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首页> 外文期刊>Acta Psychiatrica Scandinavica >Schizophrenia disorders, substance abuse and prior offending in a sequential series of 435 homicides.
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Schizophrenia disorders, substance abuse and prior offending in a sequential series of 435 homicides.

机译：精神分裂症，药物滥用和一系列连续435起凶杀案中的违法行为。

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OBJECTIVE: To examine the relationship between committing homicide, the presence of schizophrenia, substance misuse and past criminality. METHOD: The study employed a data linkage design, using contacts recorded on two statewide databases, one of which recorded public mental health services contacts and the second of which recorded contacts with the police. The estimated rates of schizophrenia disorders, substance abuse and criminal convictions found among a population of 435 homicide offenders were contrasted with estimated rates in two composite comparison samples. RESULTS: Of the 435 offenders, 38 (8.7%) had been diagnosed with a schizophrenia disorder, which was RR 13.11 (95% CI 9.14-18.80) times more likely than a comparison sample. Rates of known substance abuse between homicide offenders with and without schizophrenia and community-dwelling residents with schizophrenia did not differ significantly. However, these rates were higher than those found in the general community. A similar pattern emerged for comparisons regarding offending histories between these same groups. CONCLUSION: The association between homicidal violence and having a schizophrenia disorder cannot be explained away simply on the basis of either comorbid substance abuse or prior criminal offending.
机译：目的：探讨杀人罪，精神分裂症的存在，滥用药物和过去犯罪之间的关系。方法：该研究采用了数据链接设计，使用记录在两个州范围内的数据库中的联系人，其中一个记录了公共精神卫生服务联系人，第二个记录了与警察的联系人。在两个复合比较样本中，在435名凶杀罪犯的人群中发现的精神分裂症疾病，药物滥用和刑事定罪的估计发生率与估计发生率相对照。结果：在435名罪犯中，有38名（8.7％）被诊断出患有精神分裂症，这是比较样本的RR 13.11（95％CI 9.14-18.80）的几率。有和没有精神分裂症的凶杀罪犯与精神分裂症的社区居民之间的已知物质滥用率没有显着差异。但是，这些比率高于一般社区中的比率。在比较这些相同群体之间的犯罪历史时，出现了类似的模式。结论：杀人暴力与精神分裂症之间的联系不能简单地基于合并毒品滥用或先前的犯罪行为来解释。

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