Analysis of the clinical and criminological characteristics of persons suffering from schizophrenia and their impact on the possibility of committing a repeated socially dangerous act: a comparative study
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Popov SN, Vinnikova IN, Berezkin AS, et al. [Analysis of the clinical and criminological characteristics of persons suffering from schizophrenia and their impact on the possibility of committing a repeated socially dangerous act: a comparative study]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2023;(6):22-30. Russian
In this retrospective study pursuing the objective of establishing the risk factors for the recurrence of illegal behavior in patients suffering from schizophrenia, we examined 147 patients who committed socially dangerous acts, were then found to be not criminally responsible by a court of law, and underwent compulsory treatment. The comparison of clinical and criminological characteristics of persons who committed repeated socially dangerous acts and had no previous criminal experience made it possible to distinguish statistically significant differences in a number of indicators that should be taken into account when assessing the potential social dangerousness of patients with schizophrenia. We have found direct correlations between being aged under 19 at the time of committing the first offence, the negative-personal mechanism of delict, the absence of psychiatric hospitalizations prior to offending, and the repetition of the socially dangerous act. Negative correlations with recidivating criminal activity had an older (over 40) age of first-time criminal prosecution and a positive-psychotic type of psychopathological mechanism of the socially dangerous act.
Keywords psychiatry; schizophrenia; socially dangerous actions; prevention of socially dangerous acts; crimes
1. Mokhon'ko AR, Makushkin EV, Mugantseva LA, Tarasov VG. Osnovnye pokazateli deyatel'nosti sudebno-psikhiatricheskoi ekspertnoi sluzhby v Rossiiskoi Federatsii v 2020 godu. Analiticheskii obzor. In: EV Makushkin, editor. Vol. 29. Moscow: FGBU «NMITS PN im. V.P. Serbskogо» Minzdrava Rossii, 2021. 203 p. (In Russ.) 2. Makushkina OA, Mugantseva LA. Osnovnye pokazateli deyatel'nosti psikhiatricheskoi sluzhby Rossiiskoi Federatsii po profilaktike obshchestvenno opasnykh deistvii lits s psikhicheskimi rasstroistvami (2010–2019 gg.): Informatsionno-analiticheskii spravochnik. In: OA Makushkina, editor. Moscow: FGBU «NMITS PN im. V.P. Serbskogo» Minzdrava Rossii, 2021. 204 p. (In Russ.) 3. Vinnikova IN, Makushkina OA, Dmitriev AS. Vtorichnaya profilaktika povtornykh obshchestvenno opasnykh deistvii lits s psikhicheskimi rasstroistvami. Moscow: FGBU «NMITS PN im. V.P. Serbskogo» Minzdrava Rossii, 2018. 220 p. (In Russ.) 4. Makushkina OA, Kotov VP, Mal'tseva MM, et al. Profilaktika opasnykh deistvii psikhicheski bol'nykh v ambulatornykh usloviyakh. Moscow: FGBU «NMITS PN im. V.P. Serbskogo» Minzdrava Rossii, 2016. 279 p. (In Russ.) 5. Forensic Psychiatry Guide. In: AA Tkachenko, editor. 3-e izd. Moscow: Yurait, 2020. 230 p. (In Russ.) 6. Makushkina OA, Yakhimovich LA, Polubinskaya SV. Problema obshchestvennoi opasnosti lits, stradayushchikh psikhicheskimi rasstroistvami: kliniko-sotsial'naya otsenka riska opasnogo povedeniya: Uchebnoe posobie. Moscow: FGBU «FMITS PN im. V.P. Serbskogo» Minzdrava Rossii, 2017. 172 p. (In Russ.) 7. Fazel S, Grann M. The population impact of severe mental illness on violent crime. Am. J. Psychiatry. 2006;163(8):1397–403. DOI: http://doi.org/10.1176/ajp.2006.163.8.1397 8. de Girolamo G, Carrà G, Fangerau H, et al. European violence risk and mental disorders (EU-VIORMED): a multi-centre prospective cohort study protocol. BMC Psychiatry. 2019;19(1):410. DOI. http://doi.org/10.1186/s12888-019-2379-x 9. Makushkina OA, Berezkin AS, Durneva MYU, Avdonina SM. [Testing and implementation of a methodology for structured risk assessment of dangerous behavior in persons with mental disorders]. Sotsial'naya i klinicheskaya psikhiatriya [Social and clinical psychiatry] 2017;27(4):19–24. (In Russ.) 10. Popov SN, Vinnikova IN. [Method for predicting repeated socially dangerous actions in persons with organic mental disorders]. Doktor.Ru [Doctor.ru]. 2020;19(9):53–8. (In Russ.) DOI: http://doi.org/10.31550/1727-2378-2020-19-9-53-58 11. Popov SN, Vinnikova IN, Berezkin AS, Mokhova EV. [Clinical and social characteristics of patients with schizophrenia and organic mental disorders who committed repeated socially dangerous acts]. Doktor.Ru. [Doctor.ru]. 2021;20(5):62–6. (In Russ.) DOI: http://doi.org/10.31550/1727-2378-2021-20-5-62-66 12. Vorsina OP. [Outpatient compulsory observation and treatment of persons who have committed socially dangerous actions in the Irkutsk IPA]. Sibirskii vestnik psikhiatrii i narkologii [Siberian Bulletin of Psychiatry and Narcology]. 2017;3(96):46–9. (In Russ.)
DOI: http://dx.doi.org/10.34757/1560-957X.2023.27.6.003
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