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目的探讨法医精神病学鉴定中癫痫所致精神障碍患者的犯罪学特征。方法采用自编法医精神病学鉴定案例登记表,对98例癫痫所致精神障碍患者的犯罪学特征进行研究。依据CCMD-3划分为精神病性症状组(51例,52.04%)、人格改变组(42例,42.65%)和智能障碍组(5例,5.31%),并对精神病性症状组与人格改变组犯罪学特征对照分析。结果癫痫所致精神障碍患者违法犯罪者以未婚、青年男性农民为主。其犯罪学特征主要是被鉴定人与被害人双方关系一般(44.9%),无作案前预谋(53.1%),作案目标临时确定(69.4%),使用暴力手段(88.8%),无明显作案诱因(67.3%),作案目的以报复居多(40.4%),现实作案动机(42.9%),作案结果既遂(89.8%),作案次数以1次为主(88.8%),作案类型以凶杀(46.9%)为主,作案后多无自称遗忘(65.3%),作案后多以停留现场、不潜逃等非反侦查表现(57.1%)为主。精神病性症状组和人格改变组在作案预谋(χ2=27.64)、作案目的(χ2=13.0386)、作案动机(χ2=23.5290)和作案后表现(χ2=19.3591)方面的差异均具有统计学意义(P<0.005),作案目的以报复为主、作案动机以现实动机为主。结论癫痫所致精神障碍患者的犯罪学特征有多以无作案前预谋,多以报复为主要目的,作案后多无反侦查表现。与以精神病性症状为主要表现者相比,以人格改变为主要表现者多在现实动机下以报复为主要目的进行作案,因此在法医精神病学鉴定时应予重视。
Objective To explore the criminological characteristics of patients with mental disorders caused by epilepsy in forensic psychiatry. Methods The case registration form of self-made forensic psychiatry was used to study the criminological characteristics of 98 cases of mental disorders caused by epilepsy. According to CCMD-3, the patients with psychotic symptoms (51 cases, 52.04%), personality change group (42 cases, 42.65%) and mental retardation group (5 cases, 5.31% Comparative Analysis of Criminological Characteristics. Results The patients with mental disorders caused by epilepsy were mainly unmarried and young male farmers. The characteristics of criminology were mainly the relationship between the appraised and the victim (44.9%), premedication (53.1%), provisional determination of committing the crime (69.4%), use of violent means (88.8%) and no apparent inducement (67.3 (89.8%), the number of committing the crime was mainly 1 (88.8%), and the number of committing the crime was homicide (46.9%) as the rate of committing the crime After the crime, most of them did not claim to be forgotten (65.3%). After committing the crime, they mostly stayed on the scene and did not flee the non-anti-detection performance (57.1%). There were significant differences in the motivations (χ2 = 23.5290) and performance after the crime (χ2 = 19.3591) between the psychiatric symptoms group and the personality change group in premeditated premedication (χ2 = 27.64), the purpose of committing the crime (χ2 = 13.0386) P <0.005). The purpose of the crime was retaliation. The motive of crime behavior was mainly motivation. Conclusion The criminological characteristics of patients with mental disorders caused by epilepsy are much more without premedication and more with the main purpose of retaliation, and more non-violent investigation after committing the crime. Compared with psychotic symptoms as the main performers, personality change as the main performance of more motivated by the main purpose of retaliation for committing the crime, so in forensic psychiatric identification should be valued.