| ,Comparison of diagnosis and treatment before judicial psychiatric identification of 1369 patients to be identified with or without psychosis[J].SICHUAN MENTAL HEALTH,2019,32(4):328-332 |
| Comparison of diagnosis and treatment before judicial psychiatric identification of 1369 patients to be identified with or without psychosis |
DOI：10.11886/j.issn.1007-3256.2019.04.008 |
| English keywords:Forensic psychiatry Mental disorders Identification diagnosis History of diagnosis and treatment |
| Fund projects:山东省医药卫生科技发展计划项目（2013WS0053） |
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| Objective To explore the difference of the previous diagnosis and treatment between the patients with and without mental disorders, in order to improve the ability of identifying and distinguishing criminal suspects without mental disorders in forensic psychiatry identification. Methods The general information and pre - identification diagnosis and treatment information of 1 369 subjects who were evaluated for criminal responsibility in a forensic identification institute from 2014 to 2017 were collected using a self- designed questionnaire. According to the identification diagnosis, the patients were divided into the group with mental disorders( n = 964) and the group without mental disorders ( n = 405) . The demographic data, history of mental disorders and medical situation were compared between the two groups, and the previous clinical diagnoses of the group without mental disorders were analyzed.Results There were statistically significant differences in age, occupation, type of crimes( personal attack, economic infringement) ,previous history of mental disorders, medical history, time and method of medical treatment between the two groups ( P < 0. 05 or0. 01 ) . The rate of abnormal history and consultation in the group with mental disorders were higher than those in the group without mental disorders( 87. 3% vs. 37. 8% , χ2 = 352. 874, P < 0. 01 ; 65. 2% vs. 44. 0% , χ2 = 53. 459, P < 0. 01 ) . The rate of hospital visiting after commited crimes was higher in the group without mental disorders than the group with mental disorders ( 33. 7% vs.12. 1 % , χ2 = 46. 302, P < 0. 01 ) . The number of visits in the group without mental disorders was less than that in the group with mental disorders ( u = 37714. 000, P < 0. 01 ) . Schizophrenia, hysteria /stress - related disorders /neurosisand mood disorders were the most common clinical diagnoses in the group without mental disorders. Conclusion Compared with those with mental disorders, those without mental disorders had lower proportion of history of mental disorders and lower rate of clinical visits, and tended to have a higher proportion of medical visits after cases and single case, and the usual clinical diagnoses were schizophrenia, hysteria/stress-related disorders/neurosis, and mood disorders. |
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