90例无责任能力精神病违法者鉴定后处理的随访研究

Follow-up of disposal of 90 psychiatric cases with irresponsibility after forensic assessment

目的探讨司法精神医学鉴定中无责任能力案例的特点及鉴定后处理情况。方法采用邮寄调查问卷、电话问讯办案人员的方式对90例无刑事责任能力案例进行调查,并统计分析有关资料。结果无责任能力案例占鉴定总数的12．1%。在处置精神病违法者中公安机关占97．8%,被鉴定者受精神病性症状影响作案,以病理性动机为主,鉴定后只有68．9%接受强制治疗。结论公安机关是处理精神病违法者的主要机构,应尽快制定相应的法律法规,加强对违法犯罪精神病人的强制医疗和社会监护,切实保障其合法权益。

Objective： The characteristic and disposal of 90 psychiatric cases with irresponsibility are explored after forensic assessment. Methods： Data about 90 cases with irresponsibility was collected by mail or telephone questionnaire, and statistically analyzed. Results：There are 99 （12.1% ） irresponsibility cases of all the cases involved in forensic assessment. There are 88 （97.8%） cases be treated by public security bureau, in which only 66 （68.9%） psychotics with pathologic psychological motivation received obliged treatment. Conclusion：The public security bureau is the major organization to deal with psychiatric transgressor. The rule, standard and procedure of obliged treatment and the duration of guardianship should be established as soon as possible to ensure the legal rights of psychiatric patients and improve the social security.