May 2024
Indian Journal of Psychiatry
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May 2024
Indian Journal of Psychiatry
June 2023
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144 Reads
Although the media often portrays violent criminal offenders as insane, the crime rate of individuals with severe mental illness is not higher than that of the general population. Social isolation in prisons or general psychiatric hospitals is thus a seemingly futile measures in crime prevention. However, few Asian studies have investigated the risk factors associated with violent criminal offenders with mental illness. The study collected 568 offenses from forensic psychiatric assessment reports completed at a psychiatric center from October 2009 to October 2021, excluding sexual offenses. The offenders were classified as violent offenders or nonviolent offenders. The study analyzed the sociodemographic characteristics, clinical characteristics, and forensic information of the offenders, and assessed their associations with violent crimes. Most offenders (n = 568) were male (74.5%), unemployed (91.4%), and single (92.8%). Compared with offenders without schizophrenia spectrum disorders (n = 287), offenders with schizophrenia spectrum disorders (n = 281) did not have significantly more alcohol use disorder (12.5% vs. 21.3%, p = .007), other substance use disorders (19.2% vs. 16.4%, p = .382), or commit more violent crimes (23.5% vs. 13.8%, p = .209). Men (OR: 2.12; 95% CI: 1.35–3.38) and those diagnosed with alcohol use disorder (OR: 1.62; 95% CI: 1.02–2.57) were more likely to commit violent crimes. Offenders with a diagnosis of intellectual disability (OR: 0.37; 95% CI: 0.19–0.73) were less likely to have commit violent crimes. Alcohol use disorder was the only dynamic factor associated with violent criminal offenders with mental illness.
January 2022
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70 Reads
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1 Citation
Taiwanese Journal of Psychiatry
Background The relation between mental illness and criminal offenses is controversial. In Taiwan, offenders with mental illness may be sentenced to custodial protection. Nevertheless, the recidivism rates remain high in such populations. Factors associated with recidivism among those offenders warrant further exploration. Methods We retrospectively identified five persons with mental illness who had repeated forensic psychiatric evaluation for at least three times through reviewing forensic psychiatry records over the past decade at a psychiatric center. The related sociodemographic characteristics and psychiatric profiles in the 22 offenses were also collected and correlated with verdicts. Results Those five offenders had family and personal histories of mental illnesses. They were relatively young at the first offense and unemployed, unmarried during the period of committing the offenses. Some offenders had a history of substance use, self-harm attempts, other criminal behaviors, and poor adherence to treatments before the offense. All the concluded characteristics of forensic psychiatric evaluations were consistent with the court judgments. Conclusion Social dysfunction, poor adherence to treatments, history of substance use, and previous criminal records were prominent among those five repeated offenders.
... Most of our sample was represented by male patients, with a mean age of 49 years, partnerless, and unemployed. These results were also found in numerous studies on psychiatric patients with a crime history trying to predict violent offense, 19 examining arrest records of 13,816 individuals receiving services from a regional Department of Mental Health, 20 describing main characteristics of forensic psychiatric inpatients, [21][22][23] analyzing hypothetical correlations between violence and psychosis, 11 and between criminality and bipolar disorder. 24 The only variable in contrast with most of the current literature was the level of education, which turned out to be higher in our sample: 40%, in fact, achieved a diploma or degree versus 9%-13% found in the current literature. ...
January 2022
Taiwanese Journal of Psychiatry