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比较有刑事司法涉案经历和无刑事司法涉案经历的精神科住院患者的犯罪风险因素和精神症状。

A comparison of criminogenic risk factors and psychiatric symptomatology between psychiatric inpatients with and without criminal justice involvement.

机构信息

Department of Psychological Sciences.

出版信息

Law Hum Behav. 2020 Aug;44(4):336-346. doi: 10.1037/lhb0000391. Epub 2020 Jun 4.

DOI:10.1037/lhb0000391
PMID:32496084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7415671/
Abstract

OBJECTIVE

Research suggests distinct criminal risk factors, not mental illness, are more strongly associated with most criminal behaviors. This notion has been supported among inpatient persons with mental illness (PMI) when examining antisocial cognitions; however, other key criminogenic risk factors (the Big Four and Central Eight risk factors) have not been examined among psychiatric inpatient PMI.

HYPOTHESES

We hypothesized that criminal justice (CJ)-involved PMI would endorse significantly greater criminogenic risk compared to non-CJ-involved PMI and that these risk factors would significantly and accurately identify whether PMI had CJ involvement. Additionally, we hypothesized that PMI with and without a history of CJ involvement would not significantly differ on their reported psychiatric symptomatology.

METHOD

We examined all Central Eight criminal risk factors and psychiatric symptomatology among psychiatric inpatient PMI ( = 142) with ( = 74) and without ( = 68) CJ involvement histories.

RESULTS

Multivariate analysis of variance and discriminant function analysis indicated significant differences between the Big Four and Central Eight criminal risk factors when classifying CJ and non-CJ groups. The Big Four risk factors correctly classified 85.9% of participants, and the Central Eight correctly classified 99.3% of participants into CJ and non-CJ groups; however, psychiatric symptoms only correctly classified 57.7% of participants into CJ and non-CJ groups.

CONCLUSIONS

Criminal risk factors appear to be more strongly associated with CJ involvement among PMI than psychiatric symptomatology; therefore, psychotherapeutic intervention on criminal risk factors, not only mental illness, may decrease criminal recidivism among CJ-involved PMI. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

目的

研究表明,与大多数犯罪行为更密切相关的是独特的犯罪风险因素,而不是精神疾病。当检查反社会认知时,这一观点在住院精神病患者(PMI)中得到了支持;然而,其他关键犯罪风险因素(四大因素和八大核心因素)在精神病住院 PMI 中尚未得到检验。

假设

我们假设与刑事司法(CJ)有关的 PMI 会比非 CJ 相关的 PMI 更认同更多的犯罪风险因素,并且这些风险因素将能够显著准确地识别 PMI 是否涉及 CJ。此外,我们假设有和没有 CJ 参与史的 PMI 在报告的精神病症状方面不会有显著差异。

方法

我们检查了所有精神病住院 PMI(= 142)的八大核心犯罪风险因素和精神病症状,这些 PMI 中有(= 74)和没有(= 68)CJ 参与史。

结果

多元方差分析和判别函数分析表明,在对 CJ 和非 CJ 组进行分类时,四大因素和八大核心犯罪风险因素存在显著差异。四大因素正确地将 85.9%的参与者分类,八大核心因素正确地将 99.3%的参与者分类为 CJ 和非 CJ 组;然而,精神病症状仅将 57.7%的参与者正确地分类为 CJ 和非 CJ 组。

结论

与精神病症状相比,犯罪风险因素似乎与 PMI 中的 CJ 参与更为密切相关;因此,针对犯罪风险因素的心理治疗干预,而不仅仅是针对精神疾病,可能会降低 CJ 相关 PMI 的犯罪累犯率。

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