Grossman L S, Haywood T W, Cavanaugh J L, Davis J M, Lewis D A
Department of Psychiatry, University of Illinois College of Medicine, Chicago, Illinois 60612, USA.
Psychiatr Serv. 1995 Aug;46(8):790-5. doi: 10.1176/ps.46.8.790.
This study examined associations between four types of major psychopathology--schizophrenia, schizoaffective disorder, and bipolar and unipolar affective disorders--and history of violent crime. The effects of demographic variables, substance abuse, psychosis, and paranoia on history of violent crime were also determined.
Diagnostic assessments using the Schedule for Affective Disorders and Schizophrenia and Research Diagnostic Criteria identified 172 state hospital inpatients with the four diagnoses of interest, as well as those with co-existing substance use disorders. Based on arrest records, patients were categorized according to the most violent crime for which they had been arrested.
Patients with schizoaffective disorder were significantly more likely than those in the other diagnostic groups to have been arrested for a violent crime. Similar results were found for psychotic patients compared with nonpsychotic patients, patients who had paranoid schizophrenia compared with patients who had schizophrenia without paranoid features, and patients who had co-existing substance abuse compared with those with no history of substance abuse. Patients from racial minority groups and male patients were also more likely than white patients and female patients to have been arrested for a violent crime.
Demographic features, a diagnosis of schizoaffective disorder, psychosis, paranoid symptoms, and substance abuse may all be associated with violent behavior.
本研究探讨了四种主要精神病理学类型——精神分裂症、分裂情感性障碍、双相情感障碍和单相情感障碍——与暴力犯罪史之间的关联。还确定了人口统计学变量、药物滥用、精神病和偏执对暴力犯罪史的影响。
使用情感障碍和精神分裂症检查表及研究诊断标准进行诊断评估，确定了172名州立医院住院患者，他们被诊断为感兴趣的四种疾病，以及同时患有物质使用障碍的患者。根据逮捕记录，患者按照他们被捕的最严重暴力犯罪进行分类。
与其他诊断组的患者相比，患有分裂情感性障碍的患者因暴力犯罪被捕的可能性显著更高。与非精神病患者相比，精神病患者、患有偏执型精神分裂症的患者与没有偏执特征的精神分裂症患者相比、同时患有药物滥用的患者与没有药物滥用史的患者相比，均发现了类似结果。少数族裔患者和男性患者因暴力犯罪被捕的可能性也高于白人患者和女性患者。
人口统计学特征、分裂情感性障碍的诊断、精神病、偏执症状和药物滥用都可能与暴力行为有关。
