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法院委託鑑定之精神分裂症患者之再犯因素分析

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  • 最後更新日期:109-05-13
  • 資料點閱次數:228
為了瞭解影響精神分裂症患者再犯的因素,本研究以北部某精神科專科醫院,自1995年7月至2004年6月由司法單位(各級法院、檢察署)委託,接受刑事案件之司法精神鑑定共計133位之個案,自鑑定後到2005年12月止,其再度犯案之情形,以瞭解其暴力行為之危險性。 以存活分析(survival analysis)方式,分析再犯組與未再犯組在人口學資料(包括性別,年齡,家庭結構-是否單親、16歲前是否父母離異、死亡及排行,教育程度)、前科(包括前科次數,前科類型-暴力犯罪、財產犯罪、性侵害犯罪及藥物相關犯罪)及臨床特徵(包括發病年齡,之前住院次數,藥物濫用之診斷,人格違常之診斷,智能狀態)等之差異。 研究發現,犯行前無住院經驗、反社會人格疾患、鑑定所涉犯行與首次犯行年齡層在10-19與60-69之年齡層、前科數大於4等情形,有較高的再犯。而特定犯行類型如殺人、傷害、縱火、妨害社會秩序等則再犯率較低。 研究建議,對於精神分裂症之犯罪者,這些因素可能造成較高的再犯機會,因此再犯罪矯治與精神醫療上,對於有相關因素的病患,應投注更多的努力。

To investigate the factors affecting re-offending by daignosed schizophrenics, the study collected data on 133 cases who received forensic evaluation referred by the district attorney or court during the period July 1995 to June 2004. Using survival analysis, the study compared those who re-offended before Dec 2005 with those who did not; the aim was to analyze demographic data (gender, age, family structure, education), criminal records (number of offense, type of offense) and clinical conditions (age of illness onset, number of hospitalization, co-morbidity with substance abuse/personality disorder, intellectual functioning ). The study found that factors such as no prior hospitalization before offense, antisocial personality, age between 10-19 and 60-69 of the assessed and first offense and numbers of previous offenses over four were predictors of a higher risk of recidivism. But specific types of offenses such as homicide, assault, arson and interference with social order had less risk of recidivism. The study suggests greater emphasis on specific correctional measures or psychiatric treatment should be targeted on the schizophrenic patients who have a higher risk of recidivism.

資料來源:http://handle.ncl.edu.tw/11296/ndltd/86218564242147188589

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