Skip to main content

Advertisement

Log in

Delinquency and criminal offenses in former schizophrenic inpatients 7–12 years following discharge

  • ORIGINAL PAPER
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract.

Background:

Previously, we reported a high prevalence of aggression in a large sample of schizophrenic patients treated between 1990–1995 in the psychiatric hospital of the University of Munich.

Aims:

To assess the prevalence of criminal offences and delinquency in former schizophrenic inpatients following discharge.

Method:

With permission of the German General Attorney we reviewed the national criminal register records of criminal offences of these patients for a 7–12 year period following discharge.

Results:

224 (13.1%) of the 1705 patients had been convicted in the 7–12 year post discharge period. Male patients (22.1%) outnumbered female patients (6.9 %) 3:1 in this respect. The rate for violent offences was especially high: 45 (2.6 %) of the sample were convicted for physical injury offences (68 cases). Five cases of attempted or completed manslaughter or murder were recorded.

Conclusions:

These data indicate a significant rate of delinquency and serious physical injuries in former schizophrenic inpatients. Future research may try to identify risk factors for aggression and violence in schizophrenic patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Arango C, Barba AC, González-Salvador T, Ordónez AC (1999) Violence in inpatients with schizophrenia: a prospective study. Schizophr Bull 25:493–503

    CAS  PubMed  Google Scholar 

  2. Arbeitsgemeinschaft für Methodik und Dokumentation in der Psychiatrie/AMDP (1995) Das AMDP-System: Manual zur Dokumentation psychiatrischer Befunde, 5. Neubearbeitete Auflage. Göttingen, Bern: Hogrefe

  3. Arseneault L, Moffitt TE, Caspi A, et al. (2000) Mental disorders and criminal violence in a danish birth cohort. Arch Gen Psychiatry 57:979–968

    Google Scholar 

  4. Böker W, Häfner H (1973) Gewalttaten Geistesgestörter. Berlin: Springer

  5. Brennan PA, Mednick SA, Hodgins S (2000) Major mental disorders and criminal violence in a Danish birth cohort. Arch Gen Psychiatry 57:494–500

    Article  CAS  PubMed  Google Scholar 

  6. Cannon M, Huttunen MO, Tanskanen AJ, Arsenaul L, Jones PB, Murray RM (2002) Perinatal and childhood risk factors for later criminality and violence in schizophrenia. Br J Psychiatry 180:496–501

    Article  PubMed  Google Scholar 

  7. Cheung P, Schweitzer I, Crowley K, Tuckwell V (1997a) Aggressive behaviour in schizophrenia: the role of psychopathology. Aust N Z J Psychiatry 31:62–67

    CAS  Google Scholar 

  8. Cheung P, Schweitzer I, Crowley K, Tuckwell V (1997b) Violence in schizophrenia: role of hallucinations and delusions. Schizophr Res 26:181–190

    Article  CAS  Google Scholar 

  9. Eronen M, Angermeyer MC, Schulze B (1998) The psychiatric epidemiology of violent behaviour. Soc Psychiatry Psychiatr Epidemiol 33(Suppl 1):13–23

    Article  Google Scholar 

  10. Eronen M, Tiihonen J, Hakola P (1996) Schizophrenia and homicidal behavior. Schizophr Bull 22:83–89

    CAS  PubMed  Google Scholar 

  11. Fazel S, Danesh J (2002) Serious mental disorder in 32,000 prisoners: A systematic review of 62 surveys. Lancet 359:545–550

    Article  PubMed  Google Scholar 

  12. Garlipp P, Ziegenbein M, Haltenhof H (2003) Zwischen Forensifizierung und Neglect? Zum psychiatrischen und juristischen Umgang mit gewalttätigen schizophrenen Menschen in der Allgemeinpsychiatrie. Nervenheilkunde 22:514–519

    Google Scholar 

  13. Harris G, Rice M, Quinsey V (1993) Violent recidivism of mentally disordered offenders: the development of a statistical prediction instrument. Criminal Justice Behavior 20:315–335

    Google Scholar 

  14. Hodgins S, Mednick SA, Brennan PA, et al. (1996) Mental disorder and crime. Evidence from Danish birth cohort. Arch Gen Psychiatry 53:489–496

    CAS  PubMed  Google Scholar 

  15. Hodgins S (1992) Mental disorder, intellectual deficiency and crime. Evidence from a birth cohort. Arch Gen Psychiatry 49:476–438

    CAS  PubMed  Google Scholar 

  16. Humphreys MS, Johnstone EC, MacMillan JF, et al. (1992) Dangerous behaviour preceding first admissions for schizophrenia. Br J Psychiatry 161:501–505

    CAS  PubMed  Google Scholar 

  17. Junginger J (1996) Psychosis and violence: the case for a content analysis of psychotic experience. Schizophr Bull 22:91–103

    Article  CAS  PubMed  Google Scholar 

  18. Karson C, Bigelow LB (1987) Violent behaviour in schizophrenic patients. J Nerv Ment Dis 175:161–164

    CAS  PubMed  Google Scholar 

  19. Krakowski M, Czobor P, Chou JC-Y (1999) Course of violence in patients with schizophrenia: relationship to clinical symptoms. Schizophr Bull 25:505–517

