H. Khalifeh, MSc, MRCPsych, S. Johnson, MD, MRCPsych, Division of Psychiatry, University College London, London; L. M. Howard, PhD, MRCPsych, R. Borschmann, DClinPsy, David Goldberg Centre, Institute of Psychiatry, London; D. Osborn, PhD, MRCPsych, Division of Psychiatry, University College London, London; K. Dean, PhD, MRCPsych, Institute of Psychiatry, London, and School of Psychiatry, University of New South Wales and Justice Health & Forensic Mental Health Network; C. Hart, MSc, J. Hogg, MSc, P. Moran, PhD, MRCPsych, David Goldberg Centre, Institute of Psychiatry, London, UK.
Br J Psychiatry. 2015 Apr;206(4):275-82. doi: 10.1192/bjp.bp.114.147843. Epub 2015 Feb 19.
Little is known about the relative extent of crime against people with severe mental illness (SMI).
To assess the prevalence and impact of crime among people with SMI compared with the general population.
A total of 361 psychiatric patients were interviewed using the national crime survey questionnaire, and findings compared with those from 3138 general population controls participating in the contemporaneous national crime survey.
Past-year crime was experienced by 40% of patients v. 14% of controls (adjusted odds ratio (OR) = 2.8, 95% CI 2.0-3.8); and violent assaults by 19% of patients v. 3% of controls (adjusted OR = 5.3, 95% CI 3.1-8.8). Women with SMI had four-, ten- and four-fold increases in the odds of experiencing domestic, community and sexual violence, respectively. Victims with SMI were more likely to report psychosocial morbidity following violence than victims from the general population.
People with SMI are at greatly increased risk of crime and associated morbidity. Violence prevention policies should be particularly focused on people with SMI.
对于严重精神疾病（SMI）患者所遭受的犯罪的相对程度，人们知之甚少。
评估与普通人群相比，SMI 患者犯罪的发生率和影响。
对 361 名精神科患者使用全国犯罪调查问卷进行访谈，并将调查结果与同期参加全国犯罪调查的 3138 名普通人群对照进行比较。
过去一年中，40%的患者经历过犯罪，而对照组为 14%（调整后的优势比（OR）=2.8，95%CI 2.0-3.8）；19%的患者遭受过暴力袭击，而对照组为 3%（调整后的 OR = 5.3，95%CI 3.1-8.8）。患有 SMI 的女性经历家庭、社区和性暴力的几率分别增加了四倍、十倍和四倍。与普通人群的受害者相比，患有 SMI 的受害者在遭受暴力后更有可能出现心理健康问题。
SMI 患者犯罪和相关发病的风险大大增加。预防暴力的政策应特别针对 SMI 患者。
