homicide

凶杀
  • 文章类型: Journal Article
    尽管伴侣和/或公婆实施的家庭暴力和相关凶杀在印度是一个重大的公共卫生问题,没有可靠和有效的工具来识别和干预家庭暴力关系中的妇女。持续的家庭暴力可能会升级到严重,近乎致命,或者致命的暴力或者杀人.危险评估(DA)是一种风险评估工具,旨在评估严重,近乎致命,或者虐待关系中的致命暴力。然而,DA不是为了确定未来严重的风险,近乎致命,或公婆的致命暴力。在印度和其他具有类似文化规范的国家,法律虐待在与家庭暴力有关的凶杀案中起着重要作用。这项研究通过开发法律危险评估(DA-L)来评估法律上的风险来解决这一差距,与印度妇女危险评估(DA-WI)一起评估伴侣的风险。该研究还检查了DA-L和DA-WI的心理测量特性。来自印度150名女性的纵向数据用于衡量DA的两个版本的可靠性和有效性。在三个月的随访中,使用相对风险比检查了原始DA项目和其他风险项目与严重暴力的关系。用接收器工作特性曲线测试了预测有效性。该研究得出了可靠有效的风险度量(11项DA-L和26项DA-WI)。DA的版本对印度的从业者以及在美国和其他国家与印度女性一起工作的人很有用。DAs可用于识别家庭暴力关系中面临未来严重家庭暴力风险的妇女,并指导提供量身定制的安全计划。
    Despite domestic violence and related homicides perpetrated by partners and/or in-laws being a significant public health problem in India, there are no reliable and valid instruments to identify and intervene with women in domestic violence relationships. Continued domestic violence can escalate to severe, near-lethal, or lethal violence or homicide. The Danger Assessment (DA) is a risk assessment instrument designed to assess the likelihood of severe, near-lethal, or lethal violence in abusive relationships. However, the DA is not designed to determine the risk of future severe, near-lethal, or lethal violence by in-laws. In-law abuse plays a significant role in domestic violence-related homicides in India and other countries with similar cultural norms. This study addressed this gap by developing the Danger Assessment for in-laws (DA-L) to assess risk from in-laws, alongside the Danger Assessment for Women in India (DA-WI) to assess risk from partners. The study also examined the psychometric properties of the DA-L and DA-WI. Longitudinal data from 150 women in India were used to measure the reliability and validity of the two versions of the DA. The original DA items and additional risk items were examined using relative risk ratios for their relationship with severe violence at three-month follow-ups. Predictive validity was tested with the receiver operating characteristic curve. The study resulted in reliable and valid measures (11 items DA-L and 26-items DA-WI) of risk. The versions of the DA can be useful for practitioners in India and those working with Indian women in the US and other countries. The DAs can be used for identifying women in domestic violence relationships who are at risk for future severe domestic violence and guide the provision of tailored safety plans.
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  • 文章类型: News
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  • 文章类型: Journal Article
    2021年,美国约有75,000人死于与暴力有关的伤害。本报告总结了CDC的国家暴力死亡报告系统(NVDRS)在48个州发生的暴力死亡数据,哥伦比亚特区,和2021年的波多黎各。结果按性别报告,年龄组,种族和民族,伤害方法,受伤发生的位置类型,受伤的情况,和其他选定的特征。本报告介绍了其他事件和环境变量,现在包括儿童受害者的具体情况信息。这份报告还纳入了美国人口普查局新的种族和种族类别,现在占多个种族和夏威夷原住民或其他太平洋岛民类别,并包括更新的分母来计算这些人口的比率。
    2021年。
