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首页> 外文期刊>The journal of clinical psychiatry >Severe mental illness and risk of sexual offending in men: a case-control study based on Swedish national registers.
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Severe mental illness and risk of sexual offending in men: a case-control study based on Swedish national registers.

机译：男性严重精神疾病和遭受性侵犯的风险：一项基于瑞典国家档案的病例对照研究。

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OBJECTIVE: To examine the comorbidity of severe mental illness with sexual offending in men. METHOD: A case-control design was used to investigate psychiatric hospitalization and sexual offending. Data were obtained from Swedish national registers for crime, hospital discharge diagnoses (based on International Classification of Diseases revisions 9 and 10), demographic, and socioeconomic factors for the years 1988 through 2000. All male sexual offenders (N = 8495) in Sweden were included and compared with a random sample of male controls taken from the general population (N 19,935). The population attributable risk fraction (the proportion of all sexual crimes throughout the study period that were committed by patients with a history of psychiatric hospitalization) was also estimated. RESULTS: After adjustment for demographic and socioeconomic confounders, sexual offenders were 6 times more likely to have a history of psychiatric hospitalization compared with the general population (OR = 6.3, 95% CI = 5.7 to 6.9). Sexual offenders were significantly more likely to have a severe mental illness than the general population, whether this was schizophrenia (OR = 4.8, 95% CI = 3.4 to 6.7), other psychoses (OR = 5.2, 95% CI = 3.9 to 6.8), or bipolar affective disorder (OR = 3.4, 95% CI 1.8 to 6.4). The proportion of all sexual crimes committed by hospitalized psychiatric patients (the population attributable risk fraction) was 20.1%. CONCLUSION: The increased relative risk of psychiatric hospitalization and severe mental illness in sexual offenders is contrary to much expert opinion in the field. If these findings are replicated in other settings, policies in the criminal justice system regarding the assessment, management, and treatment of sexual offenders may need review.
机译：目的：探讨男性严重精神疾病与性犯罪的合并症。方法：采用病例对照设计调查精神科住院和性犯罪行为。数据是从1988年至2000年瑞典国家犯罪记录，出院诊断（基于国际疾病分类第9和10版），人口统计学和社会经济因素获得的。瑞典的所有男性性犯罪者（N = 8495）均为纳入样本并与从普通人群中抽取的男性对照样本随机比较（N 19,935）。还估计了人口归因风险分数（在整个研究期间，有精神病住院史的患者所犯的所有性犯罪的比例）。结果：在调整了人口统计学和社会经济混杂因素后，性犯罪者有精神病住院史的可能性是普通人群的6倍（OR = 6.3，95％CI = 5.7至6.9）。无论是精神分裂症（OR = 4.8，95％CI = 3.4至6.7），还是其他精神病（OR = 5.2，95％CI = 3.9至6.8），性犯罪者比普通人群患严重精神疾病的可能性要高得多或双相情感障碍（OR = 3.4，95％CI 1.8至6.4）。住院的精神病患者所犯的所有性犯罪比例（人口归因风险分数）为20.1％。结论：性犯罪者精神病住院和严重精神疾病的相对风险增加，与该领域的许多专家意见相反。如果在其他情况下复制这些发现，则可能需要审查刑事司法系统中有关性犯罪者评估，管理和待遇的政策。

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