瑞典与芬兰 - 法医精神病治疗和随后的暴力犯罪重犯
Lenka Sivak1,2,3, Ilkka Ojansuu4, Jari Tiihonen1,3,4
1Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Nordic journal of psychiatry
|May 8, 2025
概括
在接受法医精神病治疗的个人中,瑞典的暴力重犯率明显高于芬兰. 药物使用障碍增加了风险,而在退院时的年龄较大在两个国家都降低了风险.
科学领域:
- 法医精神病学 法医精神病学
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 法医精神科护理旨在减少精神病犯罪者的重犯率.
- 国际上对精神病犯罪者的做法有很大差异.
- 这项研究比较了瑞典和芬兰的重犯率.
研究的目的:
- 为了比较瑞典和芬兰的法医精神病医疗护理释放后的暴力重犯率.
- 为了确定影响这些人群中重犯的因素.
主要方法:
- 追溯队列研究的设计.
- 从瑞典患者 (2009-2019) 和芬兰患者 (1999-2018) 收集的数据.
- 使用累积发病率和考克斯回归分析的暴力复发.
主要成果:
- 瑞典的暴力重犯率为每10万人/年3294人,而芬兰为1083人/年.
- 在瑞典,暴力犯罪的五年累计发生率为13.6%,在芬兰为7.6%.
- 药物使用障碍使暴力犯罪风险增加了一倍;在两个国家,退院时的年龄更高降低了风险.
结论:
- 在瑞典,暴力重犯率明显高于在芬兰的法医后精神病治疗.
- 药物使用障碍和出院时的年龄是重复犯罪的关键预测因素.
- 这些发现突出了治疗有效性或出院后支持的潜在差异.
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