1002例服刑人员精神障碍鉴定资料分析

Analysis of 1002 prisoners in forensic psychiatric expertise

目的了解服刑罪犯中精神障碍的鉴定情况。方法整理2003年～2007年的精神医学鉴定资料1002例。结果发现此类患者受教育程度低,男性罪犯多见,暴力型罪犯为主,青壮年比例最高,慢性起病多见。鉴定构成比依次为精神分裂症及精神病性障碍385例,占38.4%;情感性精神障碍137例,占13.7%;癔症90例,占9.0%;人格障碍84例,占8.3%;应激相关障碍61例,占6.1%;精神发育迟滞60例,占6.0%;颅脑损伤所致精神障碍48例,占4.8%。无精神病63例,占6.3%。其它74例,占7.4%。送鉴原因依次为:言行异常(53.4%),包括自语、傻笑、呆滞、冲动行为;不服从管教、违反监规(50.3%),包括违反劳动、学习纪律、不听从管理和教育;人际交往差(40.2%),平时很少与人交往,不参加群体活动。结论与一般司法鉴定相比,精神分裂症、精神发育迟滞比例较低,情感性精神障碍、应激相关障碍、人格障碍的比例较多,同时"无精神病"的结论比例明显较低。此类特殊人群的患者除了普通精神病人的表现外,还具有对象的特殊性和复杂性,要求鉴定人员具有较强的执法意识、严谨的工作作风和扎实的专业技能。

Objective： To study the incidence of psychoses in prisoners. Methods： 1002 cases of diagnosed psychoses in forensic psychiatry expertise were investigated. Results： There were mainly 385 prisoners with schizophrenia （38.4%）, 137 prisoners with mood disorders （ 13.7% ）, 90 prisoners with hysteria （9.0%）. The reasons for forensic psychiatric expertise were mainly words and behaviors disturbance （ 53 . 4 % ） , disobedience to the management in the prisons （ 50. 3 % ） and poor interpersonal relationships （40.2%）. Conclusion： Compared to the usual cases of forensic psychiatric expertise, the incidence of schizophrenia and mental retardation in prisoners were lower and the incidence of mood disorders, stress related disorders and personality disorders were higher. There were less ＂ Non - psychosis＂ prisoners. It is implied that forensic psychiatric expertise staff should know more how to execute the law, have strict working style and skilled expertise.