دانلود مقاله انگلیسی رایگان:یافته های تحقیقاتی در مورد بیماران پزشکی قانونی یونانی که به دلیل جنون بی گناه شناخته شدند: کنار هم قرار دادن بیمارانی که در اولین دوره روان پریشی خود مرتکب جرم شدند با افرادی که بعداً در طول بیماری خود مرتکب جرم شدند - 2020
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  • Research findings on Greek forensic patients found not guilty by reason of insanity: A juxtaposition of patients who committed a criminal offense during their first psychotic episode with those who did so later in the course of their illness Research findings on Greek forensic patients found not guilty by reason of insanity: A juxtaposition of patients who committed a criminal offense during their first psychotic episode with those who did so later in the course of their illness
    Research findings on Greek forensic patients found not guilty by reason of insanity: A juxtaposition of patients who committed a criminal offense during their first psychotic episode with those who did so later in the course of their illness

    سال انتشار:

    2020


    عنوان انگلیسی مقاله:

    Research findings on Greek forensic patients found not guilty by reason of insanity: A juxtaposition of patients who committed a criminal offense during their first psychotic episode with those who did so later in the course of their illness


    ترجمه فارسی عنوان مقاله:

    یافته های تحقیقاتی در مورد بیماران پزشکی قانونی یونانی که به دلیل جنون بی گناه شناخته شدند: کنار هم قرار دادن بیمارانی که در اولین دوره روان پریشی خود مرتکب جرم شدند با افرادی که بعداً در طول بیماری خود مرتکب جرم شدند


    منبع:

    Sciencedirect - Elsevier - International Journal of Law and Psychiatry, 75 (2021) 101673: doi:10:1016/j:ijlp:2021:101673


    نویسنده:

    M. Markopoulou


    چکیده انگلیسی:

    The aim of this study was to compare the baseline characteristics (demographic, psychiatric-psychopathological and legal) among Greek forensic patients found not guilty by reason of insanity. The first step of this approach being differentiating patients who committed a criminal offense during their first psychotic episode from the ones who did so later in the course of their illness. All patients were hospitalized in the Department of Forensic Psychiatry (DFP) of the Psychiatric Hospital of Thessaloniki (PHT) from January 2015 to January 2020 and were examined in order to be included in the study. The final research sample consisted of 78 patients (70 identifying themselves as males and 8 identifying themselves as females) aged 18 and older, 21 of whom committed acriminal offense during their first psychotic episode (FEP, N = 21) and 57 did so later on in the course of their illness (Course, N = 57). Data were collected from multiple sources and several psychometric tools were used (Mini International Neuropsychiatric Interview-M.I.N⋅I, Positive And Negative Syndrome Scale-PANSS, Addic-tion Severity Index-ASI, CAGE Questionnaire, Hostility and Direction of Hostility Questionnaire-HDHQ, Global Assessment of Functioning-GAF and Aggression Questionnaire). Comparing the two groups (FEP vs. Course) we found that patients in FEP were younger, had experienced stressful life events in the last 24 months, committedmore serious violent crimes, and more frequently attempted suicide after the crime. Their victims were usually members of their family. The main psychometric disparities between the two groups were found in the “Hos- tility” score of the Aggression questionnaire, and the items “Criticism of Others” and “Paranoid Hostility” of theHDHQ questionnaire, where patients in FEP scored lower. Patients in FEP scored significantly higher in items P1 (delusions), P4 (excitement), P6 (suspiciousness/persecution) and P7 (hostility) of the PANSS scale. No statis- tically significant differences were found between the two groups regarding their evaluation with the CAGE, ASIor GAF questionnaires. When comparing the patients’ present scores in PANSS scale, the patients in FEP hadlower total scores in the Positive and the General Psychopathology subscales. Both groups showed significant improvement during hospitalization in all scales (PANSS & GAF), except for the Negative Subscale of the PANSS scale. Through logistic regression analysis, we found that patients in FEP were younger, more likely to have recently experienced stressful life events and more likely to have assaulted a member of their family. Patientswith higher scores in the “Hostility” subscale of the Aggression questionnaire were found to remain at risk forcommitting a crime during the course of their illness. These findings underline the need to design and develop specialized mental health services in order to identify and treat patients involved in violent crime in a timely and effective manner addressing their multiple needs.* Corresponding author.E-mail address: forensicunit_dir@psychothes.gr (M. Markopoulou).https://doi.org/10.1016/j.ijlp.2021.101673Received 30 June 2020; Received in revised form 7 December 2020; Accepted 13 January 2021Available online 29 January 20210160-2527/© 2021 Elsevier Ltd. All rights reserved.
    Keywords: Schizophrenia | First psychotic episode | Psychosis | Homicide | Found not guilty by reason of insanity | Crime | Aggression


    سطح: متوسط
    تعداد صفحات فایل pdf انگلیسی: 11
    حجم فایل: 472 کیلوبایت

    قیمت: رایگان


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