Schalast N, Balten A, Leygraf N
Insitut für Forensische Psychiatrie, Essen.
Nervenarzt. 2003 Mar;74(3):252-8. doi: 10.1007/s00115-001-1252-5.
In Germany, due to an increasing number of "hospital order sentences," the capacities of forensic hospitals are exhausted. In the late 1990s,general psychiatric hospitals admitted a remarkable number of mentally disturbed offenders. In this study,data of 140 patients treated in general psychiatric hospitals in the German lower Rhine region are presented. These patients clearly differ from those treated in forensic hospitals. Approximately 60% of them suffer from schizophrenic psychosis. Only a few reveal a long antisocial background, a severe personality disorder, or a sexual offence as an index crime. Though the staff in the general psychiatric units often complain about the circumstances of patients' admittance to the hospitals, in about half of the cases they do not agree with a transferring of their patients to a forensic hospital. The results of this study are discussed in regard to general questions of organizing forensic psychiatric treatment.
在德国，由于“医院强制收治令”数量不断增加，法医医院的收治能力已不堪重负。在20世纪90年代后期，普通精神病医院收治了大量精神错乱的罪犯。在本研究中，呈现了德国莱茵河下游地区普通精神病医院收治的140名患者的数据。这些患者与在法医医院接受治疗的患者明显不同。其中约60%患有精神分裂症性精神病。只有少数人有长期的反社会背景、严重的人格障碍或作为索引犯罪的性犯罪。尽管普通精神科病房的工作人员经常抱怨患者入院的情况，但在大约一半的案例中，他们不同意将自己的患者转至法医医院。本研究结果围绕法医精神病治疗组织的一般性问题展开了讨论。
