The Forensic Psychiatric Aspects of Schizophrenia

摘要: This review of the literature does seem to reveal an association between schizophrenia and a variety antisocial behaviors that include violent crime, even homicide, especially in North America. The consistently shows since 1950s, schizophrenics have been involved crime arrested more frequently than general population, they are overrepresented correctional settings, represent majority those found not guilty by reason insanity. Many authors cite changes mental health policies, particularly de-institutionalization, as one major causes these phenomena. It is important note history prior arrests being male, poor, unskilled, uneducated, unmarried perhaps best predictors mentally ill population alike. Schizophrenic drift increased family pathology schizophrenic families, however, may predispose people suffering from demographic variables. Interestingly, variables do relevant emergency room or inpatient wards where violence seems be mainly affected severity psychopathology, substance abuse, neurologic signs, environment within setting. implications for practice psychiatry diverse. Clearly clinicians both hospitals community settings must experience, training, awareness relating prevention, causes, management violence. behooves us field, having vociferously supported movement, assist police who now community, use mobile crisis intervention teams considerably amount effort cooperation. Correctional services require urging develop resources identifying tracking so able provide programs continuity care. Community criminal justice systems need cooperate planning transition abnormal offenders prisons into then providing support after-care them. One exemplary program has developed benefited coordination at interministerial level Inter-ministerial Project (IMP) Vancouver. identified whose histories revealed repeated admissions facilities, bouncing other. Using case approach with limited caseload, were reduce number types facilities. should serve model other jurisdictions.(ABSTRACT TRUNCATED AT 400 WORDS)