■智力残疾(ID),精神分裂症谱系障碍(SSD),双相情感障碍(BD),物质使用障碍(SUD),和其他精神障碍(OMDs)与犯罪风险增加相关,相对于没有这些疾病(NOIDMD)的性别匹配个体。给精神病学资源,上瘾,和社会服务,以便提供有效的治疗,需要进一步了解被判有罪的小组的规模,累犯,冒犯的时机,前身,并相互关联。如果防止暴力,精神障碍患者的污名可能会大大减少。
■使用来自瑞典国民健康的数据,对14,605人的出生队列进行了随访,直到64岁。罪犯,社会登记册。
■被判暴力的团体成员的百分比差异很大:男性NOIDMD,7.3%,身份证29.2%,SSD38.6%,BD30.7%;SUD44.0%,OMD19.3%;女性NOIDMD0.8%,身份证7.7%,SSD11.2%,BD2.4%,标准差17.0%,和OMD2.1%。暴力累犯率很高。诊断小组中的大多数暴力罪犯也被判犯有非暴力罪行。在第一次诊断之前,超过90%的男性罪犯和三分之二的女性罪犯获得了定罪(暴力或非暴力)。身体上的伤害,成人共病SUD,童年行为问题,和青少年药物滥用都与犯罪风险增加有关。
■患有ID或精神障碍的小组成员被判定犯有暴力和非暴力罪行,直至64岁,这表明需要治疗原发性疾病和反社会/攻击行为。许多参与暴力的患者可以在第一次接触临床服务时被识别。
UNASSIGNED: Intellectual disability (ID), schizophrenia spectrum disorder (SSD), bipolar disorder (BD), substance use disorder (SUD), and other mental disorders (OMDs) are associated with increased risks of criminality relative to sex-matched individuals without these conditions (NOIDMD). To resource psychiatric, addiction, and social services so as to provide effective treatments, further information is needed about the size of sub-groups convicted of crimes, recidivism, timing of offending, antecedents, and correlates. Stigma of persons with mental disorders could potentially be dramatically reduced if violence was prevented.
UNASSIGNED: A birth cohort of 14,605 persons was followed to age 64 using data from Swedish national health, criminal, and social registers.
UNASSIGNED: Percentages of group members convicted of violence differed significantly: males NOIDMD, 7.3%, ID 29.2%, SSD 38.6%, BD 30.7%; SUD 44.0%, and OMD 19.3%; females NOIDMD 0.8%, ID 7.7%, SSD 11.2%, BD 2.4%, SD 17.0%, and OMD 2.1%. Violent recidivism was high. Most violent offenders in the diagnostic groups were also convicted of non-violent crimes. Prior to first diagnosis, convictions (violent or non-violent) had been acquired by over 90% of the male offenders and two-thirds of the female offenders. Physical victimization, adult comorbid SUD, childhood conduct problems, and adolescent substance misuse were each associated with increased risks of offending.
UNASSIGNED: Sub-groups of cohort members with ID or mental disorders were convicted of violent and non-violent crimes to age 64 suggesting the need for treatment of primary disorders and for antisocial/aggressive behavior. Many patients engaging in violence could be identified at first contact with clinical services.