女性精神障碍患者受性侵害案例临床特征分析

Clinical features of female patients with mental disorders suffering sexual assault

目的探讨女性精神障碍患者受性侵害案例的临床特征。方法采用自编性侵害测评问卷对89例受性侵害女性的鉴定资料进行回顾性分析。结果77．5％的受性侵害者年龄在14a～30a；中小学文化以下占78．6％，文盲占57．3％；农民占64％，无业占29．2％；71．9％性自我防卫能力丧失或削弱，且均为精神发育迟滞和精神分裂症患者；性侵害者与受性侵害者是熟人或亲属者占84．3％，由受性侵害者家属或本人提出鉴定要求者占74．1％。结论受性侵害者人口学特点为青少年妇女、农民或无业、文盲者。中度以上精神发育迟滞和发作期精神分裂症患者的性自我防卫能力削弱，甚至丧失，这类女性精神障碍患者更容易受到性侵害。

Objective To explore the clinical features of female patients with mental disorders suffering sexual assault. Methods Retrospective analysis of appraisement data of 89 women suffering sexual assault were performed with the self-made investigation questionnaire. Results 77.5% of victims were aged 14-30; 78. 6% were under primary and middle school level and 57.3% illiterate; 64% were farmers and 29.2% unemployment; 71.9% were lost or weakened sexual self-defensive ability and all were patients with mental retardation or schizophrenia; 84.3% of sexual trespassers were acquaintances or relatives of the vietims and 74.1% of appraisement claims were raised by victims familialities or victims themselves. Conclusion Demographic characteristics of the sexual sufferers are female adolescence, farmers or unemployment and illiterate. Sexual self-defensive ability of patients with moderate or above mental retardation or schizophrenia at stage of attack is weakened, even lost, and they suffer sexual assault more easily.