PDF(Pubmed)
Abstract：
UNASSIGNED: There are contradictory research findings regarding whether individuals with Autism Spectrum Disorders (ASDs) are more or less likely to commit crimes. The aims of the current study were to: (1) Describe psychiatric and crime-related characteristics of a large group of offenders with ASD who had undergone a Forensic Psychiatric Investigation (FPI). (2) Identify clinical subgroups among this group of offenders. (3) Investigate associations between the identified clinical subgroups and (a) psychiatric comorbidity (b) types of crimes and (c) criminal responsibility.
UNASSIGNED: The study cohort consists of all subjects (n = 831) who received an ASD-diagnosis at an FPI between 2002 and 2018 in Sweden. Descriptive and clinical, as well as crime related variables were obtained from the FPIs. Non-parametric (Pearson χ2, Fisher\'s exact and Mann-Whitney U-test) inferential statistics were used for analyses of between-group differences and effect sizes were reported. A Latent Class Analysis was used to identify homogeneous subgroups (or classes) from categorical characteristics.
UNASSIGNED: The cohort consisted of 708 men and 123 women, aged 18 to 74 yrs. Two-thirds (66.7%) of the cohort had at least one other psychiatric diagnosis, the most prevalent was substance use disorder (SUD). A severe mental disorder, equivalent to lack of criminal responsibility, was most often reported among offenders with a comorbid diagnosis of schizophrenia spectrum disorder. The most common type of crime was violent crime. Three person-oriented clinical subgroups were identified; (1) ASD with few other diagnoses; (2) ASD and very high levels of SUDs, plus moderate levels of other externalizing disorders and psychotic psychopathology and (3) ASD and moderate to high levels of personality disorders (other than ASPD) and SUDs.
UNASSIGNED: Our results highlight the importance of all parts of the CJS to be prepared to handle offenders with ASD, often with high levels of additional psychiatric problems. Traditional approaches in treatment or other psychosocial interventions for ASD may need to be adapted to at least three general clinical profiles- one with mainly neurodevelopmental problems, one with a spectrum of externalizing problems and one with complex personality related difficulties.
UNASSIGNED: The study cohort consists of all subjects (n = 831) who received an ASD-diagnosis at an FPI between 2002 and 2018 in Sweden. Descriptive and clinical, as well as crime related variables were obtained from the FPIs. Non-parametric (Pearson χ2, Fisher\'s exact and Mann-Whitney U-test) inferential statistics were used for analyses of between-group differences and effect sizes were reported. A Latent Class Analysis was used to identify homogeneous subgroups (or classes) from categorical characteristics.
UNASSIGNED: The cohort consisted of 708 men and 123 women, aged 18 to 74 yrs. Two-thirds (66.7%) of the cohort had at least one other psychiatric diagnosis, the most prevalent was substance use disorder (SUD). A severe mental disorder, equivalent to lack of criminal responsibility, was most often reported among offenders with a comorbid diagnosis of schizophrenia spectrum disorder. The most common type of crime was violent crime. Three person-oriented clinical subgroups were identified; (1) ASD with few other diagnoses; (2) ASD and very high levels of SUDs, plus moderate levels of other externalizing disorders and psychotic psychopathology and (3) ASD and moderate to high levels of personality disorders (other than ASPD) and SUDs.
UNASSIGNED: Our results highlight the importance of all parts of the CJS to be prepared to handle offenders with ASD, often with high levels of additional psychiatric problems. Traditional approaches in treatment or other psychosocial interventions for ASD may need to be adapted to at least three general clinical profiles- one with mainly neurodevelopmental problems, one with a spectrum of externalizing problems and one with complex personality related difficulties.
摘要：
■关于自闭症谱系障碍（ASD）的个体是否或多或少地犯罪，存在矛盾的研究结果。本研究的目的是：（1）描述一大群接受法医精神病学调查（FPI）的ASD罪犯的精神病学和犯罪相关特征。（2）确定这组罪犯中的临床亚组。（3）调查已确定的临床亚组与（a）精神病合并症（b）犯罪类型和（c）刑事责任之间的关联。
■该研究队列由2002年至2018年在瑞典的FPI中接受ASD诊断的所有受试者（n=831）组成。描述性和临床，以及与犯罪相关的变量都是从FPI获得的。非参数（Pearsonχ2，Fisher精确和Mann-WhitneyU检验）推断统计学用于分析组间差异，并报告效应大小。潜在类别分析用于从分类特征中识别同质子组（或类）。
■该队列由708名男性和123名女性组成，18至74岁。该队列中有三分之二（66.7％）至少有一个其他精神病诊断，最普遍的是物质使用障碍(SUD).严重的精神障碍,相当于缺乏刑事责任，在患有精神分裂症谱系障碍的共病诊断的罪犯中最常见。最常见的犯罪类型是暴力犯罪。确定了三个以人为导向的临床亚组；（1）ASD，其他诊断很少；（2）ASD和极高水平的SUD，加上中等水平的其他外化障碍和精神病性精神病理学和（3）ASD和中度至高度的人格障碍（ASPD除外）和SUD。
■我们的结果强调了CJS所有部分准备处理ASD罪犯的重要性，经常有高水平的额外精神病。ASD的传统治疗方法或其他心理社会干预措施可能需要适应至少三种一般临床分析-一种主要是神经发育问题。一个有一系列外部化问题，一个有复杂的人格相关困难。
■该研究队列由2002年至2018年在瑞典的FPI中接受ASD诊断的所有受试者（n=831）组成。描述性和临床，以及与犯罪相关的变量都是从FPI获得的。非参数（Pearsonχ2，Fisher精确和Mann-WhitneyU检验）推断统计学用于分析组间差异，并报告效应大小。潜在类别分析用于从分类特征中识别同质子组（或类）。
■该队列由708名男性和123名女性组成，18至74岁。该队列中有三分之二（66.7％）至少有一个其他精神病诊断，最普遍的是物质使用障碍(SUD).严重的精神障碍,相当于缺乏刑事责任，在患有精神分裂症谱系障碍的共病诊断的罪犯中最常见。最常见的犯罪类型是暴力犯罪。确定了三个以人为导向的临床亚组；（1）ASD，其他诊断很少；（2）ASD和极高水平的SUD，加上中等水平的其他外化障碍和精神病性精神病理学和（3）ASD和中度至高度的人格障碍（ASPD除外）和SUD。
■我们的结果强调了CJS所有部分准备处理ASD罪犯的重要性，经常有高水平的额外精神病。ASD的传统治疗方法或其他心理社会干预措施可能需要适应至少三种一般临床分析-一种主要是神经发育问题。一个有一系列外部化问题，一个有复杂的人格相关困难。
