The Prevention of Crimed Commited by Psychiatric Patients, Based on Forensic Psychiatric Evidence.

基于法医精神病学证据的精神病患者犯罪预防。

• 批准号: 14570380
• 负责人: SATOH Shinji
• 金额: $ 1.66万
• 依托单位: University of Tsukuba
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14570380/
• 关键词: the criminally insane; crime prevention; continuity of treatment; a status of community psychiatric treatment

I have noticed psychiatric patients who commit crimes in spite of contact with medical facilities, through experiences of psychiatric evidence. So, the aim is to clarify problems of the psychiatric medicine and the administration of mental health service in Japan, and to discuss measures about them.At first, this paper reviews risk factors associated with crime, risk assessment and management, and systems to treat for psychiatric patients who have committed crimes. Next, it investigates 75 instances of forensic psychiatric evidence for the period of April 1997-September 1999, at the Group of Mental Hygene, Community Medicine, University of Tsukuba. It divides a subject into "Non contact "group and "Attend at a hospital and consultation" group, to pay attention to condition of contact with associated facilities (hospital, public health center and police) and compares the two groups. Over again, it divides the latter into "Discontinuation" group and "Continuation" group, and does also.In consideration of results and review, it finds that condition of contact with associated facilities does not relate with demographic data, patients who have committed severe crimes are likely to contact with them, schizophrenic patients are likely to contact with them, personality disordered patients are not likely to contact with them, mental retarded patients who need not to keep treatment repeat deviant behavior, substance-related disordered patients are not likely to continue to attend them, discontinuation with them relates with repeating to commit crimes and delusion of injury which schizophrenic patients have relates with crimes.But it cannot identify detailed problems of instances only with mass data and it needs particular analyses of them. So it will serve instances with dividing types and investigate detailed them, and discuss how to treat them and suggest the new system for treatment.

根据精神病学证据的经验，我注意到有些精神病患者尽管接触过医疗机构，但仍会犯罪。因此，本文旨在澄清日本精神医学和精神卫生服务管理中存在的问题，并探讨解决这些问题的措施。首先，本文综述了与犯罪相关的危险因素、风险评估与管理以及精神科患者犯罪的治疗制度。其次，它调查了筑波大学社区医学精神卫生小组1997年4月至1999年9月期间的75例法医精神病学证据。它将受试者分为“非接触”组和“到医院就诊”组，以关注与相关设施（医院、公共卫生中心和警察）的接触情况，并对两组进行比较。再次将后者分为“中止”组和“继续”组，并对其进行了分析。综合考虑结果和回顾，发现与相关设施的接触条件与人口统计数据不相关，有严重犯罪前科的患者有可能与之接触，精神分裂症患者有可能与之接触，人格障碍患者不太可能与之接触，不需要继续治疗的智障患者重复越轨行为，物质相关障碍患者不太可能继续接受治疗，停止治疗与重复犯罪有关，精神分裂症患者的伤害妄想与犯罪有关。但是，它不能仅仅通过大量数据来识别实例的详细问题，它需要对它们进行特定的分析。因此，本文将分类型服务实例，对实例进行详细的考察，并对实例的处理方法进行探讨，提出新的处理方法。

项目成果

岡田幸之, 安藤久美子, 佐藤親次: "司法精神医学とPTSD"臨床精神医学. 31・増刊. 118-123 (2002)

Yukiyuki Okada、Kumiko Ando、Chikatsugu Sato：“法医精神病学和创伤后应激障碍”临床精神病学 31，特别版（2002 年）。

橋爪きょう子, 小畠秀悟, 佐藤親次, 簑下成子, 淺川千秋, 森田展彰, 中谷陽二: "在日外国人女性の精神鑑定例-異文化葛藤要因としての出産・育児"犯罪学雑誌. 63. 36-43 (2002)

Kyoko Hashizume、Hidego Obata、Shinji Sato、Shigeko Minoshita、Chiaki Asakawa、Nobuaki Morita、Yoji Nakatani：“居住在日本的外国妇女的精神病学评估示例 - 分娩和育儿作为跨文化冲突的一个因素”，犯罪学杂志 63。 36-43（2002）

簑下成子, 森田展彰, 浅井義弘, 佐藤親次: "統合失調症患者における表情認知と社会適応度の関係-能面テスト(Noh Mask Test)を用いて"社会精神医学雑誌. 12・3. 253-261 (2004)

Naruko Minoshita、Nobuaki Morita、Yoshihiro Asai、Chikaji Sato：“精神分裂症患者的面部表情识别与社会适应性之间的关系 - 使用能剧面具测试”《社会精神病学杂志》12・3（2004）。

佐藤親次: "東海村臨界事故が学生の精神健康に及ぼす影響"武蔵野女子大学大学院紀要. 2. 37-45 (2002)

佐藤真司：“东海村核事故对学生心理健康的影响”武藏野女子大学研究生院通报。2. 37-45 (2002)。

岡田幸之, 安藤久美子, 佐藤親次: "トラウマ症状の強度と頻度"第12回国際精神医学会2002年神戸大会. 2. 70 (2002)

Yukiyuki Okada、Kumiko Ando、Shinji Sato：“创伤症状的强度和频率”第 12 届国际精神病学协会 2002 年神户会议。 2. 70 (2002)。