Major mental disorders and criminal violence in a Danish birth cohort
Major mental disorders and criminal violence in a Danish birth cohort
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DOI：
10.1001/archpsyc.57.5.494
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发表时间：
2000-05-01
影响因子：
--
通讯作者：
Hodgins, S
中科院分区：
文献类型：
--
作者：
Brennan, PA;Mednick, SA;Hodgins, S
背景：本流行病学调查旨在研究每种主要精神障碍与犯罪暴力之间的关系。具体来说，我们评估了暴力与主要精神障碍住院之间是否存在显著关系，以及这种关系是否在精神分裂症、情感性精神病和器质性脑综合征中有所不同。方法：研究对象从1933年1月1日至1947年12月31日在丹麦出生的所有个体中抽取（N = 358 180）。由于存在准确和完整的国家登记册，因此可以获得该队列中所有因暴力而被捕的人以及所有因精神疾病住院的人的数据，这些人一直到44岁。结果：导致住院的主要精神障碍与犯罪暴力之间存在显著的正相关（优势比：男性为2.0-8.8，女性为3.9-23.2）。因严重精神失常而住院的人在出生队列成员犯下的暴力行为中所占比例不成比例。患有器质性精神病的男性和患有精神分裂症的男性和女性比从未住院的人更有可能因犯罪暴力而被捕，即使在控制人口因素、药物滥用和人格障碍的情况下也是如此。结论：因精神分裂症住院的个体和因器质性精神病住院的男性因暴力被捕的比例高于从未住院的人。这种关系不能完全由人口因素或合并症药物滥用来解释。
Background: This epidemiological investigation was designed to examine the relationships between each of the major mental disorders and criminal violence. Specifically, we assessed whether a significant relationship exists between violence and hospitalization for a major mental disorder, and whether this relationship differs for schizophrenia, affective psychoses and organic brain syndromes.Methods: Subjects were drawn from a birth cohort of all individuals born between January 1, 1933, and December 31, 1947, in Denmark (N = 358 180). Because of the existence of accurate and complete national registers, data were available on all arrests for violence and all hospitalizations for mental illness that occurred for individuals in this cohort through the age of 44 years.Results: There was a significant positive relationship between the major mental disorders that led to hospitalization and criminal violence (odds: ratios 2.0-8.8 for men and 3.9-23.2 for women). Persons hospitalized for a major mental disorder were responsible for a disproportionate percentage of violence committed by the members of the birth cohort. Men with organic psychoses and both men and women with schizophrenia were significantly more likely to be arrested For criminal violence than were persons who had never been hospitalized, even when controlling for demographic factors, substance abuse, and personality disorders.Conclusions: Individuals hospitalized for schizophrenia and men hospitalized with organic psychosis have higher rates of arrests for violence than those never hospitalized. This relationship cannot be fully explained by demographic factors or comorbid substance abuse.