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首页> 外文期刊>Nordic journal of psychiatry. >Criminal recidivism and mortality among patients discharged from a forensic medium secure hospital
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Criminal recidivism and mortality among patients discharged from a forensic medium secure hospital

机译：从法医中等安全医院出院的患者中的犯罪再犯和死亡率

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Background: One of the goals in forensic psychiatric care is to reduce the risk of recidivism, but current knowledge about the general outcome of forensic psychiatric treatment is limited. Aims: To analyse the rate of criminal recidivism and mortality after discharge in a sample of patients sentenced to forensic psychiatric treatment in a Swedish county. Methods: All offenders in ?rebro County, Sweden, sentenced to forensic psychiatric treatment and discharged during 19922007 were included: 80 males and eight females. Follow-up data was retrieved from the Swedish National Council for Crime Prevention, the National Cause-of-Death register and clinical files. Mean follow-up time was 9.4 years. Results: The mean age at discharge was 40 years. Schizophrenia, other psychoses and personality disorders were the most prevalent diagnoses. Thirty-eight percent of those still alive and still living in the country re-offended and were sentenced to a new period of forensic psychiatric treatment or incarceration during follow-up. Four male re-offenders committed serious violent crimes. Substance-related diagnosis was significantly associated with risk of recidivism and after adjustment for diagnoses, age and history of serious violent crime, the Hazard Ratio was 4.04 (95% CI 1.5110.86, P 0.006). Of all included patients, 23% had died at the end of follow-up (standardized mortality rate 10.4). Conclusions: Since repetition of serious violent crimes was unusual, results indicate a positive development subsequent to treatment for those alive at follow-up. Clinical implications: The high mortality rate suggests that more attention should be paid in evaluation of the patients' somatic and psychiatric health during and after care in order to prevent premature death.
机译：背景：法医精神病学护理的目标之一是减少再次犯罪的风险，但是目前对法医精神病学治疗的总体结果了解有限。目的：分析瑞典某县被判接受法医精神病治疗的患者样本中的犯罪再犯率和出院后死亡率。方法：1992年至2007年间在瑞典弗雷布洛县被判法医精神病治疗并出院的所有罪犯包括：男性80例，女性8例。随访数据来自瑞典国家预防犯罪委员会，国家死亡原因登记簿和临床档案。平均随访时间为9。4年。结果：出院的平均年龄为40岁。精神分裂症，其他精神病和人格障碍是最普遍的诊断。仍然活着并仍在该国居住的人中有38％再次受到冒犯，并在随访期间被判入法医精神病治疗或监禁的新时期。四名男性再犯者犯下了严重的暴力罪行。物质相关的诊断与再犯风险显着相关，并且在对诊断，年龄和严重暴力犯罪史进行调整之后，危险比为4.04（95％CI 1.5110.86，P 0.006）。在所有纳入的患者中，23％在随访结束时死亡（标准死亡率为10.4）。结论：由于严重暴力犯罪屡屡发生，因此结果表明在随访中对活着的人进行治疗后出现了积极的发展。临床意义：高死亡率提示在护理期间和护理后评估患者的身体和精神健康状况时应更加注意，以防止过早死亡。

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