    NVDRS从死亡证明中收集有关暴力死亡的数据,验尸官和法医记录,和执法报告。该报告包括2021年发生的暴力死亡数据。数据来自48个州(除佛罗里达州和夏威夷以外的所有州),哥伦比亚特区,波多黎各。46个州有全州数据,另外两个州的数据来自代表其人口子集的县(31个加州县,占其人口的64%,和德克萨斯州的13个县,占其人口的63%),哥伦比亚特区和波多黎各拥有全辖区的数据。NVDRS整理每个暴力死亡的信息,并链接相关的死亡(例如,多起凶杀案,然后是自杀,或多次自杀)成一个事件。
    到2021年,NVDRS收集了有关68,866起致命事件的信息,涉及48个州的70,688人死亡(46个州收集全州数据,加州31个县,和德克萨斯州的13个县),还有哥伦比亚特区.在NVDRS中捕获的死亡人数占所有凶杀案的86.5%,法律干预死亡,自杀,意外枪伤死亡,和2021年美国未定意图死亡。此外,收集了波多黎各816起致命事件的信息,涉及880人死亡.分别分析了波多黎各的数据。在70,688例死亡中,大多数(58.2%)是自杀,其次是凶杀案(31.5%),可能因暴力而导致的未定意图死亡(8.2%),法律干预死亡(1.3%)(即执法人员和其他有权使用致命武力执行职务的人造成的死亡,不包括法律处决),意外枪支伤害死亡(<1.0%)。“法律干预”一词是国际疾病分类中的一种分类,第十次修订,并不表示执法造成的死亡情况的合法性或合法性。人口模式和环境因死亡方式而异。男性的自杀率高于女性。在所有年龄组中,在≥85岁的成年人中自杀率最高.此外,非西班牙裔美国印第安人或阿拉斯加原住民(AI/AN)的人在所有种族和族裔群体中自杀率最高。在男性和女性中,最常见的自杀伤害方法是枪支。在所有自杀受害者中,当情况已知时(84.4%),自杀之前最常见的是心理健康,亲密伴侣,或身体健康问题,或在过去或即将到来的2周内最近或即将发生的危机。男性的凶杀率高于女性。在所有凶杀受害者中,与其他年龄组相比,20-24岁人群的凶杀率最高。非西班牙裔黑人或非裔美国人(黑人)男性在任何种族或族裔群体中的凶杀率最高。在所有凶杀受害者中,最常见的伤害方法是枪支。当知道凶杀案受害者和嫌疑人之间的关系时,犯罪嫌疑人通常是男性受害者的熟人或朋友,以及女性受害者的现任或前任亲密伴侣。杀人通常是由争论或冲突引发的,与另一起犯罪发生的,或者,对于女性受害者来说,与亲密伴侣暴力有关。几乎所有法律干预死亡的受害者都是男性,30-34岁男性的法律干预死亡率最高。法律干预死亡率在AI/AN男性中最高,其次是黑人男性。在大多数法律干预死亡中使用了枪支。当情况已知时,据报道,法律干预死亡的最常见情况如下:受害者在事件中使用了武器,受害者有药物使用问题(酒精使用除外)。其他死亡原因包括无意枪支伤害死亡和未确定意图死亡。男性最常见的意外枪支伤害死亡,非西班牙裔白人,和15-24岁的人。这些死亡最常发生在射手玩枪支时,并被一个人无意中拉动扳机而引起。不确定意图的死亡率在男性中最高,特别是在AI/AN和黑人男性中,以及30-54岁的成年人。中毒是意图不明的死亡中最常见的伤害方法,在接受这些物质测试的近80%的死者中检测到阿片类药物。
    本报告提供了NVDRS关于2021年发生的暴力死亡的数据的详细摘要。自杀率在AI/AN和白人男性中最高,而黑人男性的凶杀率最高。亲密伴侣暴力引发了很大一部分女性杀人事件。心理健康问题,亲密伴侣的问题,人际冲突,和急性生活压力源是检查的多种类型死亡的主要诱因。
    暴力是可以预防的,数据可以指导公共卫生行动。NVDRS数据用于监测与暴力有关的致命伤害的发生,并协助公共卫生当局制定,实施,和评估项目,政策,以及减少和预防暴力死亡的做法。NVDRS数据可用于将预防工作增强为可操作的策略。各州或辖区已使用其暴力死亡报告系统(VDRS)数据来指导自杀预防工作,并强调需要进一步关注的地方。例如,北卡罗莱纳州VDRS计划数据在扩大与枪支安全和伤害预防有关的活动方面发挥了重要作用。该程序作为合作伙伴的主要数据源,这导致了该州预防暴力办公室的成立,专注于打击与枪支有关的死亡。在缅因州,VDRS提供了有关执法人员自杀的数据,这些数据用于帮助支持一项法案,该法案要求在该州的执法培训学院进行心理健康弹性和意识培训,以及针对心理健康的类似培训计划,物质使用,惩教人员中的酒精问题。此外,州和司法管辖区也使用其VDRS数据来检查与其州或司法管辖区的凶杀有关的因素。例如,佐治亚州VDRS与亚特兰大市长减少暴力办公室合作,开发了两个公共仪表板,不仅提供有关暴力死亡的全面数据,而且还提供有关受暴力影响严重的人口地理分布的数据,以帮助为预防暴力干预措施提供信息。
    UNASSIGNED: In 2021, approximately 75,000 persons died of violence-related injuries in the United States. This report summarizes data from CDC\'s National Violent Death Reporting System (NVDRS) on violent deaths that occurred in 48 states, the District of Columbia, and Puerto Rico in 2021. Results are reported by sex, age group, race and ethnicity, method of injury, type of location where the injury occurred, circumstances of injury, and other selected characteristics. This report introduces additional incident and circumstance variables, which now include child victim-specific circumstance information. This report also incorporates new U.S. Census Bureau race and ethnicity categories, which now account for more than one race and Native Hawaiian or other Pacific Islander categories and include updated denominators to calculate rates for these populations.
