TY - JOUR PY - 2006// TI - Rates of mental disorder in people convicted of homicide: National clinical survey JO - British journal of psychiatry A1 - Hunt, Isabelle M. A1 - Shaw, Jon A1 - Flynn, Sandra Marie A1 - Meehan, Janet A1 - Robinson, Jeff A1 - Bickley, Harriet A1 - Parsons, Rebecca A1 - McCann, K. A1 - Burns, J. A1 - Amos, T. A1 - Kapur, Navneet A1 - Appleby, Louis SP - 143 EP - 147 VL - 188 IS - N2 - BACKGROUND: Previous studies of people convicted of homicide have used different definitions of mental disorder. AIMS: To estimate the rate of mental disorder in people convicted of homicide; to examine the relationship between definitions, verdict and outcome in court. METHOD: A national clinical survey of people convicted of homicide (n=1594) in England and Wales (1996-1999). Rates of mental disorder were estimated based on: lifetime diagnosis, mental illness at the time of the offence, contact with psychiatric services, diminished responsibility verdict and hospital disposal. RESULTS: Of the 1594,545 (34%) had a mental disorder: most had not attended psychiatric services; 85 (5%) had schizophrenia (lifetime); 164 (10%) had symptoms of mental illness at the time of the offence; 149 (9%) received a diminished responsibility verdict and 111 (7%) a hospital disposal - both were associated with severe mental illness and symptoms of psychosis. CONCLUSIONS: The findings suggest an association between schizophrenia and conviction for homicide. Most perpetrators with a history of mental disorder were not acutely ill or under mental healthcare at the time of the offence. Some perpetrators receive prison sentences despite having severe mental illness. LA - SN - 0007-1250 UR - http://dx.doi.org/10.1192/bjp.188.2.143 ID - ref1 ER -