Smith L D
Forensic Mental Health Institute, Marcy, New York 13403.
Hosp Community Psychiatry. 1989 May;40(5):491-6. doi: 10.1176/ps.40.5.491.
Records of all inmates committed to a state forensic hospital in fiscal year 1982 (N = 472) were studied to examine the inmates' hospital utilization between September 1977 and April 1984 and the reasons for their admissions. Medication refusal, hallucinations and delusions, and threatened or potential violent behavior toward others were the most frequently documented reasons for admission. Medication refusal was associated with a greater number of hospitalizations, shorter hospitalizations, diagnoses of paranoid schizophrenia or schizophreniform disorders, longer prison sentences, and convictions for more serious felonies. Inmates admitted for medication refusal were also likely to be referred concurrently for threatened or potential violent behavior toward others. The study demonstrates the particularly violent nature of a large proportion of the hospitalized mentally ill inmates and the important role of medication refusal in their rehospitalization.
对1982财政年度送入一家州立法医医院的所有囚犯记录（N = 472）进行了研究，以检查这些囚犯在1977年9月至1984年4月期间的医院利用情况及其入院原因。拒绝服药、幻觉和妄想以及对他人的威胁或潜在暴力行为是最常记录的入院原因。拒绝服药与更多的住院次数、更短的住院时间、偏执型精神分裂症或精神分裂症样障碍的诊断、更长的监禁刑期以及更严重重罪的定罪相关。因拒绝服药而入院的囚犯也可能同时因对他人的威胁或潜在暴力行为而被转诊。该研究表明，很大一部分住院的精神病囚犯具有特别暴力的性质，且拒绝服药在他们再次住院中起重要作用。
