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丹麦15至17岁男性青少年还押候审囚犯中的精神障碍患病率。

Prevalence of mental disorders among 15-17-year-old male adolescent remand prisoners in Denmark.

作者信息

Gosden N P, Kramp P, Gabrielsen G, Sestoft D

机构信息

Clinic of Forensic Psychiatry, Ministry of Justice, Copenhagen, Denmark.

出版信息

Acta Psychiatr Scand. 2003 Feb;107(2):102-10. doi: 10.1034/j.1600-0447.2003.01298.x.

Abstract

OBJECTIVE

To determine the past year prevalence of mental disorders of 15-17-year-old adolescent remand prisoners in east Denmark.

METHOD

One hundred 15-17-year-old boys from east Denmark consecutively remanded during 1 year were interviewed with diagnostic instruments to obtain ICD-10 diagnoses. All were screened in The Danish Psychiatric Case Register and The Danish Criminal Register.

RESULTS

Past year prevalence of 'any mental disorder' was 69%, substance use disorders 41%. Two per cent had schizophrenia and 2% schizotypal disorder. Thirty-six per cent had 'probable personality disorder'. Conduct disorder was found in 31% and 1% had a hyperkinetic disorder. Ten per cent had previous registered psychiatric contact.

CONCLUSION

The prevalence of mental disorders was found substantially higher compared with literature of population-based samples. With an association between mental disorders and violence, early detection and treatment of mental disorders in adolescent delinquents is of importance in the prevention of violence.

摘要

目的

确定丹麦东部15 - 17岁青少年还押候审囚犯过去一年中精神障碍的患病率。

方法

对丹麦东部连续一年被还押候审的100名15 - 17岁男孩使用诊断工具进行访谈,以获得国际疾病分类第十版(ICD - 10)诊断。所有人均在丹麦精神病病例登记册和丹麦刑事登记册中进行筛查。

结果

过去一年中“任何精神障碍”的患病率为69%,物质使用障碍为41%。2%患有精神分裂症,2%患有分裂型障碍。36%患有“可能的人格障碍”。31%患有品行障碍,1%患有多动障碍。10%曾有过登记在案的精神科就诊记录。

结论

与基于人群样本的文献相比,发现精神障碍的患病率要高得多。鉴于精神障碍与暴力之间存在关联,对青少年罪犯的精神障碍进行早期发现和治疗对于预防暴力至关重要。

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