    CAS  PubMed  Google Scholar 

  20. Link BG, Andrews H, Cullen FT (1992) The violent and illegal behavior of mental patients reconsidered. Am Sociol Rev 57:275–292

    Google Scholar 

  21. Link BG, Stuewe A, Phelan J (1998) Psychotic symptoms and violent behaviors: probing the components of ‘threat/controloverride’ symptoms. Soc Psychiatry Psychiatr Epidemiol 33:S55–S60

    Article  PubMed  Google Scholar 

  22. McNiel DE, Binder RL (1995) Correlates of accuracy in the assessment of psychiatric inpatients’ risk of violence. Am J Psychiatry 152:253–262

    PubMed  Google Scholar 

  23. Milton J, Amin S, Singh SP, et al. (2001): Aggressive incidents in first-episode psychosis. Br J Psychiatry 178:433–440

    Article  CAS  PubMed  Google Scholar 

  24. Monahan J, Appelbaum P (2000) Reducing violence risk: diagnostically based clues from the MacArthur Violence Risk Assessment Study. In:Hodgins S (ed) Effective Prevention of Crime and Violence among the Mentally Ill. Kluwer Academic Publishers, The Netherlands: pp 19–34

  25. Mullen PE, Burgess P, Wallace C, et al. (2000) Community care and criminal offending in schizophrenia. Lancet 355:614–617

    Article  CAS  PubMed  Google Scholar 

  26. Nestor PG (2002) Mental disorder and violence: personality dimensions and clinical features. Am J Psychiatry 159:1973–1978

    Article  PubMed  Google Scholar 

  27. Sanders J, Milne S, Brown P, Bel AJ (2000) Assessment of aggression in psychiatry admissions: semistructured interview and case note survey. Br Med J 320:1112

    Article  CAS  Google Scholar 

  28. Shore D, Richardson C, Johnson WE (1988) Violent crime arrests and paranoid schizophrenia: the White House Case Studies. Schizophr Bull 14:279–281

    CAS  PubMed  Google Scholar 

  29. Silva JA, Harry BE, Leong GB, Weinstock R (1996) Dangerous delusional misidentification and homicide. J For Sci 41:641–644

    CAS  Google Scholar 

  30. Soyka M, Ufer S (2002) Aggression bei Schizophrenien: Prävalenz, psychopathologische und soziodemographische Korrelate. Fortschr Neurologie Psychiatrie 70:171–177

    Article  CAS  Google Scholar 

  31. Soyka M (2002) Substance misuse, psychiatric disorder and violent and disturbed behaviour. Br J Psychiatry 176:345–350

    Article  Google Scholar 

  32. Soyka M, Morhart-Klute V, Schöch H (2004) Delinquenz und Gewalttätigkeit bei Schizophrenien—Literaturübersicht und erste Ergebnisse eines Forschungsprojektes zur Straffälligkeit nach Entlassung. Nervenheilkunde (in press)

  33. Steadman H, Mulvey EP, Shaw E, Lidz CW (1998) Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighbourhoods. Arch Gen Psychiatry 55:1–9

    Google Scholar 

  34. Stolpmann G (2001) Psychiatrische Maßregelbehandlung—Eine Einführung. Hogrefe Verlag, Göttingen

  35. Taylor PJ, Gunn J (1984) Violence and psychosis: I. The risk of violence among psychotic men. Br Med J 288:1945–1949

    CAS  Google Scholar 

  36. Teplin LA (1990) The prevalence of severe mental disorder among urban jail detainees: comparison with the epidemiologic catchment area program. Am J Publ Health 80:663–669

    CAS  Google Scholar 

  37. Tiihonen J, Isohanni M, Rasanen P, Koiranen M, Moring J (1997) Specific major mental disorders and criminality: a 26-year prospective study of the 1966 northern Finland birth cohort. Am J Psychiatry 154:840–845

    Google Scholar 

  38. Volavka J, Laska E, Baker S, et al. (1997) History of violent behavior and schizophrenia in different cultures. Analyses based on the WHO study on Determinants of Outcome of Severe Mental Disorders. Br J Psychiatry 171:9–14

    CAS  PubMed  Google Scholar 

  39. Walker Z, Seifert R (1994) Violent incidents in a psychiatric intensive care unit. Br J Psychiatry 172:477–484

    Google Scholar 

  40. Wallace C, Mullen P, Burgess P, Palmer S, Ruschena D, Browne C (1998) Serious criminal offending and mental disorder. Case linkage study. Br J Psychiatry 172:477–484

    CAS  PubMed  Google Scholar 

  41. Walsh E,Buchanan A, Fahy T (2002) Violence and schizophrenia: examining the evidence. Br J Psychiatry 180:490–495

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Soyka.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Soyka, M., Morhart-Klute, V. & Schoech, H. Delinquency and criminal offenses in former schizophrenic inpatients 7–12 years following discharge. European Archives of Psychiatry and Clinical Neurosciences 254, 289–294 (2004). https://doi.org/10.1007/s00406-004-0495-0

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00406-004-0495-0

Key words

Navigation