Abstract
Schizophrenic Patients between General and Forensic Psychiatry.
Highlights
It is likely that high dropout rates in general psychiatry rather than the decrease of beds in general psychiatry is responsible for assumed transfer of patients from general psychiatry to forensic psychiatry
With percentages between 75 and 85, most schizophrenic patients in forensic measure have been repeatedly admitted into psychiatric hospitals before committing their index offense [9, 10, 14]
In a German cohort, most of the patients have been known as “problematic” within general psychiatry and during outpatient care before their index offense which resulted in lower contact rates [14]
Summary
Comorbid disorders, especially substance dependence or abuse and antisocial personality disorder, non-compliance toward medication and/or treatment, suicidal behavior, or previous violent offenses are known to be risk factors for later (violent) offending [4, 6]. These factors form a high-risk cluster of features of schizophrenic patients in terms of future violent behavior but do rather reflect the multifactorial genesis of criminal acts, than explaining the increasing numbers within forensic psychiatry. Other authors conclude that the increase of forensic patients is not due to higher crime rates or the increase of mental illness but rather because of the increased focus on security and public protection [1].
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