Oncü Fatih, Sercan Mustafa, Ger Can, Bilici Rabia, Ural Cenk, Uygur Niyazi
Bakirköy Ruh Sağliği ve Hastaliklari Eğitim ve Araştirma Hastanesi, Adli Psikiyatri Birimi, Istanbul, Turkey.
Turk Psikiyatri Derg. 2007 Spring;18(1):4-12.
The impact of socioeconomic and demographic factors on the criminal behavior of patients with a psychotic disorder was evaluated.
The study included 70 psychotic men hospitalized in the forensic psychiatry unit of the Bakirköy State Hospital for Psychiatric and Neurological Diseases for compulsory treatment who were compared to 70 psychotic disorder cases with no criminal history hospitalized in the acute wards in the same hospital. Socioeconomic and sociodemographic data were collected and statistical evaluations were made.
The vast majority of all the patients (90.7%) in both groups were diagnosed with schizophrenia. The forensic group was significantly less educated than the control group (7.99+/-3.81 years vs. 9.37+/-3.62 years, P<0.05). More than 50% of the cases in both groups were never married ; when considering divorced and widowed patients together with these unmarried patients, the percentage rose to 83%. Fewer forensic cases lived in urban areas than did control cases (50% vs. 84.3%). Logistic regression analysis highlighted a relationship between unemployment and the lack of social insurance to the criminal behaviour of the forensic group. Of those in the forensic group, 48.6% had no social insurance, whereas only 15.7% of the control group had none.
The data suggested that unemployment and the lack of social insurance are 2 independent variables that may contribute to the probability that patients with a psychotic disorder will engage in criminal behavior.
评估社会经济和人口因素对精神障碍患者犯罪行为的影响。
该研究纳入了70名在巴基尔柯伊国家精神病和神经疾病医院法医精神病科住院接受强制治疗的男性精神病患者，并与70名在同一家医院急性病房住院且无犯罪史的精神障碍患者进行比较。收集社会经济和社会人口数据并进行统计评估。
两组中绝大多数患者（90.7%）被诊断为精神分裂症。法医组的受教育程度明显低于对照组（7.99±3.81年对9.37±3.62年，P<0.05）。两组中超过50%的病例从未结婚；若将离婚和丧偶患者与这些未婚患者合并计算，这一比例升至83%。与对照组相比，法医组居住在城市地区的患者较少（50%对84.3%）。逻辑回归分析强调了失业和缺乏社会保险与法医组犯罪行为之间的关系。法医组中48.6%的人没有社会保险，而对照组中只有15.7%的人没有。
数据表明，失业和缺乏社会保险是两个独立变量，可能会增加精神障碍患者实施犯罪行为的可能性。
