Department of Forensic Psychiatry, University Psychiatric Hospital Vrapče, Bolnička cesta 3, 10000 Zagreb, Croatia,
Psychiatr Danub. 2019 Dec;31(Suppl 5):826-830.
The aim of the study was to compare the characteristics of sex offenders today, and those who committed a sex crime fifteen years ago, in regard to their psychiatric-forensic aspects.
Data from the University psychiatric hospital Vrapče, Center for forensic psychiatry on court people sent for psychiatric and forensic evaluation, who were accused of sex offense in two time frames (1998-2001 and 2010-2016) were analysed. In total there were 50 and 57 male subjects sent for an evaluation.
In both groups rape was the most prevalent offence, and both groups had the same prevalence of abuse, earlier psychiatric treatment and the majority of offenders were diagnosed with dissocial personality disorder and other personality disorders. Paedophilia was diagnosed in only a minority (14% and 7% respectively) of cases. The latter group (2010-2016) committed more sex offences against children, more often were with no mental disorder and less often had alcohol dependence and mental retardation. Up to one third of the later group were not giving their defence, compared to 4% of the former group.
Changes in court case law and psychiatrists' usage of diagnostic criteria have influenced the prevalent diagnoses in sex offenders. Paraphilias are not often diagnosed in sex offenders because they do not confirm the act, and in recent years more often use not to give their defence (which makes reaching the diagnosis more challenging).
本研究旨在比较现今性犯罪者与 15 年前性犯罪者的精神病学-法医特征，以了解其特点。
对来自 Vrapče 大学精神病院和法医精神病中心的法庭送检人员进行了分析，这些人因性犯罪被指控，他们在两个时间范围内（1998-2001 年和 2010-2016 年）接受了精神病学和法医评估，共有 50 名和 57 名男性被送检。
两组中最常见的犯罪都是强奸，两组滥用、早期精神治疗的比例相同，大多数犯罪者被诊断为反社会人格障碍和其他人格障碍。恋童癖只在少数病例中被诊断出（分别为 14%和 7%）。后者组（2010-2016 年）对儿童实施的性犯罪更多，无精神障碍的比例更高，而酒精依赖和智力迟钝的比例更低。与前一组的 4%相比，后一组中多达三分之一的人未进行辩护。
法庭判例法和精神病医生诊断标准的变化影响了性犯罪者的流行诊断。性犯罪者中很少诊断出性癖好，因为它们不能证实犯罪行为，近年来，更多的人选择不进行辩护（这使得诊断更加困难）。
