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題 名 | 殺人罪受刑人之精神障礙=Psychiatric Morbidity among Prisoners Convicted of Homicide |
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作 者 | 楊添圍; 郭千哲; 黃智佳; 吳文正; 蔡盧浚; 陳喬琪; 許文耀; 蔡墩銘; | 書刊名 | 臺灣精神醫學 |
卷 期 | 17:4 2003.12[民92.12] |
頁 次 | 頁283-292 |
分類號 | 587.148、587.148 |
關鍵詞 | 殺人行為; 人格疾患; 物質依賴; 酒精中毒; Homicidal behavior; Personality disorder; Substance dependence; Alcohol intoxication; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:為了解殺人犯罪與精神疾病、酒精使用之關係。 方法:以某監獄服刑者中被處普通殺人罪之受刑人為研究對象,運用精神科醫師評估記錄表(Psychiatrist's Diagnostic Assessment, PDA)與人格結構問卷(Structured Interview for DSM-III-R Personality Disorders,SIPD-R)為工具,進行半結構會談方式收集資料。 結果:86 位個案中,有52.3%(45位)具有酒精使用疾患,其中18.6%(16位)達酒精依賴,37.2%(32位)具人格疾患。個別人格疾患,最多為反社會人格18.6%(16位)、虐待狂型人格10.5%(9位),而16位酒精依賴個案同時罹患人格疾患5位(5.8%)。反社會性人格與虐待型人格疾患診斷者,及乙型人格疾患診斷者,於犯行時較容易有酒精中毒之情形(分別為p=0.001 與p=0.006 < 0.05)。 結論:在本研究,人格疾患與物質使用疾患是較為常見的精神疾病。對於較具衝動性之反社會性人格疾患及乙型人格疾患個案,酒精之急性作用對殺人行為影響似較顯著。仍有相當比率非人格疾患與物質使用疾患之精神疾病患者,應使其接受治療以降低再犯率。 |
英文摘要 | Objectives: This study investigated the relationship between homicidal behavior, psychiatric morbidity, and alcohol use. Methods: The Psychiatric Diagnostic Assessment (PDA) and Structured Interview for DSM-III-R Personality Disorders (SIPD-R) were used to investigate the psychiatric morbidity and related data among prisoners in one prison who had been convicted of homicide from m 1999 to 2000. Results: Among the 96 prisoners included in the study, 45 (52.3%) had alcohol- related disorders, 16 (18.6%) had alcohol dependence and 32 (37.2 %) had personality disorders. The most prevalent personality disorders were antisocial(18.6%) and sadistic(10.5%). Among the 16 subjects with alcohol dependence, 5 had personality disorders. Subjects with antisocial and/or sadistic personality disorders and those with Cluster B personality disorders tended to have had alcoholic intoxication while committing homicide (p=0.001, p=0.006 respectively). Conclusion: Personality disorders and substance use disorders were the most common psychiatric disorders in this study of prisoners convicted of homocide. The acute effects of alcohol might play an important role in offenses committed by individuals with antisocial personality disorders or Cluster B personality disorders. A significant portion of offenders in this study had psychiatric morbidity other than personality disorders or substance-use disorders. Psychiatric intervention is indicated to reduce the rate of repeat offenses. |
本系統中英文摘要資訊取自各篇刊載內容。