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Mental disorders and criminal behaviour

J Modestin1, R Ammann

  • 1Psychiatric University Hospital, Zurich, Switzerland.

The British Journal of Psychiatry : the Journal of Mental Science
|May 1, 1995
PubMed
Summary
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Individuals with alcoholism and drug abuse show higher criminality rates, independent of social factors. Most mental disorders, excluding substance abuse, do not significantly increase criminal behavior risk.

Area of Science:

  • Forensic Psychiatry
  • Clinical Psychology
  • Criminology

Background:

  • Investigated higher criminality rates in psychiatric populations using improved methodologies.
  • Examined the relationship between mental health conditions and criminal behavior.

Purpose of the Study:

  • To determine the extent to which psychiatric diagnoses correlate with criminal behavior.
  • To differentiate the impact of substance abuse versus other mental disorders on criminality.

Main Methods:

  • Studied an unselected sample of 1265 Swiss psychiatric in-patients and a matched general population control group.
  • Utilized detailed conviction records as the measure for criminal behavior assessment.

Main Results:

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  • Psychiatric patients exhibited higher criminality across most categories, except for male traffic violations and female violent/sexual offenses.
  • Alcoholism and drug abuse were significantly associated with higher criminality in both sexes.
  • Female patients with schizophrenia, related disorders, and organic disorders showed increased criminality rates.
  • Conclusions:

    • Alcoholism and drug abuse are significant independent contributors to criminal behavior.
    • Most mental disorders, such as schizophrenia and affective disorders, do not independently contribute to criminal behavior, with substance abuse being a key confounding factor.