Webster Kyle D, Gunter Tracy D, Vohs Jenifer L, Breier Alan
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.
Transitions Coaching and Consulting, Charleston, South Carolina, USA.
Early Interv Psychiatry. 2025 Feb;19(2):e70005. doi: 10.1111/eip.70005.
Studies have shown that people experiencing early phase psychosis (EPP) are at increased risk for criminal conviction and incarceration. However, there is limited data looking at overall legal burden. To address these gaps in the literature, the goal of this study was to categorise criminal charges and convictions using the United States Federal Bureau of Investigation (FBI) uniform crime reporting (UCR) program, assess frequency of incarcerations, and describe the frequency of substance use disorder (SUD) diagnoses and its relationship to criminal offending and incarceration in a well categorised EPP population.
A sample of 309 adults experiencing EPP were enrolled in a specialty care clinic. The research team expanded upon prior work and collected data from three public databases to identify legal burden in this population.
Almost 50% (n = 155) of subjects had a history of a criminal charge, 34% (n = 104) of subjects had a history of criminal conviction, and 40% (n = 123) of subjects had at least one incarceration event. The most common typology of criminal offence were crimes against society. Lastly, a dual diagnosis was statistically associated with incarcerations (χ = 10.152, p < 0.0011), crimes against society (χ = 13.172, p < 0.0002), and crimes against persons (χ = 9.136, p < 0.0023).
These data highlight the high legal burden people experiencing EPP face and the need for future work to examine the risks incarceration places on this population. This work also shows the need for specialty care clinics managing EPP to be proficient in treating a dual diagnosis or the need to partner with an appropriate clinic.
研究表明，处于早期精神病阶段（EPP）的人被定罪和监禁的风险增加。然而，关于总体法律负担的数据有限。为了填补文献中的这些空白，本研究的目的是使用美国联邦调查局（FBI）的统一犯罪报告（UCR）计划对刑事指控和定罪进行分类，评估监禁频率，并描述物质使用障碍（SUD）诊断的频率及其与分类明确的EPP人群中犯罪和监禁的关系。
309名患有EPP的成年人样本被纳入一家专科护理诊所。研究团队在先前工作的基础上进行扩展，从三个公共数据库收集数据，以确定该人群的法律负担。
近50%（n = 155）的受试者有刑事指控史，34%（n = 104）的受试者有刑事定罪史，40%（n = 123）的受试者至少有一次监禁事件。最常见的犯罪类型是危害社会罪。最后，双重诊断与监禁（χ = 10.152，p < 0.0011）、危害社会罪（χ = 13.172，p < 0.0002）和危害人身罪（χ = 9.136，p < 0.0023）在统计学上相关。
这些数据凸显了处于EPP阶段的人所面临的高法律负担，以及未来研究监禁对该人群所带来风险的必要性。这项工作还表明，管理EPP的专科护理诊所需要精通双重诊断的治疗，或者需要与合适的诊所合作。
