PDF(Pubmed)
Abstract：
UNASSIGNED: Criminal responsibility is a key concept in the criminal sanctioning of people diagnosed with mental health disorders who have committed crimes. In France, based on the recommendations of one or more expert psychiatrists, a judge can declare a person not criminally responsible on account of mental disorder (NCRMD) if, at the time of the offense, the person was presenting a psychiatric disorder that abolished or altered his/her capacity for discernment and/or ability to control his/her actions. In such a case, the judge also generally orders an involuntary psychiatric hospitalization. The objectives of this study were to (1) describe longitudinal retrospective administrative data of psychiatric hospitalizations for people found NCRMD, (2) identify the age, sex, and principal diagnoses of these individuals, and (3) characterize the trajectories of their psychiatric care before and after NCRMD psychiatric hospitalization.
UNASSIGNED: We used discharge reports from the French national hospital database called Programme de médicalisation des systèmes d\'information (PMSI) to gather longitudinal data that describe psychiatric hospitalizations for people found NCRMD between 2011 and 2020, the age, sex, and principal diagnoses of these patients, the length of their hospitalization, and the trajectories of their psychiatric care before and after their NCRMD psychiatric hospitalization.
UNASSIGNED: We identified 3,020 patients who were hospitalized for psychiatric care after having been found NCRMD between 2011 and 2020. The number of admissions on these grounds has remained stable over this period, ranging from 263 in 2011 to 227 in 2021. They were mostly young men diagnosed with a psychotic disorder (62%). The majority (87%) were hospitalized in general psychiatric hospitals, and only 13% were admitted to maximum-security units (Unités pour malades difficiles, UMD). The median duration of hospitalization for these patients was 13 months. Our results show that 73% of the patients had already been hospitalized prior to their NRCMD hospitalization. The rehospitalization rate within 5 years of discharge from NCRMD psychiatric hospitalization was 62%.
UNASSIGNED: We conducted the first study investigating the psychiatric hospital treatment of people declared NCRMD in France. There is an urgent need for further studies to investigate the clinical characteristics of these patients.
UNASSIGNED: We used discharge reports from the French national hospital database called Programme de médicalisation des systèmes d\'information (PMSI) to gather longitudinal data that describe psychiatric hospitalizations for people found NCRMD between 2011 and 2020, the age, sex, and principal diagnoses of these patients, the length of their hospitalization, and the trajectories of their psychiatric care before and after their NCRMD psychiatric hospitalization.
UNASSIGNED: We identified 3,020 patients who were hospitalized for psychiatric care after having been found NCRMD between 2011 and 2020. The number of admissions on these grounds has remained stable over this period, ranging from 263 in 2011 to 227 in 2021. They were mostly young men diagnosed with a psychotic disorder (62%). The majority (87%) were hospitalized in general psychiatric hospitals, and only 13% were admitted to maximum-security units (Unités pour malades difficiles, UMD). The median duration of hospitalization for these patients was 13 months. Our results show that 73% of the patients had already been hospitalized prior to their NRCMD hospitalization. The rehospitalization rate within 5 years of discharge from NCRMD psychiatric hospitalization was 62%.
UNASSIGNED: We conducted the first study investigating the psychiatric hospital treatment of people declared NCRMD in France. There is an urgent need for further studies to investigate the clinical characteristics of these patients.
摘要：
UNASSIGNED:刑事责任是刑事制裁被诊断患有精神健康障碍并犯罪的人的一个关键概念。在法国,根据一位或多位精神病专家的建议，法官可以宣布一个人对精神障碍(NCRMD)没有刑事责任，如果，在进攻的时候,该人表现出精神疾病，从而消除或改变了他/她的辨别能力和/或控制他/她的行为的能力。在这种情况下,法官通常还下令非自愿精神病住院治疗。这项研究的目的是（1）描述发现NCRMD的人的精神病住院的纵向回顾性管理数据，（2）识别年龄，性别,以及这些人的主要诊断，（3）表征NCRMD精神病住院前后的精神病护理轨迹。
UNASSIGNED：我们使用了法国国家医院数据库中的出院报告，该数据库称为“计划信息”（PMSI），以收集纵向数据，描述在2011年至2020年之间发现NCRMD的人的精神病住院情况，性别,以及这些患者的主要诊断，他们住院的时间，以及他们在NCRMD精神病住院之前和之后的精神病治疗轨迹。
UNASSIGNED：我们确定了在2011年至2020年间发现NCRMD后住院接受精神病治疗的3,020名患者。基于这些理由的入院人数在此期间保持稳定,从2011年的263到2021年的227。他们大多是被诊断患有精神病的年轻人（62％）。大部分(87%)在普通精神病院住院,只有13%的人被允许进入最高安全单位(Unitéspourmaladesdifficiles，UMD）。这些患者的中位住院时间为13个月。我们的结果表明，73％的患者在NRCMD住院之前已经住院。从NCRMD精神病住院出院后5年内再住院率为62％。
UNASSIGNED：我们进行了第一项研究，调查了法国宣布为NCRMD的人的精神病医院治疗。迫切需要进一步研究以调查这些患者的临床特征。
UNASSIGNED：我们使用了法国国家医院数据库中的出院报告，该数据库称为“计划信息”（PMSI），以收集纵向数据，描述在2011年至2020年之间发现NCRMD的人的精神病住院情况，性别,以及这些患者的主要诊断，他们住院的时间，以及他们在NCRMD精神病住院之前和之后的精神病治疗轨迹。
UNASSIGNED：我们确定了在2011年至2020年间发现NCRMD后住院接受精神病治疗的3,020名患者。基于这些理由的入院人数在此期间保持稳定,从2011年的263到2021年的227。他们大多是被诊断患有精神病的年轻人（62％）。大部分(87%)在普通精神病院住院,只有13%的人被允许进入最高安全单位(Unitéspourmaladesdifficiles，UMD）。这些患者的中位住院时间为13个月。我们的结果表明，73％的患者在NRCMD住院之前已经住院。从NCRMD精神病住院出院后5年内再住院率为62％。
UNASSIGNED：我们进行了第一项研究，调查了法国宣布为NCRMD的人的精神病医院治疗。迫切需要进一步研究以调查这些患者的临床特征。
