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精神障碍与犯罪:男性精神分裂症

Mental disorder and criminality: male schizophrenia.

作者信息

Modestin J, Ammann R

机构信息

Psychiatric University Hospital Zurich, Switzerland.

出版信息

Schizophr Bull. 1996;22(1):69-82. doi: 10.1093/schbul/22.1.69.

Abstract

This study investigated lifetime prevalence of criminal behavior in a population of male schizophrenia patients. A total of 282 schizophrenia patients was divided into three subgroups (representing schizophreniform disorder, acute schizophrenia, and chronic schizophrenia). The same number of control subjects was drawn from the general population and matched with the patients for sex, age, marital status, occupational level, and community size. The full account of conviction records in the criminal register was used as a measure of criminal behavior. Patients were 5 times more likely to have been convicted of violent crimes, 2 1/2 times more likely to have been convicted of crimes against property, and almost 3 times more likely to have violated drug laws. Criminality rates in schizophrenia depended, however, not only on the type of offense but also on the type or stage of the illness, which contributed to criminal behavior to some extent independently of sociodemographic factors.

摘要

本研究调查了男性精神分裂症患者群体中犯罪行为的终生患病率。总共282名精神分裂症患者被分为三个亚组(分别代表精神分裂症样障碍、急性精神分裂症和慢性精神分裂症)。从普通人群中抽取相同数量的对照对象,并在性别、年龄、婚姻状况、职业水平和社区规模方面与患者进行匹配。刑事登记册中完整的定罪记录被用作犯罪行为的衡量标准。患者被判暴力犯罪的可能性高出5倍,被判财产犯罪的可能性高出2.5倍,违反毒品法律的可能性几乎高出3倍。然而,精神分裂症患者的犯罪率不仅取决于犯罪类型,还取决于疾病的类型或阶段,这在一定程度上独立于社会人口统计学因素对犯罪行为产生影响。

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