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Delincuencia incipiente entre pacientes con esquizofrenia después del Primer contacto con el sistema hospitalario psiquiátrico

Published online by Cambridge University Press:  12 May 2020

Runa Munkner ,
Soeren Haastrup ,
Torben Joergensen  and
Peter Kramp
Runa Munkner
Affiliation:
Departamento de Psiquiatría, Hospital Universitario de Glostrup, Condado de Copenhague, Dinamarca Centro de Investigación para la Prevención y la Salud, Hospital Universitario de Glostrup, Condado de Copenhague, Dinamarca Clínica de Psiquiatría Forense, Ministerio de Justicia, Copenhague, Dinamarca
Soeren Haastrup
Affiliation:
Departamento de Psiquiatría, Hospital Universitario de Glostrup, Condado de Copenhague, Dinamarca
Torben Joergensen
Affiliation:
Centro de Investigación para la Prevención y la Salud, Hospital Universitario de Glostrup, Condado de Copenhague, Dinamarca
Peter Kramp
Affiliation:
Clínica de Psiquiatría Forense, Ministerio de Justicia, Copenhague, Dinamarca
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Resumen

El estudio examina cómo la edad, el sexo y el trastorno por uso de sustancias se asocian con el riesgo de cometer un delito penal. El estudio examina explícitamente el riesgo después del primer contacto con el sistema hospitalario psiquiátrico y despues del diagnóstico de esquizofrenia para personas sin antecedentes penales; se analiza también la asociación entre los delitos no violentos anteriores y los delitos violentos posteriores. La muestra de estudio constaba de 4.619 individuos que habían tenido alguna vez el diagnóstico de esquizofrenia. Se podía acceder a todos los delitos resueltos. Los datos se analizaron utilizando la regresión de Cox. Los hombres esquizofrénicos tenían el doble de riesgo que las mujeres esquizofrénicas de cometer delitos tanto violentos como no violentos. Un trastorno por uso de sustancias registrado aumentaba 1,9-3,7 veces el riesgo, según el punto de partida para los análisis, mientras que la edad mayor en el primer contacto o cuando se tuvo el diagnóstico de esquizofrenia disminuía el riesgo. Los delitos no violentos anteriores aumentaban 2,52,7 veces el riesgo de delitos violentos posteriores, según el punto de partida para los análisis. Los resultados indican que el sistema de tratamiento psiquiátrico puede desempeñar un papel activo en la prevención de delitos entre los individuos con esquizofrenia. Las medidas preventivas se deben basar en una evaluación minuciosa que incluya los antecedentes delictivos en el ingreso y la alerta hacia los varones psicóticos jóvenes con trastornos por uso de sustancias y especialmente si tienen tambien antecedentes delictivos.

Keywords

EsquizofreniaPsiquiatría forenseDelitoFactores epidemiólogicosTrastornos relacionados con sustancias
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 12 , Issue 8 , November 2005 , pp. 426 - 433
Copyright
Copyright © European Psychiatric Association 2005

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