Harborview Injury Prevention Research Center (Drs Bonow, Wang, Zatzick, Rivara, and Rowhani-Rahbar), Department of Neurological Surgery (Dr Bonow), Department of Psychiatry and Behavioral Sciences (Dr Zatzick), Department of Pediatrics (Dr Rivara), and Department of Epidemiology (Dr Rowhani-Rahbar), University of Washington, Seattle.
J Head Trauma Rehabil. 2019 Jan/Feb;34(1):E61-E69. doi: 10.1097/HTR.0000000000000413.
To examine whether patients with traumatic brain injury (TBI) are at higher risk for subsequent crime perpetration compared with injured patients without TBI and those hospitalized for reasons other than injury.
Patients hospitalized in Washington State from 2006-2007.
A retrospective cohort study using linked statewide datasets.
Primary outcomes were arrest for any violent or nonviolent crime within 5 years of discharge. Adjusted subhazard ratios were calculated using regression models incorporating death as a competing risk.
Compared with uninjured patients (n = 158 247), the adjusted rate of arrest for any crime was greater among injured patients with TBI (n = 6894; subdistribution hazard ratios [sHR], 1.57; 95% confidence interval [CI], 1.49-1.62) and without TBI (n = 40 035; sHR, 1.55; 95% CI, 1.49-1.62). When patients with TBI were directly compared with injured patients without TBI, no effect of TBI on subsequent arrests was found (sHR, 1.02; 95% CI, 0.94-1.11). TBI did not increase the likelihood of either violent or nonviolent crime when these outcomes were examined separately.
TBI survivors do not appear to be at increased risk for criminality compared with injured individuals without TBI. However, injured persons with or without TBI may be at elevated risk of crime perpetration compared with those who are uninjured.
研究创伤性脑损伤（TBI）患者与未受 TBI 损伤的患者以及因其他原因而非受伤而住院的患者相比，是否有更高的后续犯罪风险。
2006-2007 年在华盛顿州住院的患者。
使用全州范围内的链接数据集进行回顾性队列研究。
主要结果是在出院后 5 年内因任何暴力或非暴力犯罪而被捕。使用包含死亡作为竞争风险的回归模型计算调整后的亚危险比。
与未受伤的患者（n = 158 247）相比，受伤的 TBI 患者（n = 6894；亚分布风险比[sHR]，1.57；95%置信区间[CI]，1.49-1.62）和未受伤的患者（n = 40 035；sHR，1.55；95% CI，1.49-1.62）因任何犯罪而被捕的调整率更高。当直接比较 TBI 患者和未受伤的 TBI 患者时，未发现 TBI 对随后逮捕有影响（sHR，1.02；95% CI，0.94-1.11）。当分别检查这些结果时，TBI 并未增加暴力或非暴力犯罪的可能性。
与未受 TBI 损伤的受伤个体相比，TBI 幸存者似乎没有更高的犯罪风险。然而，受伤者无论是否患有 TBI，与未受伤者相比，犯罪的可能性可能更高。