    UNASSIGNED: 2021.
    UNASSIGNED: NVDRS collects data regarding violent deaths from death certificates, coroner and medical examiner records, and law enforcement reports. This report includes data collected for violent deaths that occurred in 2021. Data were collected from 48 states (all states with exception of Florida and Hawaii), the District of Columbia, and Puerto Rico. Forty-six states had statewide data, two additional states had data from counties representing a subset of their population (31 California counties, representing 64% of its population, and 13 Texas counties, representing 63% of its population), and the District of Columbia and Puerto Rico had jurisdiction-wide data. NVDRS collates information for each violent death and links deaths that are related (e.g., multiple homicides, homicide followed by suicide, or multiple suicides) into a single incident.
    UNASSIGNED: For 2021, NVDRS collected information on 68,866 fatal incidents involving 70,688 deaths that occurred in 48 states (46 states collecting statewide data, 31 California counties, and 13 Texas counties), and the District of Columbia. The deaths captured in NVDRS accounted for 86.5% of all homicides, legal intervention deaths, suicides, unintentional firearm injury deaths, and deaths of undetermined intent in the United States in 2021. In addition, information was collected for 816 fatal incidents involving 880 deaths in Puerto Rico. Data for Puerto Rico were analyzed separately. Of the 70,688 deaths, the majority (58.2%) were suicides, followed by homicides (31.5%), deaths of undetermined intent that might be due to violence (8.2%), legal intervention deaths (1.3%) (i.e., deaths caused by law enforcement and other persons with legal authority to use deadly force acting in the line of duty, excluding legal executions), and unintentional firearm injury deaths (<1.0%). The term \"legal intervention\" is a classification incorporated into the International Classification of Diseases, Tenth Revision, and does not denote the lawfulness or legality of the circumstances surrounding a death caused by law enforcement.Demographic patterns and circumstances varied by manner of death. The suicide rate was higher for males than for females. Across all age groups, the suicide rate was highest among adults aged ≥85 years. In addition, non-Hispanic American Indian or Alaska Native (AI/AN) persons had the highest suicide rates among all racial and ethnic groups. Among both males and females, the most common method of injury for suicide was a firearm. Among all suicide victims, when circumstances were known (84.4%), suicide was most often preceded by a mental health, intimate partner, or physical health problem or by a recent or impending crisis during the previous or upcoming 2 weeks. The homicide rate was higher for males than for females. Among all homicide victims, the homicide rate was highest among persons aged 20-24 years compared with other age groups. Non-Hispanic Black or African American (Black) males experienced the highest homicide rate of any racial or ethnic group. Among all homicide victims, the most common method of injury was a firearm. When the relationship between a homicide victim and a suspect was known, the suspect was most frequently an acquaintance or friend for male victims and a current or former intimate partner for female victims. Homicide most often was precipitated by an argument or conflict, occurred in conjunction with another crime, or, for female victims, was related to intimate partner violence. Nearly all victims of legal intervention deaths were male, and the legal intervention death rate was highest among men aged 30-34 years. The legal intervention death rate was highest among AI/AN males, followed by Black males. A firearm was used in the majority of legal intervention deaths. When circumstances were known, the most frequent circumstances reported for legal intervention deaths were as follows: the victim used a weapon in the incident and the victim had a substance use problem (other than alcohol use). Other causes of death included unintentional firearm injury deaths and deaths of undetermined intent. Unintentional firearm injury deaths were most frequently experienced by males, non-Hispanic White (White) persons, and persons aged 15-24 years. These deaths most frequently occurred while the shooter was playing with a firearm and were precipitated by a person unintentionally pulling the trigger. The rate of deaths of undetermined intent was highest among males, particularly among AI/AN and Black males, and among adults aged 30-54 years. Poisoning was the most common method of injury in deaths of undetermined intent, and opioids were detected in nearly 80% of decedents tested for those substances.
