在精神分裂症的社区护理和刑事犯罪
P E Mullen1, P Burgess, C Wallace
1Victorian Institute of Forensic Mental Health, Australia. pmullen@vicnet.net.au
Lancet (London, England)
|March 4, 2000
概括
精神分裂症患者的刑事定罪率有所上升,反映了整个社区的趋势,这不仅仅是由于非制度化. 心理健康服务应该专注于减少犯罪,而不是扭转社区护理.
科学领域:
- 精神病学是一个精神病学.
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 精神病学中的社区护理往往与严重精神疾病患者犯罪率的增加有关.
- 这种看法会影响公共政策和社会观点.
- 这项研究调查了澳大利亚精神分裂症患者的社区护理和犯罪模式之间的关系.
研究的目的:
- 检查社区护理的引入与精神分裂症患者的犯罪模式之间的关联.
- 为了比较澳大利亚维多利亚州重大非制度化之前和之后的犯罪率.
主要方法:
- 分析了两组精神分裂症患者 (1975年和1985年首次入院) 的犯罪记录.
- 根据年龄,性别和居住地,患者与社区对照进行了匹配.
- 评估了终身犯罪模式和第一次入院后的10年.
主要成果:
- 精神分裂症患者对大多数罪行 (性犯罪除外) 的定罪率明显高于对照人群.
- 在1975年至1985年期间,患者和对照组的违规率同样增加.
- 精神分裂症患者的药物滥用治疗与不成比例的违法行为有关.
结论:
- 精神分裂症患者刑事定罪率的上升与一般社区趋势一致.
- 单靠非制度化并不能完全解释这些犯罪率的增加.
- 减少与精神分裂症相关的违法行为至关重要,但回到机构护理并不是解决方案.
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