Setlaba Nkomile Ntswaki Clourinah, Mosotho Nathaniel Lehlohonolo, Joubert Gina
Department of Psychiatry, University of the Free State, Bloemfontein, South Africa.
Department of Biostatistics, University of the Free State, Bloemfontein, South Africa.
Psychiatr Psychol Law. 2020 Mar 13;27(2):192-201. doi: 10.1080/13218719.2019.1618751. eCollection 2020.
Schizophrenia, prevalent in forensic mental health settings, is chronic and devastating, with a generally unfavourable course and prognosis. The aim of this study was to determine the demographic, clinical and social characteristics of forensic patients diagnosed with schizophrenia at the Free State Psychiatric Complex. A data collection form was used to gather information from the clinical records of patients diagnosed with schizophrenia between 1 January 2011 and 31 December 2015. The majority of the 110 participants were young male adults aged between 18 and 35 years with a low educational level. Cognitive impairment and positive symptoms were the most prominent clinical features. Aggressive and violent behaviour was notably prevalent. The majority of our sample had committed crimes against humans, while fewer had committed other types of crimes. It was concluded that causal factors included young adulthood, male gender, substance abuse, a poor social support system and lower educational level.
精神分裂症在法医精神卫生环境中很常见，是一种慢性且具有毁灭性的疾病，其病程和预后通常不佳。本研究的目的是确定在自由邦精神病综合医院被诊断为精神分裂症的法医患者的人口统计学、临床和社会特征。使用一份数据收集表从2011年1月1日至2015年12月31日期间被诊断为精神分裂症的患者临床记录中收集信息。110名参与者中的大多数是年龄在18至35岁之间、教育水平较低的年轻男性成年人。认知障碍和阳性症状是最突出的临床特征。攻击性行为和暴力行为明显普遍。我们样本中的大多数人犯了危害人类罪，而犯其他类型罪行的人较少。得出的结论是，因果因素包括青年期、男性性别、药物滥用、社会支持系统差和教育水平较低。