    UNASSIGNED: This report provides a detailed summary of data from NVDRS on violent deaths that occurred in 2021. The suicide rate was highest among AI/AN and White males, whereas the homicide rate was highest among Black males. Intimate partner violence precipitated a large proportion of homicides for females. Mental health problems, intimate partner problems, interpersonal conflicts, and acute life stressors were primary precipitating circumstances for multiple types of deaths examined.
    UNASSIGNED: Violence is preventable, and data can guide public health action. NVDRS data are used to monitor the occurrence of violence-related fatal injuries and assist public health authorities in developing, implementing, and evaluating programs, policies, and practices to reduce and prevent violent deaths. NVDRS data can be used to enhance prevention efforts into actionable strategies. States or jurisdictions have used their Violent Death Reporting System (VDRS) data to guide suicide prevention efforts and highlight where additional focus is needed. For example, North Carolina VDRS program data have played a significant role in expanding activities related to firearm safety and injury prevention. The program served as a primary data source for partners, which led to the creation of the Office of Violence Prevention in the state, focusing on combatting firearm-related deaths. In Maine, the VDRS provided data on law enforcement officer suicides that were used to help support a bill mandating mental health resiliency and awareness training in the state\'s law enforcement training academy, along with plans for similar training addressing mental health, substance use, and alcohol problems among corrections officers. In addition, states and jurisdictions have also used their VDRS data to examine factors related to homicide in their state or jurisdiction. For example, Georgia VDRS collaborated with the City of Atlanta Mayor\'s Office of Violence Reduction to develop two public dashboards that not only offer comprehensive data on violent deaths but also present data on the geographic distribution of populations disproportionately affected by violence to help inform violence prevention interventions.
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  • 文章类型: Journal Article
    背景:使用刀具或其他尖锐物体的凶杀是欧洲最常见的凶杀类型,也是全球第二常见的凶杀案.相比之下,使用尖锐物体自杀更罕见,仅占西方国家所有自杀行为的百分之几。我们调查了凶杀和自杀中躯干的单次刺伤,以评估伤害程度和医疗护理方面的差异,这可能对创伤管理有价值,公共卫生和法医评估。
    方法:我们确定了2010年至2021年之间瑞典所有死于躯干一次刺伤的病例,无论是凶杀(n=94)还是自杀(n=45),那是法医尸检的主题。我们获得了人口统计数据,医院护理和受伤的结构。评估损伤的严重程度,我们应用AIS(缩写损伤评分)和NISS(新损伤严重程度评分)。用类内相关性(ICC)评估了两个评估者之间NISS的评估者间可靠性,95%置信区间(CI)。数据使用Fisher精确检验进行分析,Mann-WhitneyU检验和逻辑回归模型。
    结果:两个NISS评估者之间的评估者间可靠性显示ICC为0.87(95%CI0.68-0.95)。我们观察到自杀的伤害变化更大,与凶杀案(分别为46.8%和0%)相比,无法生存(NISS75)和轻伤(NISS≤8)的比例更高(分别为66.7%和8.9%)。我们观察到自杀中心脏损伤的比例更大(68.9%vs.46.8%,p=0.018)。在凶杀案中,涉及血管的损伤(52.1%vs.13.3%,p<0.001)和医院护理(56.4%vs.8.9%,p<0.001)与自杀相比明显更常见。
    结论:因果关系(自我伤害或攻击)似乎与受伤的特征和接受医院护理的可能性有关。这些发现可能对创伤管理和死亡方式的法医评估有潜在价值,然而,确定损伤的死亡率需要一个由损伤幸存者组成的对照组.
