背景:目前国内还缺乏对法医精神卫生院患者情况的全面研究。本研究旨在调查社会人口统计学,临床,湖南省法医精神病医院精神病患者的犯罪相关特征。
方法:本研究于2018年11月1日至2019年1月30日进行。社会人口数据,临床,并收集患者的犯罪相关特征。简明精神病学评定量表(BPRS),修正的公开攻击量表(MOAS),和临床总体印象严重程度(CGI-S)量表用于测量他们的精神状况。
结果:共有461名参与者参加了这项研究。其中,男性占86.3%,未婚占56.8%,平均年龄44.7±10.1岁,平均受教育年限为7.51±3.3年。在他们目前的进攻之前,共有345名患者(74.8%)因精神疾病寻求医疗帮助。虽然这些患者中有303(87.8%)服用了抗精神病药,254(73.6%)未能定期服用。在所有的住院病人中,90.5%被诊断为精神分裂症;385人(83.5%)从事杀人犯罪,54.0%的受害者是他们的家人。在凶杀案中,亲属更有可能是女性患者的受害者。在法医医院的平均住院时间为8.02±4.74年,超过80.0%的患者住院时间超过5年。
结论:据我们所知,这是首次调查在中国法医精神病医院接受强制治疗的法医患者的概况。这些结果增加了有关法医患者特征的世界文献,并有助于确定该人群的常见治疗和与风险相关的需求。
There is still a lack of comprehensive research on the profile of patients in forensic mental health hospitals in
China. This study aims to investigate the socio-demographic, clinical, and offense-related characteristics of mentally ill offenders in the Hunan Provincial Forensic Psychiatric Hospital in
China.
This study was conducted from November 1, 2018, to January 30, 2019. The data of socio-demographic, clinical, and offense-related characteristics of the patients were collected. The Brief Psychiatric Rating Scale (BPRS), the Modified Overt Aggression Scale (MOAS), and the Clinical Global Impression-Severity (CGI-S) scale were used to measure their psychiatric conditions.
A total of 461 participants were enrolled in this study. Among them, 86.3% were males and 56.8% were unmarried; the average age of them was 44.7 ± 10.1 years, and the mean years of education were 7.51 ± 3.3 years. Before their current offense, a total of 345 patients (74.8%) had sought medical help for their mental illnesses. While 303 (87.8%) of these patients were prescribed antipsychotics, 254 (73.6%) failed to take them regularly. Of all the inpatients, 90.5% were diagnosed with schizophrenia; 385 (83.5%) engaged in homicidal offenses, with 54.0% of the victims being their family members. In homicide cases, the relatives were more likely to be victims of female patients. The mean length of stay in the forensic hospital was 8.02 ± 4.74 years, and over 80.0% of the patients had been hospitalized for over 5 years.
To our knowledge, this is the first study investigating the profile of forensic patients receiving compulsory treatments in a forensic psychiatric hospital in
China. These results add to the world literature on the characteristics of forensic patients and can help identify common treatment and risk-related needs of this population.