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一项关于与女性精神病被拘留者被捕相关的社会心理和犯罪因素的横断面研究。

A cross-sectional study of psychosocial and criminal factors associated with arrest in mentally ill female detainees.

作者信息

Kravitz Howard M, Cavanaugh James L, Rigsbee Sandra S

机构信息

Department of Psychiatry, Section on Psychiatry and Law, Department of Preventive Medicine, Department of Pharmacology, Rush Medical College of Rush University, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL, USA.

出版信息

J Am Acad Psychiatry Law. 2002;30(3):380-90.

Abstract

In this study, the relationship was examined among clinical, criminal, and sociodemographic characteristics and the severity of the criminal charge of mentally ill female detainees admitted to the women's psychiatric unit at a large urban jail. In a cross-sectional study, 96 randomly selected female detainees were interviewed by one of two trained interviewers using the Structured Clinical Interview for DSM (SCID)-IV, the Addiction Severity Index, the Global Assessment of Functioning Scale (GAF), and the Medical Outcomes Study 36-Item Short-Form Health Survey. Criminal offense categories were based on the Federal Bureau of Investigation's Uniform Crime Reporting Program. Altogether, 48 percent of the detainees had been charged with committing at least one Part I crime; 27 percent were charged with committing a violent crime against persons. Lower GAF score and previous conviction(s) for a serious crime were associated with current arrest for a Part I crime. The data also suggest that a lower GAF score may be associated with a current charge of committing a violent crime, and placement on probation or parole before the current arrest may be protective against this charge. Mentally ill women who are more functionally impaired may be at higher risk of being arrested and charged with committing more serious and more violent crimes than those with lesser impairment.

摘要

在本研究中,我们考察了一所大型城市监狱女性精神病科收治的女性被拘留者的临床、犯罪及社会人口学特征与刑事指控严重程度之间的关系。在一项横断面研究中,96名随机抽取的女性被拘留者由两名经过培训的访谈员之一使用《精神疾病诊断与统计手册》(DSM)-IV结构化临床访谈、成瘾严重程度指数、功能总体评定量表(GAF)以及医学结局研究简明健康调查36项问卷进行访谈。犯罪类别基于联邦调查局的统一犯罪报告计划。总体而言,48%的被拘留者被指控犯有至少一项一级罪行;27%的人被指控犯有针对他人的暴力犯罪。较低的GAF评分以及曾因严重罪行被定罪与当前因一级罪行被捕有关。数据还表明,较低的GAF评分可能与当前被指控犯有暴力犯罪有关,并且在当前被捕之前处于缓刑或假释状态可能对该指控具有保护作用。功能受损更严重的精神病女性比受损较轻的女性面临更高的被捕风险,且更有可能被指控犯有更严重、更暴力的罪行。

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