Seidel P, Konrad N, Negatsch V, Dezsö D, Kogan I, Gauger U, Neumann B, Voulgaris A, Opitz-Welke A
Justizvollzugskrankenhaus, JVA Plötzensee, Berlin, Germany
Institut für Forensische Psychiatrie, Charité, Berlin, Germany.
Front Psychiatry. 2019 Oct 31;10:762. doi: 10.3389/fpsyt.2019.00762. eCollection 2019.
Violent behavior in correctional facilities is common and differs substantially in type, target, implication, and trigger. Research on frequency and characteristics of violent behavior in correctional facilities and psychiatric hospitals is limited. Results from recent research suggest that comorbidity of severe mental disorder, personality disorder, and diagnosis of substance abuse is related to a higher risk of violent behavior. In the Berlin prison hospital, a database was created to collect data from all violent incidences (n=210) between 1997 and 2006 and between 2010 and 2016. In a retrospective, case-control study, we analyzed specific socioeconomic data and psychiatric diagnosis and compared the group of prisoners with violent behavior with randomly selected prisoners of the same department without violent behavior (n = 210). Diagnosis of schizophrenia, non-German nationality, no use of an interpreter, no children, and no previous sentence remained significantly associated with the dependent variable violent behavior. There were no significant differences regarding age and legal statuses. Practical implications for clinical work are discussed.
惩教机构中的暴力行为很常见，其类型、目标、影响和触发因素存在很大差异。关于惩教机构和精神病医院中暴力行为的频率和特征的研究有限。最近的研究结果表明，严重精神障碍、人格障碍和药物滥用诊断的共病与暴力行为的较高风险相关。在柏林监狱医院，创建了一个数据库，以收集1997年至2006年以及2010年至2016年期间所有暴力事件（n = 210）的数据。在一项回顾性病例对照研究中，我们分析了特定的社会经济数据和精神病诊断，并将有暴力行为的囚犯组与同一部门随机选择的无暴力行为的囚犯（n = 210）进行了比较。精神分裂症诊断、非德国国籍、未使用口译员、无子女和无前科与因变量暴力行为仍存在显著关联。在年龄和法律地位方面没有显著差异。讨论了对临床工作的实际影响。
