Haller R, Kemmler G, Kocsis E, Maetzler W, Prunlechner R, Hinterhuber H
Institut für Suchtforschung (ISF), Universität Innsbruck/Krankenhaus Maria Ebene, Postfach 35, A-6800 Feldkirch.
Nervenarzt. 2001 Nov;72(11):859-66. doi: 10.1007/s001150170020.
The question as to whether schizophrenics have an increased potential for delinquency and violent behavior has given rise to much controversy. During the past few years, a large number of epidemiological studies have demonstrated a moderate but reliable relation between schizophrenic disorders and violence. In the present study, a new approach at investigation was used by evaluating the overall rate of convictions and commitments to psychiatric institutions for general delinquency, violence, and homicide among schizophrenics. The most outstanding results demonstrated that the treatment of schizophrenic offenders was only insufficiently covered by the psychiatric care system, showed the lack of compliance in the study group, and demonstrated the high significance of coexisting acute and chronic alcohol and drug abuse. The risk of delinquency and violent behavior was much higher in schizophrenics than in the general population. It is indicated, however, that mentally ill delinquents are only of minor importance within the overall group of offenders and that better preventive and therapeutic measures present opportunities for prevention.
精神分裂症患者是否具有更高的犯罪和暴力行为倾向这一问题引发了诸多争议。在过去几年中,大量的流行病学研究表明,精神分裂症与暴力行为之间存在适度但可靠的关联。在本研究中,采用了一种新的调查方法,评估精神分裂症患者因一般犯罪、暴力和杀人罪而被定罪和送入精神病院的总体比率。最显著的结果表明,精神分裂症罪犯的治疗在精神卫生保健系统中仅得到不足的覆盖,显示出研究组中缺乏依从性,并表明并存的急性和慢性酒精及药物滥用具有高度重要性。精神分裂症患者的犯罪和暴力行为风险比一般人群高得多。然而,有迹象表明,在整个罪犯群体中,患有精神疾病的罪犯只占次要部分,更好的预防和治疗措施为预防提供了机会。