Subramaney Ugasvaree, Minty Nashia, Himlok Chad M, Adetiba Damilola, Ahmed Hamza, Barnard Elouise, Mahachi Yolanda R, Selekana Koketso, Smith Jenna R, Iyaloo Samantha
Department of Psychiatry, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
S Afr J Psychiatr. 2024 Mar 1;30:2190. doi: 10.4102/sajpsychiatry.v30i0.2190. eCollection 2024.
Trauma experiences, particularly in childhood, have been associated with criminality and mental illness. There is a paucity of research into the crime of murder, trauma and mental illness.
This research study focused on state patients charged with murder and sought to determine associations with prior trauma experiences, and specific types of traumas (sexual, physical and emotional).
The study was conducted at a forensic psychiatric hospital in Johannesburg, South Africa.
The records of state patients admitted over a 21-year period on a charge of murder were reviewed and analysed with respect to sociodemographic variables, clinical profiles, trauma experience and victim characteristics.
Experience of trauma in this population, with a much higher number of males compared with females, was lower than previous studies. Neurocognitive disorder was significantly associated with physical trauma. Physical trauma was found to have a significantly negative association with psychotic disorders, compared with other mental disorders.
Although trauma is common in psychiatric patients, the study's findings are lower than previous studies. Noting the male bias in state patients that commit murder, greater sample sizes are needed to adequately address issues of specific types of traumas, the development of mental illness and murder.
Exploring and managing prior trauma in state patients who commit murder is important while considering rehabilitation efforts, such that reintegration into the community and non-recidivism are encouraged.
创伤经历，尤其是童年时期的创伤经历，与犯罪和精神疾病有关。针对谋杀犯罪、创伤和精神疾病的研究匮乏。
本研究聚焦于被控谋杀的国家公费患者，旨在确定其与既往创伤经历以及特定类型创伤（性创伤、身体创伤和情感创伤）之间的关联。
该研究在南非约翰内斯堡的一家法医精神病医院开展。
回顾并分析了21年间因被控谋杀而入院的国家公费患者的记录，内容涉及社会人口统计学变量、临床特征、创伤经历和受害者特征。
该人群中的创伤经历发生率低于以往研究，且男性数量远多于女性。神经认知障碍与身体创伤显著相关。与其他精神障碍相比，身体创伤与精神障碍存在显著负相关。
尽管创伤在精神病患者中很常见，但该研究的结果低于以往研究。鉴于被控谋杀的国家公费患者存在男性偏倚，需要更大的样本量来充分解决特定类型创伤、精神疾病发展和谋杀等问题。
在考虑康复工作时，探索和处理被控谋杀的国家公费患者的既往创伤很重要，这样可以鼓励他们重新融入社区并避免再次犯罪。
