主要な精神薬の処方と釈放後の暴力的な再犯との関連
Zheng Chang1, Paul Lichtenstein2, Niklas Långström3
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden2Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, England.
JAMA
|November 2, 2016
まとめ
薬物療法には抗精神病薬,精神刺激薬,中毒障害のための薬が含まれ,釈放された囚人の暴力的な再犯の減少と関連していました. これらの発見は,放出後の再発のリスクを低減する薬剤の潜在的な利点を示唆しています.
科学分野:
- 犯罪学
- 精神科
- 公衆衛生
背景:
- 釈放された囚人は 暴力的な再犯率が高いのです
- 薬物療法による再犯のリスクを軽減する効果は不明である.
研究 の 目的:
- 精神薬の主要な種類と 暴力的な再犯の関連を調べる
主な方法:
- 2005年から2010年のスウェーデンの人口ベースのレジスターを利用したコホート研究.
- 薬物治療と非薬物治療の間の 暴力的な再犯率を比較した 個別分析です
- フォローアップは2013年12月31日まで延長
主要な成果:
- 抗精神病薬 (HR=0.58),精神刺激薬 (HR=0.62),中毒障害のための薬 (HR=0.48) は,暴力的な再犯率の有意な低下と関連していました.
- 抗うつ薬や抗薬は 暴力的な再犯と 重要な関連性を示していません
- 刑務所での薬物乱用に対する心理的治療も再犯罪の減少と関連していた (HR=0.75).
結論:
- 解放された囚人は 抗精神病薬や精神刺激薬や 依存症治療薬を投与されたとき 暴力的な再犯率が低いことが観察されました
- これらの薬と再発率の減少との間の因果関係を確立するためにさらなる研究が必要である.
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