Department of Child and Adolescent Psychiatry, Child and Adolescent Forensic Psychiatry, University of Zurich, Zurich, Switzerland.
Psychiatry Res. 2012 Jul 30;198(2):285-90. doi: 10.1016/j.psychres.2012.02.006. Epub 2012 Mar 23.
A substantial proportion of violent crime is committed by juveniles. In detained juveniles, high rates of psychopathology have been found. The objective of this study was to determine psychopathology associated with offense characteristics in detained male adolescents. The Mini International Neuropsychiatric Interview was used to assess juvenile detainees. The final sample included 275 males (mean age=16.45, S.D.=1.27 years). Multivariate logistic regressions yielded significant associations between psychopathology and specific offense types: The presence of substance use disorders (without alcohol) (SUD) was found to predict drug-related crimes, and the presence of alcohol use disorders (AUD) without further SUD were a predictor of violent crime, especially in older juveniles. The absence of anxiety disorder, especially in younger juveniles, was found to be relevant for the prediction of robbery. The results of the study suggest that the use and abuse of legal and illegal substances might be a trigger for serious violent and drug-related crimes in juveniles. In particular, the presence of AUD is presumed to have a pivotal role in the development of impulsive aggression. These findings are important when considering the serious social impact of violent behaviors in adolescents.
相当大比例的暴力犯罪是由青少年实施的。在被拘留的青少年中,发现了很高的精神病理学发病率。本研究的目的是确定与被拘留的男性青少年犯罪特征相关的精神病理学。采用 Mini 国际神经精神访谈评估少年犯。最终样本包括 275 名男性(平均年龄=16.45,标准差=1.27 岁)。多变量逻辑回归得出了精神病理学与特定犯罪类型之间存在显著关联的结果:物质使用障碍(不包括酒精)(SUD)的存在被发现可以预测与毒品相关的犯罪,而没有进一步 SUD 的酒精使用障碍(AUD)是暴力犯罪的预测因素,特别是在年龄较大的青少年中。焦虑障碍的缺失,尤其是在年龄较小的青少年中,与抢劫的预测有关。研究结果表明,合法和非法物质的使用和滥用可能是青少年实施严重暴力和与毒品有关犯罪的触发因素。特别是 AUD 的存在被认为在冲动性攻击的发展中起着关键作用。这些发现对于考虑青少年暴力行为对社会造成的严重影响非常重要。