    BACKGROUND: Homicides using knives or other sharp objects are the most common type of homicide in Europe, and the second most common type of homicide worldwide. In contrast, suicides using sharp objects are rarer, constituting only a few per cent of all suicides in western countries. We investigated single stab injuries to the trunk in both homicides and suicides to assess differences in extent of injuries and in medical care, which could be of value for trauma management, public health and forensic assessment.
    METHODS: We identified all cases in Sweden between 2010 and 2021 that died of a single stab to the trunk, in either a homicide (n = 94) or a suicide (n = 45), and that were the subject of a forensic autopsy. We obtained data on demographics, hospital care and injured structures. To assess the severity of injuries, we applied AIS (Abbreviated Injury Score) and NISS (New Injury Severity Score). The inter-rater reliability of NISS between two raters was evaluated with intra-class correlation (ICC), with 95 % confidence intervals (CI). The data was analysed using Fisher\'s exact test, Mann-Whitney U test and logistic regression models.
    RESULTS: The inter-rater reliability between the two NISS raters showed an ICC of 0.87 (95 % CI 0.68-0.95). We observed a larger variation of injuries in suicides, with a higher proportion of both unsurvivable (NISS 75) and minor injuries (NISS ≤ 8) (66.7 % and 8.9 % respectively) compared to in homicides (46.8 % and 0 % respectively). We observed a larger proportion of injuries to the heart in suicides (68.9% vs. 46.8 %, p = 0.018). In homicides, injuries involving vessels (52.1% vs. 13.3 %, p < 0.001) and hospital care (56.4 % vs. 8.9 %, p < 0.001) were significantly more common compared to suicides.
    CONCLUSIONS: Causation (self-inflicted or assaults) seems to be associated with characteristics of injury and the likelihood of receiving hospital care. These findings could potentially be valuable for trauma management and forensic assessment of manner of death, however, determining the mortality of the injuries would require a comparison group comprising injured survivors.
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  • 文章类型: English Abstract
    Information on how economic fluctuations affect educational inequalities in homicides in Latin America is scarce. This study aimed to: (a) analyze the temporal variations of educational inequalities related to homicide mortality and (b) compare these inequalities between years of economic growth and recession in southern South America cities from 2000 to 2019. Data from seven urban areas in three countries in the Southern Cone of South America were used: Mendoza and Rosario (Argentina); Belo Horizonte, Curitiba, Rio de Janeiro, and São Paulo (Brazil); and Santiago (Chile). Poisson models were estimated by using age, sex, city of residence, year of economic growth or recession, and schooling level as explanatory variables. Results showed significant differences in the temporal evolution of homicide rates in the seven cities, although populations with a low schooling level always showed the most vulnerability. The four Brazilian cities, analyzed together, showed greater educational inequalities related to homicides in years of economic recession when compared to those of economic growth. On the one hand, the indiscriminate use of force by the State against criminal groups seems to increase social inequality in homicide mortality. On the other hand, criminal fragmentation and economic crisis can exacerbate these inequalities by increasing territorial disputes between criminal groups.
    Se sabe poco sobre cómo las fluctuaciones económicas afectan las desigualdades educativas en homicidios en países latinoamericanos. Los objetivos de este estudio fueron (a) analizar las variaciones temporales de las desigualdades relativas educacionales de la mortalidad por homicidio, y (b) comparar estas desigualdades entre años de crecimiento económico y años de recesión en ciudades del sur sudamericano durante el período 2000-2019. Se utilizaron datos de siete áreas urbanas, en tres países del Cono Sur Sudamericano: Mendoza y Rosario (Argentina); Belo Horizonte, Curitiba, Rio de Janeiro y São Paulo (Brasil); y Santiago (Chile). Se estimaron modelos de Poisson, utilizando como variables explicativas la edad, sexo, año, ciudad de residencia, año de expansión o recesión económica y nivel educativo. Encontramos diferencias marcadas en la evolución temporal de las tasas de homicidio entre las siete ciudades, aunque siempre las poblaciones de nivel educativo bajo fueron las más vulnerables. Las cuatro ciudades de Brasil, analizadas en conjunto, tuvieron desigualdades educativas relativas de homicidios mayores en años de recesión económica, con respecto a años de crecimiento económico. Por un lado, el uso de la fuerza indiscriminado por parte del Estado enfocado hacia grupos criminales parece haber llevado a una creciente desigualdad social de la mortalidad por homicidio. Por el otro, en un contexto de fragmentación criminal y crisis económica se podrían agravar estas desigualdades a través de mayores disputas territoriales entre grupos criminales.
