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Mania, homicide and severe violence

机译:躁狂,凶杀和严重暴力

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Background: Mania has been reported to be a risk factor for aggression and violence in psychiatric hospitals, but the extent of any association between mania and severe interpersonal violence in community settings is not known.Aim: To examine the association between mania and severe violence in a series of patients found not guilty by reason of mental illness (NGMI).Methods: A review of the court documents of those found NGMI of offences involving severe violence, including homicide, attempted homicide and assault causing wounding or serious injury, in New South Wales between 1992 and 2008.Results: Twelve of 272 people found NGMI were in a manic state when they committed a severe violence offence. Ten were diagnosed with schizo-affective disorder and two with bipolar disorder. Three patients were in the depressed phase of schizo-affective disorder and there were no patients in the depressed phase of bipolar disorder.Conclusion: Mania, in particular the manic phase of bipolar disorder, is not strongly associated with severe violence.
机译:背景:躁狂症是精神病医院中侵略和暴力的危险因素,但在社区环境中躁狂症与严重人际暴力之间的关联程度尚不清楚。目的:研究躁狂症与严重暴力之间的关联方法:在新南威尔士州,对因精神疾病(NGMI)而被判无罪的一系列患者的方法:对法院文件的审查表明,发现这些NGMI涉及严重暴力的犯罪,包括杀人,谋杀未遂和殴打致伤或重伤的罪行威尔士在1992年至2008年之间。结果:272人中有12人发现NGMI在犯下严重暴力罪行时处于狂躁状态。十名被诊断为精神分裂症情感障碍,两名被诊断为躁郁症。三名患者处于精神分裂症-情感情感障碍的抑郁期,没有患者处于双相情感障碍的抑郁期。结论:躁狂症,特别是双相情感障碍的躁狂期与严重的暴力行为没有强烈关联。

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