性犯罪者和暴力犯罪者中甲状腺疾病的患病率及其与心理症状的共现情况。

The prevalence of thyroid disorders among sexual and violent offenders and their co-occurrence with psychological symptoms.

作者信息

Langevin Ron, Langevin Mara, Curnoe Suzanne, Bain Jerald

机构信息

University of Toronto and Juniper Associates, Toronto, Canada.

出版信息

Int J Prison Health. 2009;5(1):25-38. doi: 10.1080/17449200802692086.

DOI:10.1080/17449200802692086

PMID:25758927

Abstract

The prevalence of thyroid abnormalities among 831 sexual, violent, and non-violent non-sex offenders was found to be greater than found in the general population. Thyroid abnormalities were most common among violent offenders and among sex offenders who victimized children. Thyroid disorders were associated with psychotic diagnoses, delusions, mania, suicidal thoughts, and showed a trend to more suicide attempts. These disorders were undiagnosed in 49.1% of the cases prior to the present clinical assessment. Of these, 59.3% faced their first criminal charges, and the undiagnosed thyroid abnormalities may be important in the offenders' treatment and may be possible legal mitigating factors in some offenses. Results indicate that a routine endocrine evaluation with blood tests would be a valuable addition to the assessment of violent and sexual offenders.

摘要

在831名性犯罪者、暴力犯罪者以及非暴力非性犯罪者中，甲状腺异常的患病率高于普通人群。甲状腺异常在暴力犯罪者以及侵害儿童的性犯罪者中最为常见。甲状腺疾病与精神病诊断、妄想、躁狂、自杀念头相关，且有更多自杀未遂的倾向。在本次临床评估之前，49.1%的病例中这些疾病未被诊断出来。其中，59.3%面临首次刑事指控，未被诊断出的甲状腺异常可能对犯罪者的治疗很重要，并且在某些犯罪中可能是潜在的法律从轻处罚因素。结果表明，通过血液检测进行常规内分泌评估对暴力犯罪者和性犯罪者的评估将是一项有价值的补充。