McCabe Patrick J, Christopher Paul P, Druhn Nicholas, Roy-Bujnowski Kristen M, Grudzinskas Albert J, Fisher William H
Center for Mental Health Services Research, Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
J Behav Health Serv Res. 2012 Jul;39(3):271-84. doi: 10.1007/s11414-011-9269-4.
This study examined the patterns of criminal arrest and co-occurring psychiatric disorders among individuals with schizophrenia or related psychosis that were receiving public mental health services and had an arrest history. Within a 10-year period, 65% of subjects were arrested for crimes against public order, 50% for serious violent crimes, and 45% for property crimes. The presence of any co-occurring disorder increased the risk of arrest for all offense categories. For nearly all offense types, antisocial personality disorder and substance use disorders conferred the greatest increase in risk for arrest. Among anxiety disorders, post-traumatic stress disorder was associated with a greater risk of arrest for serious violent crimes but not other offense types. Criminal risk assessments and clinical management in this population should focus on co-occurring antisocial personality disorder and substance use disorders in addition to other clinical and non-clinical factors.
本研究调查了接受公共心理健康服务且有被捕史的精神分裂症或相关精神病患者的刑事逮捕模式及共病精神障碍情况。在10年期间，65%的受试者因扰乱公共秩序罪被捕，50%因严重暴力犯罪被捕，45%因财产犯罪被捕。任何共病障碍的存在都会增加所有犯罪类别的被捕风险。对于几乎所有犯罪类型，反社会人格障碍和物质使用障碍导致的被捕风险增加最大。在焦虑障碍中，创伤后应激障碍与严重暴力犯罪的被捕风险增加有关，但与其他犯罪类型无关。该人群的刑事风险评估和临床管理除了其他临床和非临床因素外，还应关注共病的反社会人格障碍和物质使用障碍。
