Chiswick D
Br J Psychiatry. 1978 Jun;132:598-601. doi: 10.1192/bjp.132.6.598.
Legal findings of unfitness to stand trial are returned ten times more frequently in Scotland than in England and Wales. Sixty-five patients in the State Hospital who had been found insane in bar of trial were compared with a control group of 64 offender patients. They showed a significantly greater incidence of homicidal crimes and diagnoses of psychotic disorders, 19 per cent of which later proved to be unstable. They had also been detained longer at the State Hospital. These findings are discussed and particular reference is made to the tendency for psychotic offenders to be almost automatically regarded as unfit to plead. A brief comparison is made with the situation in England, and some modifications in forensic psychiatric procedure are suggested.
在苏格兰，因不适合受审而做出的法律判定次数比英格兰和威尔士高出十倍。对国立医院中65名被判定因精神错乱而不适宜受审的患者与64名犯罪患者组成的对照组进行了比较。结果显示，他们的杀人犯罪发生率和精神障碍诊断率明显更高，其中19%后来被证明并不稳定。他们在国立医院的拘留时间也更长。本文对这些发现进行了讨论，并特别提及了精神错乱罪犯几乎会被自动视为不适宜辩护的倾向。还与英格兰的情况进行了简要比较，并提出了一些法医精神病程序方面的改进建议。
