Citation

Hodgins S, Muller-Isberner R. Br. J. Psychiatry 2004; 185: 245-250.

Affiliation

Department of Forensic Mental Health Science, Institute of Psychiatry, Box PO23, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. s.hodgins@iop.kcl.ac.uk

Copyright

(Copyright © 2004, Royal College of Psychiatry)

DOI

10.1192/bjp.185.3.245

PMID

15339830

Abstract

BACKGROUND: Knowledge of when and how to implement treatments to prevent criminal offending among people with schizophrenia is urgently needed. AIMS: To identify opportunities for interventions to prevent offending among men with schizophrenic disorders by tracking their histories of offending and admissions to hospital. METHOD: We examined 232 men with schizophrenic disorders discharged from forensic and general psychiatric hospitals. Data were collected from participants, family members and official records. RESULTS: More than three-quarters (77.8%) of the forensic patients had previously been admitted to general psychiatric services; 24.3% of the general psychiatric patients had a criminal record. Offences had been committed by 39.8% of the forensic patients and 10.8% of the general psychiatric patients before their first admission to general psychiatry, and after their first admission these 59 patients committed 195 non-violent and 59 violent offences. Subsequently, 49 of them committed serious violent offences that led to forensic hospital admission. The offenders were distinguished by a pervasive and stable pattern of antisocial behaviour evident from at least mid-adolescence. CONCLUSIONS: General psychiatry requires resources in order to prevent criminal offending among a subgroup of patients with schizophrenic disorders.

Language: en