摘要
目的:调查精神障碍患者重复违法的情况,探讨精神障碍患者重复违法的原因。方法:采用回顾性资料分析方法,应用自编调查问卷对北京市某医院2005～2006年的201份精神障碍鉴定病历进行回顾性调查。其中,第1次违法者为对照组,研究组为2次及以上违法者(简称为重复违法者)。结果:24.9%的精神障碍患者出现重复违法行为,其中,20.0%诊断为人格障碍(χ2=0.60,P<0.05)。重复违法相关因素方面,研究组28.0%无人监护,高于对照组的10.6%(χ2=8.96,P<0.01)。研究组有10.0%无钱看病,高于对照组的1.90%(χ2=4.39,P<0.05)。对照组用药的人数多于研究组,而从未用药的人数少于研究组(Z=3.49,P<0.01)。结论:精神障碍患者重复违法比例高,可能与缺乏监管、经济原因而没有得到及时治疗等因素有关。建议政府出台相应的措施,加强监管,加强精神卫生知识的宣传,预防精神障碍患者再次违法。
Objective： To investigate the occurrence of criminal recidivism in patients with mental disorders and to analyze the explanatory variables of recidivism. Methods： A total of 201 forensic psychiatric examination cases which were performed during 2005 and 2006 were reviewed. Data were collected through a self-designed questionare, which include the demographic factors, criminal items, diagnosis, induced incident and treatment, etc. The explanatory variables of recidivism were analyzed by comparing the reeidivists （ the study group） and those who offended for the ftrst time （ the control group） . Results： 24. 9% of all the eases had a record of repeat offense, and 20. 0% of the cases in the study group were diagnosed with personality disorder （X^2 = 0. 60, P 〈 0. 05 ） . 10. 0% of the recidivists＇families did not afford the treatment for the patients, which was significant higher than 1.9% in the control group （X^2 = 4. 39, P 〈 0. 05 ） . 28. 0% of the recidivists＇guardians did not fulfill their duties （X^2 = 8. 96, P 〈 0. 01 ） . 58. 0% of the recidivistS in the study group had never taken medicine for treatment （ Z = 3.49, P 〈0.01 ） . Conclusion： The risk of recidivism is higher in the study group. The rules, standards and procedure for obliged treatment should be established as soon as possible to ensure that a guardian fulfill his duties and prevent patients with mental disorder from offending again.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2009年第9期648-650,660,共4页
Chinese Mental Health Journal
关键词
精神障碍
重复违法
回顾性研究
mental disorder
recidivism
retrospective study
