1Clinical Research Unit for Anxiety and Depression, St Vincent's Hospital, Darlinghurst, Sydney, Australia.
Aust N Z J Psychiatry. 2012 Apr;46(4):357-63. doi: 10.1177/0004867411433217. Epub 2012 Jan 5.
Mania has been reported to be a risk factor for aggression and violence in psychiatric hospitals, but the extent of any association between mania and severe interpersonal violence in community settings is not known.
To examine the association between mania and severe violence in a series of patients found not guilty by reason of mental illness (NGMI).
A review of the court documents of those found NGMI of offences involving severe violence, including homicide, attempted homicide and assault causing wounding or serious injury, in New South Wales between 1992 and 2008.
Twelve of 272 people found NGMI were in a manic state when they committed a severe violence offence. Ten were diagnosed with schizo-affective disorder and two with bipolar disorder. Three patients were in the depressed phase of schizo-affective disorder and there were no patients in the depressed phase of bipolar disorder.
Mania, in particular the manic phase of bipolar disorder, is not strongly associated with severe violence.
躁狂在精神病院被报道为攻击和暴力的风险因素，但躁狂与社区环境中严重人际暴力之间的关联程度尚不清楚。
在一系列因精神疾病而被判无罪的患者（NGMI）中，研究躁狂与严重暴力之间的关联。
对 1992 年至 2008 年期间在新南威尔士州因严重暴力犯罪（包括杀人、杀人未遂和攻击导致轻伤或重伤）被判 NGMI 的人的法庭文件进行审查。
在犯下严重暴力罪行时处于躁狂状态的 272 名 NGMI 患者中，有 12 人被诊断为精神分裂情感障碍，2 人被诊断为双相情感障碍。3 名患者处于精神分裂情感障碍的抑郁期，而没有双相情感障碍的抑郁期患者。
躁狂，特别是双相情感障碍的躁狂期，与严重暴力没有很强的关联。
