Cannon Mary, Huttunen Matti O, Tanskanen Antti J, Arseneault Louise, Jones Peter B, Murray Robin M
Division of Psychological Medicine, Institute of Psychiatry, Denmark Hill, London.
Br J Psychiatry. 2002 Jun;180:496-501. doi: 10.1192/bjp.180.6.496.
Individuals with schizophrenia appear to be at increased risk for violent and criminal behaviour. Obstetric complications, neuromotor problems and intellectual deficits have variously been reported as increasing the risk for criminality in the general population.
To investigate whether such risk factors are associated with criminal behaviour in an epidemiological cohort of patients with schizophrenia.
We identified from health care registers all individuals with schizophrenia born in Helsinki between 1951 and 1960, and used the national criminal register to identify those with a criminal record by 1995. Childhood information was obtained from archived birth and school records.
Poor educational attainment, poor grades for attention at school, higher birth weight and larger head circumference were significantly associated with the risk of criminal offending in adulthood in this sample of patients with schizophrenia. An association between labour/delivery complications and later violent offending among male patients was of borderline significance.
Our hypotheses that birth complications and childhood neuromotor problems would increase the risk of criminal offending in schizophrenia were not upheld.
精神分裂症患者出现暴力和犯罪行为的风险似乎有所增加。产科并发症、神经运动问题和智力缺陷在不同程度上被报告为增加了普通人群的犯罪风险。
调查在一个精神分裂症患者的流行病学队列中，这些风险因素是否与犯罪行为相关。
我们从医疗保健登记册中识别出1951年至1960年在赫尔辛基出生的所有精神分裂症患者，并使用国家犯罪登记册来识别截至1995年有犯罪记录的患者。童年信息从存档的出生和学校记录中获取。
在这个精神分裂症患者样本中，教育程度低、在学校注意力成绩差、出生体重较高和头围较大与成年后犯罪风险显著相关。男性患者中分娩并发症与后期暴力犯罪之间的关联具有边缘显著性。
我们关于出生并发症和童年神经运动问题会增加精神分裂症患者犯罪风险的假设未得到证实。
