76例强制隔离戒毒人员司法精神病鉴定分析

Analysis on the judicial appraisal psychosis of 76 compulsory isolated drug addicts

目的:探讨司法精神病鉴定中强制隔离戒毒人员精神障碍的临床特点及相关因素并对是否需要及时所外就医进行评估。方法:收集2014年10月至2015年5月广东省三间强制隔离戒毒所委托鉴定,并诊断为精神活性物质所致精神障碍的案例76例,采用自编调查表对相关信息进行归类分析。结果:苯丙胺类兴奋剂(冰毒、摇头丸等)使用最广泛。有精神病性障碍表现者55例(72.4%),最为常见,主要表现为幻觉、被害妄想等。需及时所外就医60例(78.9%)。结论:吸食苯丙胺类兴奋剂较早较多出现精神症状,吸毒至出现精神症状时间不一,且主要表现为精神病性障碍,被鉴定人多数需及时所外就医。

Objective： To investigate the related factors and clinical characteristics of compulsory isolated detoxification personnel with mental disorders and to evaluate whether the seasonable treatment outside rehabs on these compulsory isolated detoxification personnel is necessary. Methods： With the self-made statistical table,statistical analysis conducted classification and analysis on 76 mental disorders due to psychoactive substance,which were diagnosed and identified by the three compulsory isolation rehabs of Guangdong from October 2014 to May 2015. Results： Amphetamine-type stimulants（ methamphetamine,ecstasy,etc.） were abused most widely,resulting in 55（ 72. 4%） mental disorders,the most common,with cardinal symptom of hallucinations,delusion of persecution,etc.And 60（ 78. 9%） drug addicts who required seasonable treatment outside rehabs. Conclusion： Amphetamine-type stimulants users earlier appear to have more psychiatric symptoms,and the time between taking drugs and having psychiatric symptoms varies. The main representation is mental disorders and most drug addicts appraised require seasonable treatment outside rehabs.