Smith J, Grant F, Brinded P
Fromeside Clinic, Glenside Hospital, Stapleton, Bristol.
Med Sci Law. 1994 Jul;34(3):221-6. doi: 10.1177/002580249403400306.
Clinical and legal data were collected on 1265 schizophrenic patients remanded to a maximum security hospital, for psychiatric evaluation of fitness to stand trial. Schizophrenics accounted for over half of the remand population. When compared to the nonschizophrenic group, they had more previous admissions to the Forensic Psychiatric Institute and the Provincial Mental Hospital. They were also more likely to be found unfit to stand trial or to have their charges stayed by the Crown. However, approximately half of the schizophrenics in this study returned to Court, fit to stand trial and with no further psychiatric treatment provided. This study raises major questions about the purpose and value of remanding schizophrenics to a maximum security hospital for in-patient fitness evaluations.
收集了1265名被送交戒备森严医院的精神分裂症患者的临床和法律数据,以便对其受审适格性进行精神病学评估。精神分裂症患者占还押人员总数的一半以上。与非精神分裂症组相比,他们此前更多次被送入法医精神病学研究所和省级精神病院。他们也更有可能被认定不适合受审或被王室中止指控。然而,本研究中约一半的精神分裂症患者返回法庭,适合受审且未接受进一步的精神病治疗。这项研究对将精神分裂症患者送交戒备森严医院进行住院适格性评估的目的和价值提出了重大质疑。