躁狂发作与抑郁发作患者危害行为特点和责任能力评定的对照研究

A case control study of the characteristic of index offence and the criminal responsibility between the patients with manic episode and depressive episode

目的比较司法精神病鉴定中躁狂发作与抑郁发作患者危害行为的特点及其责任能力评定.方法对1999年1月～2004年12月在中南大学湘雅二医院精神卫生研究所司法鉴定的28例躁狂发作和26例抑郁发作病人的资料进行回顾性分析.结果抑郁发作组凶杀案件（46.2%）高于躁狂发作组凶杀案件（14.3%）的比例;在责任能力量表中,两组作案动机、与受害人关系等条目差异有显著性,x^2值分别为8.486、10.312;两组责任能力评定差异无显著性（P＞0.05）.结论躁狂发作和抑郁发作有各自不同的危害行为特点,这可能与两者的症状、病情严重程度以及辨认和控制能力差异有关.

Objective To explore the characteristic of index offence and the criminal responsibility of the forensic patients with manic episode and depressive episode. Methods A comparative study was conducted between 28 cases of manic episode and 26 cases of depressive episode referred for forensic psychiatric assessment from 1999 to 2004 at the Mental Health Institute of Central South University. Results There was a significantly difference between the two groups the homicide（depression 46.2% vs mania 14.3% , P〈0.01 ）, and there was a significantly difference between the two groups in motivation and the relationship of the victim, the value of Chisquare was 8. 486,10. 312, respectively. No difference was found in the result of criminal responsibility between the two groups. Conclusion There has some differences in index offence between patients with manic episode and depressive episode, these maybe due to the difference of the symptoms, the severity of the patients and the ability of identification and self-control between the two groups.