Lindqvist P, Allebeck P
Department of Forensic Psychiatry, University of Umeå, Sweden.
Acta Psychiatr Scand. 1990 Sep;82(3):191-5. doi: 10.1111/j.1600-0447.1990.tb03051.x.
To assess the role of alcohol and drug abuse among schizophrenics with assaultive behaviour, we analysed case records of 38 patients who were responsible for a total of 71 violent offences between 1972 and 1986. They were identified from a population-based cohort of 644 individuals with schizophrenia hospitalized in Stockholm County during 1971. Fourteen of the 38 offenders abused alcohol and/or drugs and another 7 were probable abusers. These figures are higher than previously reported as regards abuse among schizophrenics. Most of the offences were performed by nonhospitalized patients who had been ill for many years. The nature of most of the violent incidents resembled that of offences committed by non-psychotic individuals. Our findings give further evidence for the role of abuse and social disintegration in assaultive behaviour among persons with schizophrenia.
为评估酒精和药物滥用在有攻击行为的精神分裂症患者中的作用，我们分析了38例患者的病例记录，这些患者在1972年至1986年间共实施了71起暴力犯罪。他们是从1971年在斯德哥尔摩县住院的644名精神分裂症患者的人群队列中识别出来的。38名犯罪者中有14人滥用酒精和/或药物，另有7人可能存在滥用情况。这些数字高于此前关于精神分裂症患者中滥用情况的报告。大多数犯罪是由患病多年的非住院患者实施的。大多数暴力事件的性质与非精神病个体实施的犯罪相似。我们的研究结果进一步证明了滥用和社会解体在精神分裂症患者攻击行为中的作用。
