具有凶杀行为的抑郁症与精神分裂症患者的作案特征对比  

Comparison of Criminal Characteristics in Depression Patients and Schizophrenics with Homicide Behavior

作　　者：王靖[1] 付培鑫[1] 高燕丽[1] 朱明霞[1] 史天涛 

机构地区：[1]北京市安康医院司法鉴定中心,北京101300

出　　处：《法医学杂志》2017年第3期244-246,共3页Journal of Forensic Medicine

摘　　要：目的探讨抑郁症与精神分裂症患者凶杀行为司法精神病学鉴定的作案特征。方法将具有凶杀行为的抑郁症(抑郁发作)患者为研究组,共40例;随机抽取具有凶杀行为的精神分裂症患者为对照组,共50例。自制调查表收集两组的一般人口学资料、作案特征等相关数据,并进行比较。结果研究组和对照组的年龄、接受教育时间、职业差异均无统计学意义(P>0.05)。与对照组相比,研究组被害对象多为子女和父母,在杀人后多有自杀行为(70%),凶杀原因以扩大性和间接性自杀为主,以往多有自杀未遂(85%)。研究组以限制刑事责任能力者为主(70%),对照组以无刑事责任能力者为主(56%)。除案发地点外,其他作案特征两组比较差异均有统计学意义(P<0.05)。结论抑郁症与精神分裂症患者凶杀行为司法精神病鉴定的作案特征存在不同,精神病司法鉴定中应需在鉴别诊断时加以考虑。Objective To explore the criminal characteristics of forensic psychiatry expertise in depression patients and schizophrenics with homicide behavior. Methods A total of 40 depression（depressive episode） patients and 50 schizophrenics with homicide behavior were randomly assigned into the study group and control group, respectively. Data of demographic and criminal characteristic of the two groups were collected by a self-designed questionnaire, and then were compared. Results There were no statistical differences in age, education level and career between study and control groups（P〉0.05）. Compared with the control group, the victims in the study group were mainly the patient＇s children and parents,and most offenders had suicidal behavior after homicide（70%）. In study group, the motives of crime were mainly extended suicide and indirect suicide, and most offenders had attempted suicide（85%） and diminished capacity of criminal responsibility（70%）, which in control group had no capacity of criminal responsibility（56%）. Except for criminal site, there were statistical differences in other criminal characteristics between two groups（P〈0.05）. Conclusion There are different criminal characteristics between depression patients and schizophrenics with homicide behavior in forensic psychiatry, and these characteristics should be considered when these two diagnoses are distinguished in forensic psychiatry expertise.

关 键 词：司法精神病学 精神分裂症 抑郁症 杀人 作案特征 刑事责任能力 

分 类 号：DF795.3[医药卫生—法医学]