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易暴力药物使用者与因药物而暴力犯罪的药物使用者:发病顺序是否会转化为暴力犯罪严重程度的差异?

Predisposed violent drug users versus drug users who commit violence: does the order of onset translate to differences in the severity of violent offending?

机构信息

National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.

出版信息

Drug Alcohol Rev. 2012 Jun;31(4):558-65. doi: 10.1111/j.1465-3362.2011.00332.x. Epub 2011 Jul 5.

Abstract

INTRODUCTION AND AIMS

To determine whether there were differences in drug use profiles, psychopathology, and severity of violence among regular illicit drug users in respect to the order of onset of drug use and violence.

DESIGN AND METHODS

A cross-sectional survey utilising self-report data was administered to 327 regular illicit drug users in Sydney, Australia.

RESULTS

Those who first committed violent crime prior to illicit drug use were found to have more serious offending patterns (greater frequency, arrest for more serious violence, earlier age of onset, and more weapon use). Being male, having a history of child abuse and greater severity of conduct disorder were independent predictors of committing violence before drug use.

DISCUSSION AND CONCLUSIONS

Whilst the nature of the data does not permit causative conclusions, it appears that the order of onset of illicit drug use and violent crime is associated with heterogeneous offending patterns. Early onset violence was associated with more severe violent crimes in later adulthood, whereas violence which proceeded drug use was more strongly linked to systemic risks. The findings have implications for early intervention among children with conduct disorder and also for using drug and alcohol treatment services to reduce specific risks associated with violence.

摘要

简介与目的

确定药物使用模式、精神病理学和暴力严重程度在经常使用非法药物的人群中是否存在差异,这些差异与药物和暴力使用的先后顺序有关。

设计与方法

利用自报数据,对澳大利亚悉尼的 327 名经常使用非法药物的人群进行了横断面调查。

结果

那些先犯有暴力犯罪后才开始使用非法药物的人,其犯罪模式更为严重(频率更高、因更严重的暴力而被捕、发病年龄更早、使用武器更多)。男性、有儿童虐待史和更严重的品行障碍是先于药物使用而发生暴力行为的独立预测因素。

讨论与结论

尽管数据的性质不允许得出因果结论,但非法药物使用和暴力犯罪的先后顺序似乎与不同的犯罪模式有关。早期暴力与成年后期更严重的暴力犯罪有关,而先于药物使用发生的暴力则与系统性风险更密切相关。这些发现对品行障碍儿童的早期干预以及利用药物和酒精治疗服务来减少与暴力相关的特定风险具有重要意义。

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