Citation

Kilic-Demir B, Kizilpinar SC, Polat S. Int. J. Law Psychiatry 2024; 94: e101983.

Copyright

(Copyright © 2024, Elsevier Publishing)

DOI

10.1016/j.ijlp.2024.101983

PMID

38537541

Abstract

Our knowledge of the severity and reoffending is limited for mentally disordered offenders, and studies generally evaluate without separation between different diagnostic groups. It was aimed to determine the general profile of mentally disordered offenders who are inpatients in a high secure psychiatry unit from Turkiye and to evaluate the factors associated with violence profiles among different diagnostic groups. According to the results the schizophrenia patients committed the most severe crimes, and intellectual disability patients had some different features from schizophrenia and bipolar disorder patients. History of substance misuse in the intellectual disability group (p = 0,045) and comorbid antisocial personality disorder in the bipolar disorder group (p = 0,015) were associated with increased crime severity. Substance misuse history, history of substance use during the crime, and the existence of comorbid antisocial personality disorder were associated with increased offenses in each of the three diagnosis groups. Living alone (p = 0,004) and having a suicide history (p= 0,052) were associated with the high number of offenses in the schizophrenia group. This study is the first study that compares three diagnostic groups to involve a large patient group. We believe that clinicians must evaluate these parameters for the violence risk assessment of patients.

Language: en

Keywords

Antisocial personality disorder; Bipolar disorder; Forensic psychiatry; Intellectual disability; Mentally disordered offenders; Offense severity; Reoffending; Schizophrenia; Substance misuse; Violence risk assessment