.
1 that Padovese's killer, Murat Altun, was mentally unbalanced when he stabbed the cleric in June.