Yukhnenko Denis, Blackwood Nigel, Fazel Seena
Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
CNS Spectr. 2020 Apr;25(2):252-263. doi: 10.1017/S1092852919001056. Epub 2019 Jun 20.
We aimed to systematically review risk factors for criminal recidivism in individuals given community sentences.
We searched seven bibliographic databases and additionally conducted targeted searches for studies that investigated risk factors for any repeat offending in individuals who had received community (non-custodial) sentences. We included investigations that reported data on at least one risk factor and allowed calculations of odds ratios (ORs). If a similar risk factor was reported in three or more primary studies, they were grouped into domains, and pooled ORs were calculated.
We identified 15 studies from 5 countries, which reported data on 14 independent samples and 246,608 individuals. We found that several dynamic (modifiable) risk factors were associated with criminal recidivism in community-sentenced populations, including mental health needs (OR = 1.4, 95% confidence interval (CI): 1.2-1.6), substance misuse (OR = 2.3, 95% CI: 1.1-4.9), association with antisocial peers (OR = 2.2, 95% CI: 1.3-3.7), employment problems (OR = 1.8, 95% CI: 1.3-2.5), marital status (OR = 1.6, 95%: 1.4-1.8), and low income (OR = 2.0, 95% CI: 1.1-3.4). The strength of these associations was comparable to that of static (non-modifiable) risk factors, such as age, gender, and criminal history.
Assessing dynamic (modifiable) risk factors should be considered in all individuals given community sentences. The further integration of mental health, substance misuse, and criminal justice services may reduce reoffending risk in community-sentenced populations.
我们旨在系统回顾被判处社区刑罚的个体再次犯罪的风险因素。
我们检索了七个文献数据库,并额外针对性地搜索了调查接受社区(非监禁)刑罚的个体再次犯罪风险因素的研究。我们纳入了报告至少一种风险因素数据并允许计算比值比(OR)的调查。如果在三项或更多的原始研究中报告了相似的风险因素,则将它们归为不同领域,并计算合并OR。
我们从5个国家识别出15项研究,这些研究报告了14个独立样本和246,608名个体的数据。我们发现,几个动态(可改变的)风险因素与被判处社区刑罚人群的再次犯罪有关,包括心理健康需求(OR = 1.4,95%置信区间(CI):1.2 - 1.6)、药物滥用(OR = 2.3,95% CI:1.1 - 4.9)、与反社会同伴的交往(OR = 2.2,95% CI:1.3 - 3.7)、就业问题(OR = 1.8,95% CI:1.3 - 2.5)、婚姻状况(OR = 1.6,95%:1.4 - 1.8)以及低收入(OR = 2.0,95% CI:1.1 - 3.4)。这些关联的强度与年龄、性别和犯罪史等静态(不可改变的)风险因素相当。
对于所有被判处社区刑罚的个体,均应考虑评估动态(可改变的)风险因素。心理健康、药物滥用和刑事司法服务的进一步整合可能会降低被判处社区刑罚人群的再次犯罪风险。