Wessely S
Department of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, Camberwell, London, UK.
Soc Psychiatry Psychiatr Epidemiol. 1998 Dec;33 Suppl 1:S24-8. doi: 10.1007/s001270050206.
I report a population-based longitudinal study of all incident cases of schizophrenia (n = 538) in the London Borough of Camberwell between 1964 and 1984. The rates of criminal convictions are compared with those in a control sample representative of non-schizophrenic mental disorders matched for age, sex and period. The results show that women with schizophrenia have an increased rate of offending across all offence categories (rate ratio = 3.3). There is no overall increase for males, but a specific increase for violent convictions (rate ratio = 3.8). Looking at the risk of acquiring a first conviction, there is an independent but modest effect of schizophrenia (hazard ratio = 1.4), but the effects of gender, substance abuse, ethnicity and age at onset were more substantial.
我报告了一项基于人群的纵向研究，该研究针对1964年至1984年间坎伯韦尔伦敦自治市所有新发精神分裂症病例（n = 538）。将刑事定罪率与年龄、性别和时期相匹配的非精神分裂症性精神障碍对照样本的定罪率进行比较。结果显示，患有精神分裂症的女性在所有犯罪类别中的犯罪率均有所上升（率比 = 3.3）。男性总体犯罪率没有上升，但暴力犯罪定罪率有特定上升（率比 = 3.8）。从首次定罪的风险来看，精神分裂症有独立但适度的影响（风险比 = 1.4），但性别、药物滥用、种族和发病年龄的影响更为显著。
