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Subsequent criminal participation among young people first admitted to psychiatric inpatient care during early and middle adolescence

机译:在早期和中年期间,在早期和中间的年轻人中,年轻人之间的后续刑事诉人

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摘要

Adolescents brought before court suffer excessively of mental disorders. Less is known about subsequent criminal participation of adolescent psychiatric inpatients. Our register study comprised all subjects that had between 1980 and 2010 been admitted to psychiatric inpatient care in Finland for the first time in their lives at ages 13-17 (n = 16 842), identified in the Care Register for Health Care and followed up for up to 10 years in the Register of Prosecutions, Sentences and Punishments. Incidence of register entry for any crime was 2.4/100 person-years, 4.0 in males and 1.9 in females. Incidence of violent crime was 0.9/100 person-years, 1.5 in males and 0.3 in females. Greatest risk for subsequent crime was associated with diagnoses of conduct, personality and substance use disorders (F90-92, F60-69, F10-19). Schizophrenia group diagnoses (F20-29) were associated with lowest risk. Later criminality was manifold among those who already had a crime register entry before the index treatment. Need for psychiatric inpatient care during adolescence associates with a great risk of antisocial development. Treatment needs to address this risk by systematically implementing evidence-based interventions. Health and social policies need to ensure resources and skills to these treatments.
机译:被带上法庭的青少年患有严重的精神障碍。对于青少年精神病住院患者随后的犯罪行为知之甚少。我们的登记研究包括1980年至2010年间在芬兰13-17岁(n=16842)时首次接受精神病住院治疗的所有受试者,这些受试者在《医疗保健护理登记簿》中进行了确认,并在《起诉、判决和惩罚登记簿》中进行了长达10年的随访。任何犯罪的登记记录发生率为2.4/100人年,男性为4.0,女性为1.9。暴力犯罪发生率为0.9/100人年,男性为1.5,女性为0.3。后续犯罪的最大风险与行为、人格和物质使用障碍的诊断有关(F90-92、F60-69、F10-19)。精神分裂症组的诊断(F20-29)与最低风险相关。后来,在索引处理之前已经有犯罪登记记录的人中,犯罪行为是多方面的。青春期对精神病住院治疗的需求与反社会发展的巨大风险相关。治疗需要通过系统地实施循证干预来解决这一风险。卫生和社会政策需要确保为这些治疗提供资源和技能。

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