精神病患者的犯罪行为和物质使用障碍
Francesco Achilli1, Silvia Leo1, Beatrice Benatti1,2
1Department of Psychiatry, Luigi Sacco University Hospital, Milan, Italy.
CNS spectrums
|June 4, 2024
概括
精神疾病和犯罪行为有联系,物质使用障碍 (SUD) 在有住院和经济犯罪史的犯罪者中更为常见. 需要进一步的研究来证实这些发现在更大的群体.
科学领域:
- 法医精神病学 法医精神病学
- 成精神病学成精神病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 在刑事司法系统中,精神疾病患者的比例不成比例.
- 意大利正在从大型司法精神病医院过渡到较小的治疗设施 (REMS),将患者管理转移到门诊服务.
- 犯罪行为的风险在不同的精神疾病中有很大差异,而物质使用障碍 (SUD) 是一个关键因素.
研究的目的:
- 调查精神病患者的社会人口学,临床和法医变量与犯罪史.
- 特别关注该人口中物质使用障碍 (SUD) 的患病率和相关性.
- 分析来自米兰门诊精神病医疗服务的患者的数据.
主要方法:
- 从2020年开始进行的一项横截面,单中心的研究.
- 包括76名成年患者 (≥18岁) 具有犯罪行为史,参加门诊精神病医疗服务.
- 从医疗记录中追溯检索人口统计和临床数据,然后进行统计分析.
主要成果:
- 在76名患者中,有51.3%的人有终身SUD.
- 终身SUD与使用长期作用的注射抗精神病药物,超过三次先前的精神病医院住院,以及以前的犯罪史,特别是经济犯罪史有显著的关联.
- 后勤回归证实了SUD和经济犯罪史之间的相关性.
结论:
- 这项研究提供了对意大利精神卫生门诊机构中终身SUD罪犯的初步见解.
- 初步发现突出了与该队列中SUD相关的特定临床和法医因素.
- 建议采用更大的样本大小来验证这些初步结果.
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