韩国精神分裂症患者的犯罪行为：与普通人群的比较。
Crimes by people with schizophrenia in Korea: comparison with the general population.
机构信息
Department of Health Policy and Management, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
出版信息
BMC Psychiatry. 2019 Nov 29;19(1):377. doi: 10.1186/s12888-019-2355-5.
BACKGROUND
This study was performed to describe the prevalence of crimes committed by persons with schizophrenia using population-based data and to compare the crime prevalence of persons with schizophrenia and the general population.
METHODS
The number of crimes was obtained from the Korean National Policy Agency (KNPA) crime statistics (2012-2016), which provide the number of crimes in terms of the criminal's mental status and mental health conditions. For the number of persons with schizophrenia, estimates were used which had been calculated from the inpatient and outpatient claims from the National Health Insurance Service. The crime prevalence in persons with schizophrenia was calculated according to the types of crimes, and a comparison with the general population was conducted.
RESULTS
The overall crime prevalence of persons with schizophrenia was 72.7 to 90.3 per 10,000 from 2012 through 2016, which was about one fifth that of the general population. While the crime rates of the persons with schizophrenia were lower than the general population in most types of crimes including violence, intellectual crimes, and theft, the prevalence of murder, arson, and drug-related crimes in persons with schizophrenia was about five times, six times, and two times that of the general population respectively.
CONCLUSION
The higher prevalence of serious offences among persons with schizophrenia suggests the need for closer and more appropriate care for the population, which would be achieved through effective continuity of institutional and community care.
背景
本研究旨在利用基于人群的数据描述精神分裂症患者犯罪的流行率，并比较精神分裂症患者和一般人群的犯罪流行率。
方法
犯罪数量来自韩国国家政策局（KNPA）犯罪统计数据（2012-2016 年），该数据提供了根据犯罪者的精神状态和心理健康状况分类的犯罪数量。关于精神分裂症患者人数，使用了从国家健康保险服务的住院和门诊索赔中计算得出的估计数。根据犯罪类型计算了精神分裂症患者的犯罪流行率，并与一般人群进行了比较。
结果
2012 年至 2016 年期间，精神分裂症患者的总体犯罪流行率为每 10000 人 72.7 至 90.3 人，约为一般人群的五分之一。虽然精神分裂症患者的犯罪率在包括暴力、智力犯罪和盗窃在内的大多数类型的犯罪中低于一般人群，但精神分裂症患者的谋杀、纵火和与毒品相关犯罪的患病率分别约为一般人群的五倍、六倍和两倍。
结论
精神分裂症患者严重犯罪的更高患病率表明需要对该人群进行更密切和更适当的护理，通过有效的机构和社区护理连续性可以实现这一目标。
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