Vinkers D J, Barendregt M, de Beurs E, Hoek H W, Rinne T
Nederlands Instituut voor Forensische Psychiatrie en Psychologie te Rotterdam.
Tijdschr Psychiatr. 2011;53(11):801-11.
Black and minority ethnic (BME) patients with a severe psychiatric disorder are compulsory admitted to psychiatric hospitals more often than Dutch native patients.
To describe ethnic differences with regard to (1) the prevalence of psychiatric disorders, (2) the degree to which 'suspects' are considered to be accountable for their actions and (3) recommended treatment for reported pre-trial suspects.
14,540 pre-trial reports in the Netherlands between 2000 and 2006 with a known ethnicity were assessed. Dutch native, Western, Turkish, Moroccan, Surinamese, Antillean, and other non-Western defendants were compared with chi-square tests and logistic regression models.
Psychotic and behavioural disorders were more prevalent among bme suspects, whereas all other psychiatric disorders occurred less frequently in the BME group. Compared to Dutch native suspects, BME suspects were more often deemed to be fully accountable for their actions. Antillean, Moroccan, Surinamese, and other non-Western suspects were more often recommended for compulsory admission to a psychiatric hospital or received no treatment and much less out-patient treatment. There were no ethnic differences with regard to the frequency with which suspects were recommended for compulsory admission to a penitentiary hospital or with regard to medication.
Compared to Dutch native suspects, BME suspects are, on one hand, more often deemed accountable for their actions but, on the other hand, are more often recommended for compulsory admission to a psychiatric hospital.
患有严重精神疾病的黑人和少数族裔(BME)患者比荷兰本土患者更常被强制收治到精神病院。
描述在以下方面的种族差异:(1)精神疾病的患病率;(2)“嫌疑人”被认为对其行为负有责任的程度;(3)对报告的审前嫌疑人的推荐治疗方式。
对2000年至2006年荷兰境内14540份已知种族的审前报告进行评估。使用卡方检验和逻辑回归模型对荷兰本土、西方、土耳其、摩洛哥、苏里南、安的列斯以及其他非西方被告进行比较。
BME嫌疑人中精神病性和行为障碍更为普遍,而所有其他精神疾病在BME组中发生频率较低。与荷兰本土嫌疑人相比,BME嫌疑人更常被认为对其行为应完全负责。安的列斯、摩洛哥、苏里南和其他非西方嫌疑人更常被推荐强制收治到精神病院或未接受治疗,接受门诊治疗的则少得多。在嫌疑人被推荐强制收治到监狱医院的频率或用药方面没有种族差异。
与荷兰本土嫌疑人相比,BME嫌疑人一方面更常被认为应对其行为负责,但另一方面,更常被推荐强制收治到精神病院。