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[Homicide and mental disease]

K Noreik1, A Gravem

  • 1Institutt for sosialmedisin, Rikshospitalet, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 30, 1993
PubMed
Summary

Homicides by individuals with mental illness rose from 1980-1989, predominantly linked to schizophrenia and paranoid psychoses. This increase may stem from liberal treatment strategies and short treatment durations in psychiatric facilities.

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Area of Science:

  • Forensic Psychiatry
  • Criminology
  • Psychopathology

Context:

  • Rising trend in homicides committed by individuals with diagnosed mental illness between 1980 and 1989.
  • Judicial psychiatric observations reveal specific diagnoses among offenders.

Purpose:

  • To analyze the demographic and diagnostic characteristics of individuals charged with homicide and attempted homicide.
  • To investigate the potential causes behind the observed increase in homicides by mentally ill persons.
  • To examine the role of psychiatric treatment strategies in this trend.

Summary:

  • A significant proportion (60%) of individuals charged with homicide and attempted homicide exhibited schizophrenia, with an additional 17% diagnosed with paranoid psychoses.
  • Homicides were most commonly perpetrated within the domestic setting and were frequently motivated by psychotic delusions.
  • The study posits that liberal treatment approaches and abbreviated treatment durations in psychiatric institutions may contribute to the escalating homicide rates.

Impact:

  • Highlights the critical need for effective and sustained mental health interventions for individuals at risk of committing violent offenses.
  • Informs policy decisions regarding psychiatric care, treatment duration, and public safety measures.
  • Underscores the importance of considering psychopathology in forensic assessments and criminal justice proceedings.

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