Tomlin Jack, Walde Peggy, Völlm Birgit
School of Law and Criminology, University of Greenwich, London, United Kingdom.
Department for Forensic Psychiatry, Rostock University Medical Center, Rostock, Germany.
Front Psychiatry. 2022 Apr 25;13:827272. doi: 10.3389/fpsyt.2022.827272. eCollection 2022.
In Germany, the most frequently used legal section to order forensic mental health treatment is § 63 of the Penal Code (Strafgesetzbuch; StGB). This disposition is primarily aimed at individuals with major mental illnesses who are not fully responsible for a criminal act they committed. Despite evaluation and follow-up studies being conducted within individual hospitals or federal states we lack key epidemiological data on this patient group across the whole country. The present study aims to fill this gap by conducting an annual survey of all eligible forensic mental health hospitals to develop a database of basic clinical, legal and demographic data. Staff at participating hospitals will complete an online survey answering questions about individual patients using routinely collected hospital records. Over the duration of the study, eight-and-a-half years, we aim to collect data on approximately = 6,450 patients. Alongside important clinical data, we will use official reconviction data at 3- and 6-year follow-ups to investigate the number and types of crimes committed by discharged patients. We aim to extend the scientific literature on factors associated with reconviction in the Risk-Needs-Responsivity model by also measuring the extent to which treatment engagement and programme completion during care predicts reconviction. This study protocol describes the background and theoretical framework for this study, its methods of data collection and analysis, and steps taken to ensure compliance with ethical and data protection principles.
在德国，用于下令进行法医精神卫生治疗的最常用法律条款是《刑法典》（Strafgesetzbuch；StGB）第63条。这一规定主要针对患有严重精神疾病、对其实施的犯罪行为不完全承担责任的个人。尽管各医院或联邦州内部都开展了评估和后续研究，但我们仍缺乏关于这个全国性患者群体的关键流行病学数据。本研究旨在通过对所有符合条件的法医精神卫生医院进行年度调查，以填补这一空白，从而建立一个包含基本临床、法律和人口统计学数据的数据库。参与研究的医院工作人员将通过查阅常规收集的医院记录，完成一份关于个体患者的在线调查问卷。在为期八年半的研究期间，我们旨在收集约6450名患者的数据。除重要的临床数据外，我们还将利用3年和6年随访时的官方再定罪数据，调查出院患者实施犯罪的数量和类型。我们还将衡量护理期间治疗参与度和项目完成情况对再定罪的预测程度，从而扩展关于风险-需求-反应性模型中与再定罪相关因素的科学文献。本研究方案描述了本研究的背景和理论框架、数据收集与分析方法，以及为确保符合伦理和数据保护原则而采取的措施。
