Williams W Huw, Chitsabesan Prathiba, Fazel Seena, McMillan Tom, Hughes Nathan, Parsonage Michael, Tonks James
Department of Psychology, University of Exeter, Exeter, UK.
Offender Health Research Network, University of Manchester, Manchester, UK.
Lancet Psychiatry. 2018 Oct;5(10):836-844. doi: 10.1016/S2215-0366(18)30062-2. Epub 2018 Feb 26.
Traumatic brain injury (TBI) is the biggest cause of death and disability in children and young people. TBI compromises important neurological functions for self-regulation and social behaviour and increases risk of behavioural disorder and psychiatric morbidity. Crime in young people is a major social issue. So-called early starters often continue for a lifetime. A substantial majority of young offenders are reconvicted soon after release. Multiple factors play a role in crime. We show how TBI is a risk factor for earlier, more violent, offending. TBI is linked to poor engagement in treatment, in-custody infractions, and reconviction. Schemes to assess and manage TBI are under development. These might improve engagement of offenders in forensic psychotherapeutic rehabilitation and reduce crime.
创伤性脑损伤（TBI）是儿童和年轻人死亡和残疾的最大原因。TBI会损害自我调节和社会行为的重要神经功能，并增加行为障碍和精神疾病的风险。青少年犯罪是一个重大社会问题。所谓的早期犯罪者往往会持续一生。绝大多数年轻罪犯在获释后不久就会再次被定罪。多种因素在犯罪中起作用。我们展示了TBI如何成为更早、更暴力犯罪的风险因素。TBI与治疗参与度低、在押违规行为和再次定罪有关。评估和管理TBI的方案正在制定中。这些方案可能会提高罪犯参与法医心理治疗康复的程度并减少犯罪。
