Lincoln T M, Hodgins S, Jöckel D, Freese R, Born P, Eucker S, Schmidt P, Gretenkord L, Müller-Isberner R
Klinik für Forensische Psychiatrie, Haina.
Nervenarzt. 2006 May;77(5):576-86. doi: 10.1007/s00115-005-1918-5.
The aim of this study was to assess the potential for future violent behaviour comparing patients recruited from forensic and general psychiatric wards in Germany.
Fifty patients were recruited from a forensic hospital and 29 from a general psychiatric hospital. In the weeks preceding discharge, structured assessments of the future risk of violent behaviour were completed using the HCR-20.
There was little difference in the risk presented by the two groups. Forensic patients presented an elevated risk of violence because of historical factors, while the risk among patients from general psychiatry was due to clinical symptoms.
Some criminal offences could be prevented if more time and effort were spent in general psychiatric practice in identifying patients at high risk for violence and in reducing symptoms of psychoses before discharge.
本研究旨在比较从德国法医病房和普通精神科病房招募的患者未来发生暴力行为的可能性。
从一家法医医院招募了50名患者，从一家普通精神病医院招募了29名患者。在出院前的几周内，使用HCR-20对未来暴力行为的风险进行了结构化评估。
两组呈现的风险差异不大。法医病房的患者因既往因素存在较高的暴力风险，而普通精神科患者的风险则归因于临床症状。
如果在普通精神科诊疗中投入更多时间和精力来识别暴力高风险患者，并在出院前减轻精神病症状，一些刑事犯罪是可以预防的。
