Seig A, Ball E, Menninger J A
University of Colorado Health Sciences Center, Denver, USA.
Bull Am Acad Psychiatry Law. 1995;23(4):523-32.
This study was undertaken to investigate the authors' clinical impression that there are significant differences between the male and female insanity acquittees in Colorado, and that these differences result in significantly different treatment needs. The study sample included 149 patients: 112 men and 37 women committed to the Colorado Mental Health Institute at Pueblo as not guilty by reason of insanity (NGRI). Data were collected from a computerized data system and from chart reviews. The study provides descriptive data regarding demographic, legal, and mental health parameters of these acquittees. Demographic items included prior history of incarceration, age at first arrest, type of NGRI crime committed, and severity of NGRI crime. Mental health variables included prior psychiatric hospitalization history of suicide attempts, substance abuse history, inpatient substance abuse treatment history, diagnoses, escape history and length of stay. Percentages of male and female subjects were calculated for those variables with discrete categories. Means and medians were calculated for continuous variables. Results indicate that women are significantly more likely to be given a diagnosis of mood disorder or borderline personality disorder, are significantly older than men at the time of commitment, and are statistically more likely to have committed a single violent crime than men. Men were found to have a significantly higher rate of prior and current substance abuse, a significantly higher rate of antisocial personality disorder, a significantly greater history of violent crime prior to the NGRI offense, and arrests beginning at a significantly younger age than women. Despite the higher severity of crime rating for women, their length of stay was significantly shorter than for men. The implications of the findings with regard to different treatment needs are discussed, and the findings are compared to four other studies addressing female versus male insanity acquittees in other states.
本研究旨在调查作者的临床印象，即在科罗拉多州，因精神错乱而被判无罪者中男性和女性之间存在显著差异，且这些差异导致了显著不同的治疗需求。研究样本包括149名患者：112名男性和37名女性，他们因精神错乱而被判无罪（NGRI），被送往普韦布洛的科罗拉多心理健康研究所。数据从计算机化数据系统和病历审查中收集。该研究提供了关于这些被判无罪者的人口统计学、法律和心理健康参数的描述性数据。人口统计学项目包括先前的监禁史、首次被捕年龄、所犯NGRI罪行的类型以及NGRI罪行的严重程度。心理健康变量包括先前的精神科住院史、自杀企图史、药物滥用史、住院药物滥用治疗史、诊断、逃跑史和住院时间。对于具有离散类别的变量，计算了男性和女性受试者的百分比。对于连续变量，计算了均值和中位数。结果表明，女性被诊断为情绪障碍或边缘性人格障碍的可能性显著更高，在被收治时年龄显著大于男性，并且在统计学上比男性更有可能实施单一暴力犯罪。研究发现，男性先前和当前药物滥用的发生率显著更高，反社会人格障碍的发生率显著更高，在NGRI犯罪之前暴力犯罪的历史显著更长，并且首次被捕的年龄显著低于女性。尽管女性犯罪评级的严重程度更高，但她们的住院时间显著短于男性。讨论了这些发现对于不同治疗需求的意义，并将这些发现与其他四项针对其他州男性和女性因精神错乱而被判无罪者的研究进行了比较。
