dc.contributor.author | Lund, Christina | |
dc.date.accessioned | 2013-08-27T11:34:12Z | |
dc.date.available | 2013-08-27T11:34:12Z | |
dc.date.issued | 2013-08-27 | |
dc.identifier.isbn | 978-91-628-8728-5 | |
dc.identifier.uri | http://hdl.handle.net/2077/32948 | |
dc.description.abstract | Background: During history, mentally disordered offenders have been in focus
regarding responsibility for their crimes and imposition of punishment. The
boundary stone of legal consequences for mentally ill offenders has been moved
between ethical aspects and the possible link between crime and mental disorder.
The current legislation, with a special sanction for mentally ill offenders, was
revised 1992, introducing a narrower legal concept for forensic psychiatric
treatment. Objectives: The overall aim was to describe how the variation in
offenders with mental disorders, in different sanctions, was related to the outcome of
criminality. Specific aims were to (1) compare the intention of the restricted criteria
of mental illness in the Forensic Mental Care Act of 1992 with the actual outcome,
(2) quantify early criminal recidivism in different forms of sanctions, and (3) to
investigate possible predictive factors for long-term violent criminal recidivism.
Methods and Results: A population-based cohort of men with mental disorders,
referred for a pre-trial forensic psychiatric investigation before, and after the change in
law, 1992, were compared. Contrary to the expectation, there were more treatment
sanctions in the group 1993-95 due to more psychotic disorders (1). The incidence
rates of crimes during two years after sentencing were compared between the study
subjects in forensic psychiatric treatment, prison and non-custodial sanctions. These
rates of crimes and specifically violent crimes were lower during the entire treatment
sanction, compared to the two other groups, also at the diagnoses, which were most
related to criminality (2). During the long-term course (13-20 years) of violent
recidivism, the role of index sanction disappeared, but differed between diagnostic
groups, analyzed by Kaplan-Meier. A Cox regression analysis showed that the risk
for violent recidivism was predicted by crime-related factors (3). Discussion &
Conclusion:The increase in treatment sanctions after the new law may be associated
with a fast reduction in hospital beds and lack of transposition of support facilities to
the social service. As long as treatment sanctions was ongoing criminality was
reduced, but for violent recidivism in the long run, previous crime-related
characteristics were important factors.
Keywords: Personality disorders, Psychotic disorders, Substance abuse/dependency,
Sanctions, Violent criminality, Criminal recidivism, Forensic psychiatric treatment,
Long-term follow up. | sv |
dc.language.iso | eng | sv |
dc.relation.haspart | Lund C, Forsman A. Intended effects and actual outcome of the Forensic Mental Care of 1992: A study of 367 cases of forensic psychiatric investigation in Sweden. Nordic journal of Psychiatry 2005, 59:381-387::doi::10.1080/08039480500319571 | sv |
dc.relation.haspart | Lund C, Forsman A, Anckarsäter H, Nilsson T. Early Criminal Recidivism Among Mentally Disordered Offenders. International Journal of Offender Therapy and comparative criminology 2012, 56:749-768 ::doi::10.1177/0306624X11411677 | sv |
dc.relation.haspart | Lund C, Hofvander B, Forsman A, anckarsäter H, Nilsson T. Violent criminal recidivism in mentally disordered offenders: A follow-up study of 13-20 years through different sanctions. International journal of Law and Psychiatry 2013, 36.250-257 ::doi::10.1016/j.ijlp.2013.04.015 | sv |
dc.subject | Personality disorders | sv |
dc.subject | Psychotic disorders, | sv |
dc.subject | substance abuse/dependency | sv |
dc.subject | Sanctions | sv |
dc.subject | Violent criminality | sv |
dc.subject | Criminal recidivism | sv |
dc.subject | Forensic psychiatric treatment | sv |
dc.subject | Long-term follow up | sv |
dc.title | Mentally disordered offenders: a longitudinal study of forensic psychiatric assessments and criminal recidivism | sv |
dc.type | text | eng |
dc.type.svep | Doctoral thesis | eng |
dc.gup.mail | christina.lund@neuro.gu.se | sv |
dc.type.degree | Doctor of Philosophy (Medicine) | sv |
dc.gup.origin | University of Gothenburg. Sahlgrenska Academy | sv |
dc.gup.department | Institute of Neuroscience and Physiology. Department of Psychiatry and Neurochemistry | sv |
dc.gup.defenceplace | Torsdagen den 5 september 2013, kl. 13.00, Torgny Segerstedtsalen, universitetsbyggnaden, Vasagatan 1, Göteborg | sv |
dc.gup.defencedate | 2013-09-05 | |
dc.gup.dissdb-fakultet | SA | |