Department of Psychiatry, Adana City Research and Training Hospital, Adana, Turkiye.
Department of Psychiatry, Adana City Research and Training Hospital, Adana, Turkiye.
Int J Law Psychiatry. 2024 May-Jun;94:101983. doi: 10.1016/j.ijlp.2024.101983. Epub 2024 Mar 27.
Our knowledge of the severity and reoffending is limited for mentally disordered offenders, and studies generally evaluate without separation between different diagnostic groups. It was aimed to determine the general profile of mentally disordered offenders who are inpatients in a high secure psychiatry unit from Turkiye and to evaluate the factors associated with violence profiles among different diagnostic groups. According to the results the schizophrenia patients committed the most severe crimes, and intellectual disability patients had some different features from schizophrenia and bipolar disorder patients. History of substance misuse in the intellectual disability group (p = 0,045) and comorbid antisocial personality disorder in the bipolar disorder group (p = 0,015) were associated with increased crime severity. Substance misuse history, history of substance use during the crime, and the existence of comorbid antisocial personality disorder were associated with increased offenses in each of the three diagnosis groups. Living alone (p = 0,004) and having a suicide history (p= 0,052) were associated with the high number of offenses in the schizophrenia group. This study is the first study that compares three diagnostic groups to involve a large patient group. We believe that clinicians must evaluate these parameters for the violence risk assessment of patients.
我们对精神障碍罪犯的严重程度和再犯罪的了解有限，而且研究通常在不同诊断组之间没有进行分离的情况下进行评估。本研究旨在确定土耳其一家高度安全精神病院住院的精神障碍罪犯的一般特征，并评估不同诊断组之间与暴力特征相关的因素。根据结果，精神分裂症患者犯下了最严重的罪行，而智障患者与精神分裂症和双相情感障碍患者有一些不同的特征。智障组有物质滥用史（p=0.045）和双相情感障碍组有共患反社会人格障碍（p=0.015）与犯罪严重程度增加有关。物质滥用史、犯罪期间的物质使用史以及共患反社会人格障碍与三个诊断组中的每个组的犯罪增加有关。独居（p=0.004）和有自杀史（p=0.052）与精神分裂症组的高犯罪数量有关。本研究是第一项比较三个诊断组的研究，涉及大量患者群体。我们认为，临床医生必须评估这些参数，以对患者的暴力风险进行评估。
