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P02-76 - Risk Factors for Criminal Behavior in Persons with Schizophrenia in Rural Community

Published online by Cambridge University Press:  17 April 2020

P.-Y. Chen
Affiliation:
West China School of Premedical and Forensic Medicine, Sichuan University, Chengdu, China
M.-S. Ran
Affiliation:
Division of Social Work, University of Guam, Mangilao, Guam
Z.-G. Liao
Affiliation:
West China School of Premedical and Forensic Medicine, Sichuan University, Chengdu, China
W.-J. Mao
Affiliation:
Chengdu Mental Health Center, Chengdu, China
C.-P. Tang
Affiliation:
Xinjin Mental Hospital, Chengdu, China
C.L.W. Chan
Affiliation:
Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong S.A.R
E.Y.H. Chen
Affiliation:
Department of Psychiatry, University of Hong Kong, Hong Kong, Hong Kong S.A.R
Y. Conwell
Affiliation:
Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA

Abstract

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Objectives

The risk factors of criminal behavior in patients with schizophrenia are not well explored. This study is to explore the risk factors for criminal behavior in patients with schizophrenia in rural China.

Methods

We used data from a 14-year prospective follow-up study (1994-2008) of criminal behavior among a cohort (n=510) of patients with schizophrenia in Xinjin County, Chengdu, China.

Results

There were 489 patients (95.9%) who were followed up from 1994 to 2008. The rate of criminal behavior was 13.5% among these patients with schizophrenia during the follow-up period. Compared with female subjects (6 cases, 20.0%), male patients had significantly higher rate of violent criminal behavior (e.g., arson, sexual assault, physical assault, and murder) (24 cases, 80.0%) (p< 0.001). Bivariate analyses showed that the risk of criminal behavior was significantly associated with being unmarried, of younger age, previous violent behavior, homelessness, lower family economic status, no family caregivers, and higher scores on measures (PANSS) of positive, negative, and total symptoms of illness. In multiple logistic regression analyses being unmarried and previous violent behavior were identified as independent predictors of increased criminal behavior in persons with schizophrenia.

Conclusions

The risk factors for criminal behavior among patients with schizophrenia should be understood within a particular social context. Criminal behavior may be predicted by specific characteristics of patients with schizophrenia in rural community. The findings of risk factors for criminal behavior should be considered in planning community mental health care and interventions for high-risk patients and their families.

Type
Forensic psychiatry
Copyright
Copyright © European Psychiatric Association 2010
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