    São escassas as informações sobre como as flutuações econômicas afetam as desigualdades educacionais em homicídios na América Latina. Os objetivos deste estudo foram: (a) analisar as variações temporais das desigualdades educacionais relacionadas à mortalidade por homicídio, e (b) comparar essas desigualdades entre os anos de crescimento econômico e os anos de recessão nas cidades do sul da América do Sul no período de 2000 a 2019. Foram utilizados dados de sete áreas urbanas, em três países do Cone Sul da América do Sul: Mendoza e Rosário (Argentina); Belo Horizonte, Curitiba, Rio de Janeiro e São Paulo (Brasil); e Santiago (Chile). Os modelos de Poisson foram estimados utilizando como variáveis explicativas a idade, sexo, ano, cidade de residência, ano de expansão ou recessão econômica e nível de escolaridade. Os resultados mostraram diferenças significativas na evolução temporal das taxas de homicídio entre as sete cidades, apesar de que as populações com baixo nível de escolaridade sempre foram as mais vulneráveis. As quatro cidades brasileiras, analisadas em conjunto, apresentaram maiores desigualdades educacionais relacionadas a homicídios em anos de recessão econômica em relação aos anos de crescimento econômico. Por um lado, o uso indiscriminado da força pelo Estado contra grupos criminosos parece ter levado ao aumento da desigualdade social na mortalidade por homicídio. Por outro lado, em um contexto de fragmentação criminal e crise econômica, essas desigualdades podem ser exacerbadas pelo aumento das disputas territoriais entre grupos criminosos.
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  • 文章类型: Journal Article
    有证据表明,有一小部分患有精神分裂症谱系障碍的人比普通人群更有可能犯下凶杀罪。然而,关于导致这个群体凶杀的精神病理学的知识有限。这项研究的目的是研究威胁/控制覆盖(TCO)概念的两个常用定义,其目的是识别精神分裂症谱系障碍患者的严重暴力风险。
    这是基于文件的子分析,回顾性和探索性横断面研究。根据两个常用的定义,截至2014年12月31日在柏林法医医院拘留的所有精神分裂症谱系障碍的法医杀人犯都接受了TCO的检查。
    在总共419名精神分裂症谱系障碍的法医患者中,78人被杀(18.6%)。患有精神分裂症谱系障碍的法医杀人犯的特征是男性,失业,单身,犯了(企图)过失杀人罪。不考虑使用的定义,整个TCO复合物存在于不到三分之一的样品中。在这两个定义中,威胁症状的频率略低于Control-Override症状。而Stompe等人的威胁症状发生频率较低。\的定义,控制-克服症状是最常见的。关于Kröber对威胁和控制覆盖的定义,情况恰恰相反。
    关于整个TCO综合体,Kröber的定义似乎更加开放,Stompe等人。更严格(38.5%vs.35.9%)。由于TCO只发生在两个定义中大约三分之一的主题中,这两个定义似乎都不是决定性的。两种定义的比例组合可能有助于未来的TCO定义。本研究提供了几乎没有发表的有关精神分裂症谱系障碍的杀人犯的精神病理学的主要数据。特别是关于两个定义中讨论很多的TCO概念。为了确定最有用的TCO定义,为了避免假阳性,并确定明确的精神病理学风险症状,将来应该对罪犯和非罪犯进行更大的样本和比较研究。
    UNASSIGNED: There is evidence that there is a small group of people with schizophrenia spectrum disorders who are more likely to commit homicide than those in the general population. However, there is limited knowledge about the psychopathology that leads to homicide in this group. The aim of this study was to examine two commonly used definitions of the Threat/Control-Override (TCO) concept, which aims to identify a certain risk of serious violence in patients with schizophrenia spectrum disorders.
