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首页> 外文期刊>Forensic science international >Homicide and bipolar I disorder: A 22-year study
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Homicide and bipolar I disorder: A 22-year study

机译：凶杀与双相性I型障碍：一项为期22年的研究

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Background: Non-serious offenses in manic phase have been mainly studied in patients with bipolar disorder. However, some authors reported that depressive phase is related with the violent and homicidal manifestations of bipolar disorder. Aims: We investigated the characteristics of homicide by the polarity of mood episode in patients with bipolar I disorder. Methods: Among the offenders who were sentenced to undergo treatment at the National Institute of Forensic Psychiatry from October 1987 to January 2008, a total 219 offenders whose final diagnoses were bipolar I disorder based on DSM-III-R and DSM-IV were selected. Retrospective medical chart review was performed for characteristics of mood episodes. Descriptions of offenders were supplemented by review of the written records of the police or prosecutors. Results: The general rate of total offense was higher in the manic phase than in the depressive phase (86.8% vs. 13.2%). However, the rate of homicide was higher in the depressive phase than in the manic phase. The victims of homicide were more likely to be family members of the patients in depressive phase than in manic phases (96.2% vs. 63.9%, p= 0.001). However, parricide was committed only in manic phases. Altruistic motivation of homicide was significantly higher in depressive phase (34.6% vs. 0%, p< 0.001) whereas impulsivity was the most common one in manic phases. Conclusions: The risk of offenses, particularly homicide for family members, should not be overlooked in the depressive phases of bipolar I disorder.
机译：背景：躁狂期的非严重犯罪主要研究于躁郁症患者。但是，一些作者报告说，抑郁期与躁郁症的暴力和杀人症状有关。目的：我们通过躁郁症I型患者的情绪发作极性调查了凶杀的特征。方法：从1987年10月至2008年1月在美国法医精神病学研究所被判刑的罪犯中，总共选择了219名最终诊断为基于DSM-III-R和DSM-IV的双相I型障碍的罪犯。回顾性医学图表审查进行了情绪发作的特征。通过审查警察或检察官的书面记录来补充对犯罪者的描述。结果：躁狂阶段的总体完全犯罪率高于抑郁阶段（86.8％对13.2％）。但是，在抑郁期的凶杀率高于躁狂期的凶杀率。相比于躁狂阶段，凶杀的受害者更有可能是抑郁症患者的家庭成员（96.2％vs. 63.9％，p = 0.001）。但是，仅在狂躁阶段才实施杀人。在抑郁期凶手的利他动机显着更高（34.6％vs. 0％，p <0.001），而冲动性是躁狂期最常见的一种。结论：在躁郁症I型抑郁症的抑郁阶段，不应忽视犯罪的风险，尤其是家庭成员被杀的风险。

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