在法医精神病学调查中自闭症谱系障碍-共发病和犯罪的模式
Björn Hofvander1,2,3, Thomas Nilsson3, Ola Ståhlberg3
1Lund Clinical Research on Externalizing and Developmental Psychopathology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Frontiers in psychiatry
|August 25, 2023
概括
犯下犯罪的自闭症谱系障碍 (ASD) 个体往往具有同时发生的精神疾病. 确定不同的临床子组对于刑事司法系统 (CJS) 内的定制干预至关重要.
科学领域:
- 法医精神病学 法医精神病学
- 神经发育障碍 神经发育障碍
- 刑事司法 刑事司法 刑事司法
背景情况:
- 关于自闭症谱系障碍 (ASD) 患者犯罪倾向的研究存在矛盾.
- 法医精神病学调查 (FPI) 用于评估患有自闭症的犯罪者.
研究的目的:
- 描述ASD犯罪者的精神和犯罪相关特征.
- 在这个犯罪者群体中确定临床子组.
- 检查子组之间的关联,精神病相关疾病,犯罪类型和刑事责任.
主要方法:
- 在瑞典 (2002-2018) FPI期间,对831名被诊断患有自闭症的犯罪者的分析.
- 使用描述性统计和非参数推理测试.
- 采用隐性类分析,根据分类特征识别同质子组.
主要成果:
- 三分之二的犯罪者至少有一个额外的精神病诊断,最常见的是物质使用障碍 (SUD).
- 精神分裂症谱系障碍与严重的精神障碍和缺乏刑事责任有关.
- 出现了三个不同的临床子组:主要是神经发育问题,高SUD与外部化/精神病问题,中度/高个性障碍与SUD.
结论:
- 患有自闭症的犯罪者经常出现复杂的精神病并发症,需要刑事司法系统 (CJS) 专门处理.
- 对自闭症犯罪者的干预措施可能需要针对三个已识别的临床概况进行调整:神经发育,外部化和与人格有关的困难.
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