    UNASSIGNED: This is a sub analysis of a file-based, retrospective and exploratory cross-sectional study. All forensic homicide offenders with schizophrenia spectrum disorders who were detained at the Forensic Hospital Berlin as of 31 December 2014 were examined for the occurrence of TCO according to two commonly used definitions.
    UNASSIGNED: Of a total of 419 forensic patients with schizophrenia spectrum disorders, 78 committed homicide (18.6%). The forensic homicide offenders with schizophrenia spectrum disorders were characterised by being male, unemployed, single and having committed (attempted) manslaughter. Irrespective of the definition used, the entire TCO complex was present in less than a third of the sample. In both definitions, Threat symptoms were slightly less frequent than Control-Override symptoms. While Threat symptoms occurred less frequently in Stompe et al.\'s definition, Control-Override symptoms were the most common. With regard to Kröber\'s definition of Threat and Control-Override, the situation is exactly the opposite.
    UNASSIGNED: Regarding the entire TCO complex, Kröber\'s definition seems a little more open and Stompe et al.\'s more strict (38.5% vs. 35.9%). Since TCO only occurs in about one third of the subjects in both definitions, neither definition appears to be conclusive. A combination with proportions from both definitions could be a contribution to a future definition of TCO. The present study provides scarcely published primary data on psychopathology in homicide offenders with schizophrenia spectrum disorders, especially on the much discussed TCO concept in two definitions. In order to determine the most useful definition of TCO, to avoid false positives and to identify clear psychopathological risk symptoms, larger samples and comparative studies with offenders and non-offenders should be conducted in the future.
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  • 文章类型: Journal Article
    背景:暴力死亡,包括自杀和凶杀,在美国构成了重大的公共卫生挑战。了解趋势并确定相关的风险因素对于有针对性的干预策略至关重要。
    目的:使用疾病控制和预防中心的基于Web的伤害统计查询和报告系统在线数据库,研究过去二十年中自杀和凶杀的趋势,并确定人口统计学和背景预测因素。
    方法:对2000年至2020年的死亡记录进行回顾性分析,利用多元回归分析。协变量包括年龄,种族,性别,教育,心理健康状况,和时间段。采用年龄调整率评估趋势。
    结果:在过去的20年里,自杀率呈上升趋势,从大约10/100,000增加到14/100,000以上的个人,在美洲印第安人(100.8%的增长)和25岁及以下的个人(45.3%的增长)中,这是一个显着的增长。凶杀率,虽然相对稳定,在2019-2020年表现出显着增长,非洲裔美国人的比例一直最高,美洲印第安人的比例显着增加(73.2%的增长)。在多元回归分析中,受过高等教育的个人(OR=1.74,95%CI=1.70-1.78),抑郁症(OR=13.47,95%CI=13.04-13.91),和双相情感障碍(OR=2.65,95%CI=2.44-2.88)的自杀几率更高。凶杀的危险因素包括非洲裔美国人(OR=4.15,95%CI=4.08-4.23),拉丁裔(OR=2.31,95%CI=2.26-2.37),25岁及以下的人,以及那些受教育程度较低的人。
    结论:这项研究强调了美国自杀和凶杀案人口结构的变化,以及有针对性的公共卫生对策的必要性。意味着限制,普遍的自杀筛查,解决心理健康的耻辱,实施广泛的干预措施,改变社会对自杀和凶杀的态度,是全面战略的重要组成部分。
    BACKGROUND: Violent deaths, including suicides and homicides, pose a significant public health challenge in the United States. Understanding the trends and identifying associated risk factors is crucial for targeted intervention strategies.
    OBJECTIVE: To examine the trends in suicides and homicides over the past two decades and identify demographic and contextual predictors using the Center for Disease Control and Prevention\'s Web-based Injury Statistics Query and Reporting System online database.
    METHODS: A retrospective analysis of mortality records from 2000 to 2020 was conducted, utilizing multivariate regression analyses. Covariates included age, race, sex, education, mental health conditions, and time period. Age-adjusted rates were employed to assess trends.
