湖南省2005-2009年违法犯罪精神病人接受强制治疗的现状

Compulsory treatment of mentally ill offenders in Hunan 2005-2009

目的:探讨湖南省司法精神病学鉴定结果为无/限定刑事责任能力的违法/犯罪精神病人,接受强制治疗的情况及相关因素。方法:利用自编调查问卷,对湖南省2005-2009年间经司法精神病学鉴定为无/限定刑事责任能力的所有1808违法/犯罪精神病人,进行资料收集。结果:1808例病人中,接受强制治疗者为284人(15.7%),未接受强制治疗者1524人(84.3%)。多因素logistic回归分析表明,男性(OR=2.35,95%CI=1.51～3.67)、患有精神病性障碍(OR=3.44,95%CI=1.55～7.62)或器质性精神障碍(OR=3.55,95%CI=1.31～9.64)、犯故意杀人罪(OR=6.56,95%CI=4.05～10.62)或故意伤害罪(OR=2.60,95%CI=1.55～4.35)、被鉴定为无刑事责任能力(OR=11.81,95%CI=5.43～25.67)的违法/犯罪精神病人接受强制治疗的可能性较大。结论:湖南省违法/犯罪精神病人接受强制治疗的比例较低,司法系统应按现行法律规范违法/犯罪精神病人接受强制治疗的程序。

Objective： To describe the prevalence and related factors of compulsory treatment among offenders who were diagnosed as mental disorders and appraised as criminal incapacity or diminished criminal responsibility in Hunan Province. Methods： Using a self-developed questionnaire, information about compulsory treatment of all 1,808 mentally ill offenders were collected in Hunan Province from 2005 to 2009. Results： Among the 1,808 pa- tients, 284 （ 15.7% ） received compulsory psychiatric inpatient treatment, while 1,524 （84. 3% ） did not. Multivariate logistic regression showed that those who were male （ OR = 2. 35, 95% CI = 1.51 - 3.67）, diagnosed as psychotic disorders （ OR = 3.44, 95% CI = 1.55 - 7. 62） or organic mental disorders （ OR = 3.55, 95%, CI = 1.31 - 9. 64）, had committed crimes of homicide （ OR = 6. 56, 95 %, CI = 4. 05 - 10. 62） or malicious injury （ OR = 2. 60, 95 % CI = 1.55 - 4. 35）, and were appraised as criminal incapacity （ OR = 11.81,95% CI = 5.43 - 25.67） were more likely to receive compulsory treatment. Conclusion： It suggests that only a small proportion of mentally ill offenders have received compulsory treatment in Hunan province. The judicial system should regulate the procedure of compulsory treatment according to the specifications of the law.