Klausing Hannah, Seifert Dieter
Alexianer GmbH, Forensische Psychiatrie, Münster.
Psychiatr Prax. 2023 May;50(4):189-195. doi: 10.1055/a-1855-9773. Epub 2022 Jul 5.
The aim of the study is the descriptive evaluation of the recidivism trajectories of 321 discharged patients sentenced to forensic treatment acc. to art 63 of the German penal code. The data were taken from the Essen prospective long-term study. Reoffending was aggregated in periods of three years. In the course of the average 16.5-year follow-up period ("time-at-risk"), about one third reoffended (35.2 %). Differentiated by main diagnoses, discharged patients with personality disorders in particular had high overall recidivism rates (57.8 %). For patients discharged for reasons of proportionality (n = 8; 2.5 %), recidivism occurred in 4 cases and serious offending in 3 cases. The results underscore the effectiveness of forensic psychiatric and highlight the need for additional consideration regarding appropriate treatment measures and outpatient follow-up care for personality disordered offenders.
本研究的目的是对321名根据德国刑法典第63条被判处法医治疗的出院患者的累犯轨迹进行描述性评估。数据取自埃森前瞻性长期研究。再犯情况按三年期进行汇总。在平均16.5年的随访期(“风险期”)内,约三分之一的患者再次犯罪(35.2%)。按主要诊断分类,尤其是患有精神人格障碍的出院患者总体累犯率较高(57.8%)。对于因比例性原因出院的患者(n = 8;2.5%),有4例再次犯罪,3例严重犯罪。研究结果强调了法医精神病学的有效性,并突出了对患有精神人格障碍的罪犯采取适当治疗措施和门诊随访护理进行额外考虑的必要性。