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庇护性护理机构中精神病患者的犯罪行为:他们更危险吗?

Criminality of the mentally ill in sheltered care: are they more dangerous?

作者信息

Hwang S D, Segal S P

机构信息

College of Social Sciences, Choongjoo, Korea.

出版信息

Int J Law Psychiatry. 1996 Winter;19(1):93-105. doi: 10.1016/0160-2527(95)00029-1.

Abstract

The sample of mental patients in sheltered care has a lower arrest rate than the general population in California in all categories of crimes, except for violent crimes. For violent crimes, the sheltered-care population is likely to be arrested at 1.33 times the rate of the state population, even when the heterogeneity of aggravated assault was taken into consideration. This indicates empirically that the mentally ill in sheltered care are more dangerous than the general population. For prediction of criminality, four factors are found to be significant predictors of resident criminality after 1973: (a) prior crime history, (b) age, (c) use of alcohol and drugs, and (d) sex (male). Among these factors, prior crime history is the single most powerful predictor of resident criminal activity. This is another confirmation of most of the previous research findings. Although there have been controversies over the issue of the dangerousness of the mentally ill, the results of this study, overall, support the most recent findings of studies in which the mentally ill population pose greater threats to the community than the general population. Now it is time to consider more specific and practical measures to monitor and carefully follow up the discharged population, especially those with prior crime history, and prevent further violent crimes. This will in turn help to promote the reintegration of the mentally ill in the community.

摘要

在庇护性照料机构中的精神疾病患者样本,在除暴力犯罪之外的所有犯罪类别中,其被捕率都低于加利福尼亚州的普通人群。对于暴力犯罪,即使考虑到严重攻击罪的异质性,庇护性照料机构中的人群被捕可能性仍是该州人口的1.33倍。这从经验上表明,接受庇护性照料的精神病患者比普通人群更具危险性。对于犯罪行为的预测,研究发现有四个因素是1973年之后住院患者犯罪行为的显著预测指标:(a) 既往犯罪史,(b) 年龄,(c) 酒精和药物使用情况,以及(d) 性别(男性)。在这些因素中,既往犯罪史是住院患者犯罪活动的唯一最有力预测指标。这再次证实了之前大多数研究的结果。尽管在精神病患者危险性问题上一直存在争议,但总体而言,本研究结果支持了近期的研究发现,即精神病患者群体对社区构成的威胁比普通人群更大。现在是时候考虑采取更具体、更实际的措施,对出院人群,尤其是有既往犯罪史的人群进行监测并仔细跟踪,以防止进一步的暴力犯罪。这反过来将有助于促进精神病患者重新融入社区。

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本文引用的文献

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Socially disruptive behavior of ex-mental patients.
Arch Gen Psychiatry. 1967 Aug;17(2):146-53. doi: 10.1001/archpsyc.1967.01730260018003.
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Crime and violence among mental patients.精神病患者中的犯罪与暴力行为。
Am J Psychiatry. 1976 Feb;133(2):142-9. doi: 10.1176/ajp.133.2.142.
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