辨认和控制能力精神医学评定量表在暴力犯罪案件中的应用

Application of psychiatric assessment scale of cognitive and volition capacity in violent crimes

目的探讨辨认和控制能力精神医学评定量表（psychiatric assessment scale of cognitive and volition capacity in crime，PASCVC）在暴力犯罪案件中的使用情况。方法对244例暴力犯罪案件中的被鉴定人分别使用辨认和控制能力精神医学评定量表、暴力作案刑事责任能力评定量表（crimial responsibility rating scale for violence，CRRSV）和精神病人刑事责任能力量表（erimial responsibility rating scale，CRRS）进行评分。所有案例均由司法鉴定人做出辨认和控制能力完全丧失、部分丧失和正常三级划分，并与鉴定意见进行比较。结果①按照PASCVC参考划界分分组，三组总量表、辨认能力和控制能力分量表的平均分依次升高，分别为（39．96±7．53）分、（69．15±10．29）分和（101．16±6．03）分；（20．29±4．97）分、（37．13±5．39）分和（52．55±2．61）分；（18．32±2．60）分、（30．07±4．60）分和（48．34±4．15）分，三组间及两两组间差异有统计学意义（P〈0．05）。②PASCVC共27个条目与评定分显著相关，相关系数范围0．157—0．915。③以PASCVC参考的三级划界分进行逐步判别分析，得到12个判别因子，判别函数回代97．1％的样本划分正确。④PASCVC、辨认能力分量表和控制能力分量表划界分分级与鉴定意见的一致性较好，Kappa值分别为0．925、0．848和0．830（P〈0．01）；PASCVC与CRRSV、CRRS总分及划界分等级评定结果一致性高（r分别为0．952、0．961，P〈0．01；Kappa值分别为0．830和0．881，P〈0．01）。结论PASCVC在暴力犯罪案件的鉴定具有可用性。

Objective To explore the feasibility of psychiatric assessment scale of cognitive and vo- lition capacity（PASCVC） in violent crimes. Methods The PASCVC, criminal responsibility rating scale for violence（CRRSV） and criminal responsibility rating scale （CRRS）were used respectively in 244 forensic psychiatric cases. All cases were classified by the judicial surveyor into three grades including complete lost, partial lost and normal, the results were compared with expert＇s opinions. Results （1）PASCVC was composed of two subscales ： cognitive capacity and volition capacity. There were significant differences in rating average score of three groups （ complete lost, partial lost and normal） of total scale, cognitive capacity and volition capacity subscales were 9.96±7.53,69.15± 10.290,101.16±6.034; 20.29±4.971,37.13±5.388,2.55 ± 2.612 ; 18.32 ± 2.595,30.07 ± 4.595,48.34± 4.147 respectively and there were significant differences between them. （2）27 items had good correlation with the scale （ r= 0.157 ± 0.915 ）. （3）According to the reference demarcation points of scale, 12 criteria were carried out by using stepwise discriminant analysis. The accuracy of retrospective cumulative square was 97. 1%.（2）Total scale and subscales consistency of three demarcation point grading assessment results were consistent with expert＇s opinions, the Kappa values were 0.925,0.848 and 0.930 respectively （ P〈0.01 ） ; PASCVC consistency with CRRSV and CRRS,the correlatio/i coefficients were 0.952 and 0.961 respectively （ P〈0.01）, the Kappa values were 0.830 and 0.881 respectively （ P〈 0.01 ）. Conclusion The PASCVC is feasible to be used in violent crimes.