节点文献

精神分裂症患者犯罪临床特征及暴力风险因素分析

Analysis on clinical features and violent risk factors of offenders with schizophrenia

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 吕颖徐亚秋韩臣柏唐勇张诚王健严叶良

【Author】 LYU Ying;XU Ya-qiu;HAN Chen-bo;TANG Yong;ZHANG Cheng;WANG Jian;YAN Ye-liang;Department of Forensic Psychiatry,Brain Hospital Affiliated to Nanjing Medical University;

【通讯作者】 严叶良;

【机构】 南京医科大学附属脑科医院司法鉴定所江阴市第三人民医院

【摘要】 目的:探讨精神分裂症犯罪者责任能力、临床特征及暴力相关风险因素。方法:采用自编调查表对1 393例2011至2016年在我所进行司法精神医学鉴定的案例进行回顾性研究,分析精神分裂症患者犯罪特点及暴力行为相关因素。结果:与无精神病组及其他精神疾病组相比,精神分裂症组男性比例低、文化程度高、犯罪时年龄大、暴力犯罪比例高、有伤亡的案件比例高、既往犯罪史、案前饮酒史及吸毒史比例低(P<0.05或P<0.01);无业者比例高于无精神病组(P<0.05)。与精神分裂症非暴力组相比,精神分裂症暴力组文化程度低、既往犯罪史少,单身占比高;比较精神病性症状时发现,言语性幻听、关系妄想、被害妄想、嫉妒妄想在精神分裂症暴力犯罪组比例更高(P<0.05或P<0.01)。Logistics回归分析显示精神分裂症患者暴力犯罪的风险因素为存在嫉妒妄想、言语性幻听、被害妄想(OR=3.890,2.258,2.173;P<0.05或P<0.01)。结论:嫉妒妄想、言语性幻听、被害妄想是精神分裂症暴力犯罪的风险因素。

【Abstract】 Objective: To explore the criminal responsibilities, clinical features and violent risk factors of schizophrenic offenders. Method:A retrospective study was conducted on 1 393 cases with forensic psychiatric expertise from 2011 to 2016 collected by self-compiled questionnaire, to analyze the criminal features and violent risk factors of offenders with schizophrenia. Results:Compared with the groups without mental disorder or with other mental disorders, offenders with schizophrenia had fewer male offenders, higher education level, older age at the time of the crime, higher proportion of violent crimes, higher proportion with casualty, less previous crime history, drinking history before the crime and drug abuse history(P<0.05 or P<0.01).Compared with the group without mental disorder, fewer offenders with schizophrenia had a job(P<0.05).Compared with schizophrenia group without violent crime, schizophrenia group with violent crime had lower education level, less criminal history, a higher proportion of being single, more hearing hallucinations, persecutory delusions and jealous delusions(P<0.05 or P<0.01).Logistics regression showed that delusions of jealousy, hearing hallucinations and persecutory delusions were the risk factors of violent crimes(OR=3.890,2.258,2.173;P<0.05 or P<0.01). Conclusion: Delusions of jealousy, hearing hallucinations and persecutory delusions may be risk factors to contribute the violent offences of schizophrenia.

  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychiatry , 编辑部邮箱 ,2021年03期
  • 【分类号】R749.3
  • 【下载频次】151
节点文献中: 

本文链接的文献网络图示:

本文的引文网络