精神障碍患者重复违法情况回顾性调查

发布时间：2018-04-12 11:37

本文选题：精神障碍 + 重复违法　；参考：《中国心理卫生杂志》2009年09期

【摘要】：目的:调查精神障碍患者重复违法的情况,探讨精神障碍患者重复违法的原因。方法:采用回顾性资料分析方法,应用自编调查问卷对北京市某医院2005～2006年的201份精神障碍鉴定病历进行回顾性调查。其中,第1次违法者为对照组,研究组为2次及以上违法者(简称为重复违法者)。结果:24.9%的精神障碍患者出现重复违法行为,其中,20.0%诊断为人格障碍(χ2=0.60,P0.05)。重复违法相关因素方面,研究组28.0%无人监护,高于对照组的10.6%(χ2=8.96,P0.01)。研究组有10.0%无钱看病,高于对照组的1.90%(χ2=4.39,P0.05)。对照组用药的人数多于研究组,而从未用药的人数少于研究组(Z=3.49,P0.01)。结论:精神障碍患者重复违法比例高,可能与缺乏监管、经济原因而没有得到及时治疗等因素有关。建议政府出台相应的措施,加强监管,加强精神卫生知识的宣传,预防精神障碍患者再次违法。
[Abstract]:Objective: to investigate the repeated violation of the law in patients with mental disorders and explore the causes of repeated violations.Methods: 201 medical records of psychiatric disorders from 2005 to 2006 in a hospital in Beijing were investigated retrospectively by means of retrospective data analysis.Among them, the control group for the first time, the study group for two or more violations (referred to as repeated violations).Results among the 24. 9% of the patients with mental disorders, 20. 0% of them were diagnosed as personality disorders (蠂 2 + 0.60%, P 0 05), and 20% of them were diagnosed as personality disorders (蠂 2 + 0.60%, P < 0 05).In terms of repeated illegal factors, 28.0% of the study group was unsupervised, which was higher than that of the control group (10.6%) (蠂 ~ 2 = 8.96, P 0.01).10.0% of the patients in the study group had no money to see a doctor, which was higher than that of the control group (1.90%, 蠂 2 4.39%, P 0.05).The number of patients in the control group was higher than that in the study group, and the number of those who had never been treated was less than that in the study group.Conclusion: the high rate of repeated violations in patients with mental disorders may be related to lack of supervision, economic reasons and lack of timely treatment.It is suggested that the government should introduce corresponding measures, strengthen supervision, strengthen the propaganda of mental health knowledge, and prevent the patients with mental disorders from breaking the law again.
【作者单位】：北京大学精神卫生研究所卫生部精神卫生学重点实验室(北京大学);
【分类号】：D919.3;R749

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