Lemańczyk W, Kordacka M
Psychiatr Pol. 1989 Jul-Aug;23(4):307-13.
In the period from 1970 till 1987 forensic psychiatric certification of 1333 delinquents war made in Regional Psychiatric Hospital in Cibórz. Forty experts (3%) regarded subjects aged 60 years or more. The most common crimes were those against life and health--62.5%; predominantly homicides, assaults and assaults on public functioning, as well as arson--10%. Among male delinquents 68% were under the influence of alcohol at the time of crime of arson and assaults. Other common crime were establish in 15%. Only 1 patient was accused of sexual child abuse (2.5%). Women made 20% of offenders; one half of them committed the crime against life and health, mainly menace. Mental disturbances were found in 90% of patients. Dementia was diagnosed in 20%, organic personality disorder in 30%, and pseudoneurotic syndrome in 15%. Delusional syndrome was diagnosed in 15% while 5% of patients had long history of psychiatric disorders. 35% of expertise were made during single psychiatric interview. It is our opinion that a single examination of aged delinquent does not allow the correct evaluation of the influence of complex relations between possible mental disturbances, somatic illness, drugs (often various pathology and polytherapy) and alcohol, on delinquent's soundness of mind. Taking into consideration the widespread of above mentioned disturbances in the aged population we think that every person in the age above 60 suspected of crime should undergo psychiatric evaluation and hospital observation.
1970年至1987年期间，在奇博尔兹地区精神病院对1333名犯罪者进行了法医精神病鉴定。40名专家（3%）关注60岁及以上的对象。最常见的犯罪是针对生命和健康的犯罪——62.5%；主要是杀人、袭击以及对公共职能的攻击，还有纵火——10%。在男性犯罪者中，68%在纵火和袭击犯罪时受酒精影响。其他常见犯罪占15%。只有1名患者被指控犯有性虐待儿童罪（2.5%）。女性犯罪者占20%；其中一半实施了针对生命和健康的犯罪，主要是威胁。90%的患者存在精神障碍。20%被诊断为痴呆，30%为器质性人格障碍，15%为假性神经症综合征。15%被诊断为妄想综合征，而5%的患者有长期精神病史。35%的鉴定是在单次精神病访谈期间进行的。我们认为，对老年犯罪者进行单次检查无法正确评估可能的精神障碍、躯体疾病、药物（通常是各种病理情况和多药治疗）和酒精之间复杂关系对犯罪者心智健全的影响。考虑到上述障碍在老年人群中的普遍存在，我们认为每个60岁以上涉嫌犯罪的人都应接受精神病评估和住院观察。
