Colins Olivier F, Vermeiren Robert R, Noom Marc, Broekaert Eric
Curium-LUMC/Leiden University Medical Center, Leiden, The Netherlands.
J Nerv Ment Dis. 2013 Jun;201(6):478-83. doi: 10.1097/NMD.0b013e3182948068.
The aim of this study was to prospectively examine whether psychotic-like symptoms (PLSs) are positively associated with violent recidivism and whether this relation is stronger when PLSs co-occur with substance use disorders (SUDs). Participants were 224 detained male adolescents from all youth detention centers in Flanders. The Diagnostic Interview Schedule for Children was used to assess PLSs and the number of SUDs. Two to 4 years later, information on official recidivism was obtained. Although hallucinations were unrelated to violent recidivism, paranoid delusions (PDs) and threat/control override delusions (TCODs) were negatively related to violent recidivism. The relation between PLSs and violent recidivism did not become stronger in the presence of SUDs. Detained youths with PLSs do not have a higher risk for violent recidivism than detained youths without PLSs. In contrast, by identifying detained youths with PDs or TCODs, clinicians are likely to identify youths with a low risk for future violent crimes.
本研究的目的是前瞻性地考察类精神病症状（PLSs）是否与暴力再犯呈正相关，以及当PLSs与物质使用障碍（SUDs）共现时，这种关系是否更强。研究对象为来自佛兰德所有青少年拘留中心的224名被拘留男性青少年。使用儿童诊断访谈量表来评估PLSs和SUDs的数量。两到四年后，获取了官方再犯的信息。虽然幻觉与暴力再犯无关，但偏执妄想（PDs）和威胁/控制优势妄想（TCODs）与暴力再犯呈负相关。在存在SUDs的情况下，PLSs与暴力再犯之间的关系并未变得更强。有PLSs的被拘留青少年比没有PLSs的被拘留青少年暴力再犯的风险并不更高。相反，通过识别患有PDs或TCODs的被拘留青少年，临床医生很可能识别出未来暴力犯罪风险较低的青少年。
