广州地区近20年精神病司法鉴定2596例资料分析  

A data analysis of 2 596 forensic appraisal cases at Guangzhou district in recent 20 years

作　　者：姜南[1] 黄雄 陈瑞珍[1] 何小林[1] 林振强[1] 李嘉[1] 翟丽华[1] 梁卉薇[1] 

机构地区：[1]广州市精神病医院,510370

出　　处：《广州医药》2008年第1期25-27,共3页Guangzhou Medical Journal

摘　　要：目的探讨广州地区近20年精神病司法鉴定案例变化的特点。方法对广州市精神病医院司法鉴定所1987年_2006年鉴定的2596例案例，以1997年10月1日开始实施的修改后的《中华人民共和国刑法》（以下简称新《刑法》）为界线，1987年1月1日-1997年9月30日的案例为A组；1997年10月1日—2006年12月31日的案例为B组。结果两组鉴定量比较：A组976例，B组1620例，B组鉴定量较A组明显增多；两组鉴定案由比较：B组中凶杀、盗窃、斗殴、流氓、离婚、经济案较A组减少（P〈0．01），而伤害、抢劫、交通事故、劳动争议显著增加（P〈0．05）；两组鉴定病种比较：B组中诊断为精神分裂症、应激障碍、精神发育迟滞、人格障碍等较A组显著减少（P〈0．05～0．01），而诊断为情感障碍、待分类的精神病性障碍和无精神病的比例增加（P〈0．05—0．01），其他鉴定病种无明显变化；两组法定能力评定：B组中刑事责任能力鉴定较A组减少（P〈0．01），而民事行为能力、精神损伤、服刑能力的鉴定均有增加（P〈0．05—0．01），性自我保护能力、受审能力鉴定两组间无明显变化（P〉0．05）。结论司法精神病学正处于快速发展时期，鉴定工作任重道远。Objective To explore the characteristic change of the forensic appraisal cases at Guangzhou district in recent 20 years. Methods The 2596 cases from 1987 to 2007 were subdivided into two groups taking Oct 1 1997 as the turning point when new 《Criminal law of people＇ s Republic of China》 began to be carried out. The cases from Jan 1, 1987 to Sep 30 1997 belong to group A. The cases from Oct 1 1997 to Dec 31 2006 belong to group B. Results There were 976 cases in group A, 1620 cases in group B. The quantity in group B increased dramatically as compared to group A. The cases diagnosed as schizophrenia, stress disorder, mental retardation, personality disorder in group B decreased significantly （P 〈 0.05 -0.01 ） as compared to group A. While diagnosis like affective disorder, non specified psychotic disorders and no psychosis increased （ P 〈 0.05 - 0.01 ） , nevertheless no obvious change in other appraised entities . the comparison of the reason for being appraised was as follows： the quantity of committing homicide, stealing, fighting, rescaling, commercial crimes was decreased in group B as compared with group A （P 〈0. 01 ） . While cases of hurting, rubbery, traffic accident, labor argue was increased significantly. The comparison of the legal capacity in two groups： the apraisal of criminal legal capacity was decreased in group B as compared group A; while the appraisal of capacity of civilian behavior, psychological impairment, capacity of being bared increased in quantity （P 〈 0.01-0.01 ） . In terms of appraisal of self sexual protection, capacity of being trailed has under gone no significant change in both group （P 〉 0.05） . Conclusion Forensic psychiatry is at the rapid development stage, appraising work has a difficult but great future.

关 键 词：精神疾病 司法鉴定 案例比较 

分 类 号：D919.3[医药卫生—法医学]