Richard-Devantoy Stéphane, Bouyer-Richard Anne-Isabelle, Annweiler Cédric, Gourevitch Raphaël, Jollant Fabrice, Olie Jean-Pierre, Bourdel Marie-Chantal, Lhuillier Jean-Paul, Beauchet Olivier
McGill University, Department of Psychiatry & Douglas Mental Health University Institute, McGill Group for Suicide Studies, Montréal, Québec, Canada; UPRES EA 2646, University of Angers, UNAM, France.
Institut Philippe-Pinel de Montréal, Montréal, Québec, Canada.
J Forensic Leg Med. 2016 Apr;39:117-24. doi: 10.1016/j.jflm.2016.01.014. Epub 2016 Feb 1.
To examine the criminological circumstances of homicide in a group of French murderers with and without major mental disorders (MMD) stratified by the perpetrator's gender.
Sociodemographic, clinical, and criminological variables were collected from the psychiatric expert reports of 210 cases of homicide heard at the High Court of Angers, France. Murderers were categorized according to MMD diagnosis and gender.
Among 210 murderers, 17.6% (n = 37) had a MMD (20% of the female perpetrators). Logistic regression models showed that being a murderer with a MMD was associated with younger age (adjusted Odds Ratio OR = 1.03, P = 0.034), high school education (OR = 2.48, P = 0.036), previous use of psychiatric services (OR = 4.75, P = 0.003), alcohol intoxication (OR = 2.71, P = 0.027), and delusional state (OR = 3.96, P = 0.002) at the time of the homicide. Multiple correspondence analyses showed that female murderers with a MMD were more prone to have depression and to use drowning as a method than those without a MMD, and that male murderers with a MMD more often had a high school education and delusional beliefs at the time of the homicide than those without a MMD.
Specific profiles of criminological circumstances of homicide could help to explore the risk of homicide in female and male patients with a MMD.
研究一组法国杀人犯的杀人犯罪学情况，这些杀人犯按犯罪者性别分为有和没有严重精神障碍（MMD）两类。
从法国昂热高等法院审理的210起杀人案件的精神病专家报告中收集社会人口统计学、临床和犯罪学变量。杀人犯根据MMD诊断和性别进行分类。
在210名杀人犯中，17.6%（n = 37）患有MMD（占女性犯罪者的20%）。逻辑回归模型显示，患有MMD的杀人犯与较年轻的年龄相关（调整后的优势比OR = 1.03，P = 0.034）、高中教育程度（OR = 2.48，P = 0.036）、先前使用过精神科服务（OR = 4.75，P = 0.003）、杀人时酒精中毒（OR = 2.71，P = 0.027）以及妄想状态（OR = 3.96，P = 0.002）有关。多重对应分析表明，患有MMD的女性杀人犯比没有MMD的女性杀人犯更容易患抑郁症且更倾向于使用溺水作为杀人方法，患有MMD的男性杀人犯在杀人时比没有MMD的男性杀人犯更常具有高中教育程度和妄想信念。
杀人犯罪学情况的特定特征有助于探索患有MMD的女性和男性患者的杀人风险。
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