Ural Cenk, Öncü Fatih, Belli Hasan, Soysal Hüseyin
Psikiyatri Bl., Bağcılar Eğitim ve Araştırma Hastanesi.
Turk Psikiyatri Derg. 2013 Spring;24(1):17-24.
The aim of this study is to investigate the patterns of offense and treatment outcomes in patients with schizophrenia who have exhibited violent behavior and to provide data for mental health professionals to aid in the treatment and therapeutic support of schizophrenia patients.
The subjects included in this study include a total of 52 patients with schizophrenia who had committed violent crime and who were under observation or mandatory treatment, and a control group of 31 subjects who assumed full responsibility for the crime they were accused of. Patients with schizophrenia and control subjects were examined based on the assumption that prior exhibition of violent behavior may be a determining factor for socio-demographic characteristics and the early identification of violent crime. Life-long aggressive behavior was also examined using the Overt Aggression Scale (OAS).
A total of 80.7% of the patients with schizophrenia were found to be paranoid subtype. The mean age of schizophrenia, the age for the first criminal behavior and the mean age at the time of crime were significantly higher in the schizophrenic group, compared to controls. Previous criminal history, self-injurious behavior before the violent crime, and alcohol and substance use at the time of crime were found to be significantly lower in the schizophrenia group. It was found that more crimes were committed during the daytime in the schizophrenia group, in comparison to the control group. It was also observed that patients with schizophrenia primarily targeted the people around them.
Investigation into the behavior patterns of patients with schizophrenia exhibiting violent behavior and taking measures to manage the potential risks in these individuals may help to reduce the incidence of future violent behavior. Studies such as this one can aid in improving a patient's social measures and in protecting the people around these individuals.
本研究旨在调查有暴力行为的精神分裂症患者的犯罪模式及治疗结果，为心理健康专业人员提供数据，以协助对精神分裂症患者的治疗及治疗支持。
本研究纳入的对象包括总共52名实施暴力犯罪且正在接受观察或强制治疗的精神分裂症患者，以及31名对其所被指控罪行承担全部责任的对照组受试者。基于暴力行为的先前表现可能是社会人口学特征及暴力犯罪早期识别的决定因素这一假设，对精神分裂症患者和对照受试者进行了检查。还使用公开攻击量表（OAS）对终生攻击行为进行了检查。
发现总共80.7%的精神分裂症患者为偏执型。与对照组相比，精神分裂症组的精神分裂症平均年龄、首次犯罪行为年龄及犯罪时的平均年龄显著更高。精神分裂症组的既往犯罪史、暴力犯罪前的自伤行为以及犯罪时的酒精和物质使用情况显著更低。与对照组相比，发现精神分裂症组在白天实施的犯罪更多。还观察到精神分裂症患者主要针对其周围的人。
对有暴力行为的精神分裂症患者行为模式进行调查并采取措施管理这些个体中的潜在风险，可能有助于降低未来暴力行为的发生率。此类研究有助于改善患者的社会措施并保护这些个体周围的人。