    RESULTS: Over the 20 years, there was an upward trajectory in suicide rates, increasing from approximately 10/100,000 to over 14/100,000 individuals, which is a notable increase among American Indians (100.8% increase) and individuals aged 25 years and younger (45.3% increase). Homicide rates, while relatively stable, exhibited a significant increase in 2019-2020, with African Americans consistently having the highest rates and a significant increase among American Indians (73.2% increase). In the multivariate regression analysis, Individuals with advanced education (OR= 1.74, 95% CI= 1.70 - 1.78), depression (OR = 13.47, 95% CI = 13.04 - 13.91), and bipolar disorder (OR = 2.65, 95% CI = 2.44 - 2.88) had higher odds of suicide. Risk factors for homicide include African Americans (OR = 4.15, 95% CI = 4.08 - 4.23), Latinx (OR = 2.31, 95% CI = 2.26 - 2.37), people aged 25 years and younger, and those with lower educational attainment.
    CONCLUSIONS: This study highlights the changing demographic pattern in suicides and homicides in the United States and the need for targeted public health responses. Means restriction, universal suicide screening, addressing mental health stigma, and implementing broad interventions that modify societal attitudes toward suicide and homicides are essential components of a comprehensive strategy.
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  • 文章类型: Journal Article
    性杀人(SHs)需要进行细致的研究以进行有效的预防,治疗,风险评估和理论见解。亲密伴侣性杀人(IPSHs),包括大约20%的SHs,受到的关注有限。这项研究通过调查罪犯,比较了澳大利亚和新西兰的IPSHs(n=56)和非亲密伴侣性凶杀(NIPSHs)(n=236)。受害者,和犯罪现场特征。虽然IPSH肇事者通常年龄较大,分离,之前有家庭暴力定罪,受害者通常是非白人,有家庭暴力和物质使用的历史。尽管犯罪现场地点和犯罪后行为有所不同,类似的犯罪现场行为在罪犯团体中表现出来,这似乎是出于不同的潜在动机。尽管IPSH的驱动因素通常是不满和愤怒,与争论后发生的犯罪有关,NIPSH的驱动因素通常是性越轨和施虐。总的来说,IPSH涵盖了家庭暴力的各个方面,凶杀案,性暴力,区别于SH。
    Sexual homicides (SHs) demand nuanced research for effective prevention, treatment, risk assessment and theoretical insights. Intimate-partner sexual homicides (IPSHs), comprising approximately 20% of SHs, have received limited attention. This study compares IPSHs (n = 56) and non-intimate partner sexual homicides (NIPSHs) (n = 236) in Australia and New Zealand by investigating offender, victim, and crime-scene characteristics. While IPSH perpetrators were typically older, separated, and had prior domestic violence convictions, victims were more often non-white with histories of domestic violence and substance use. Although crime-scene locations and post-offence behaviours differed, similar crime scene behaviours were displayed across offender groups, which seemed to be routed in different underlying motives. Whereas drivers of IPSH commonly were grievance and anger, associated with offences occurring after arguments, drivers for NIPSH were more often sexual deviance and sadism. Overall, IPSH encompasses aspects of domestic violence, homicide, and sexual violence, distinguishing it from SH.
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  • 文章类型: Journal Article
    某年8月某日,某乡村水渠内发现一具女尸,系他杀。经调查,犯罪嫌疑人吴某夜间在轿车内将女友李某勒颈致死,后翻入路旁梨园内搬水泥柱放于后备箱内,用绳子将水泥柱与李某的尸体捆绑后沉尸水渠。由于吴某系夜间开车且将车停在偏僻陌生的地方,对周边地形不熟悉,故无法供述及辨认停车的具体位置。经勘验,在吴某的轿车后备箱内提取到草本植物残叶( 图1 ),但无法从形态学上进行识别,需行DNA检验鉴定该植物残叶种属,进而重建命案现场。.
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  • 文章类型: Journal Article
    2022年6月9日,张某(男)因涉嫌强制猥亵同学,于案发当时被依法刑事拘留。在审讯过程中,张某自报出生于2006年9月22日;户籍资料记载张某出生于2005年9月22日,男性,汉族,公民身份号码为******20050922****。为正确处理此案,某市公安局委托本鉴定机构对张某本次摄片时(2022年6月10日)的骨龄进行法医学鉴定。.
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