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P-674 - Forensic Aspects of Suicide Behaviour of Schizophrenic Patients

Published online by Cambridge University Press:  15 April 2020

O. Pechenkina
Affiliation:
Serbsky State Research Centre for Social and Forensic Psychiatry, Moscow, Russia
E. Klembovskaya
Affiliation:
Serbsky State Research Centre for Social and Forensic Psychiatry, Moscow, Russia
G. Fastovtsov
Affiliation:
Serbsky State Research Centre for Social and Forensic Psychiatry, Moscow, Russia

Abstract

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Background and aim:

The combination auto - And the heteroaggressive tendencies is actual problem for diagnostics of schizophrenia and choice of medical measures as preventive maintenance of crimes. the aim of research is definition ofclinical, social, and personal factors of heteroaggressive actions of schizophreniс patients with autoaggressive behavior as the base of perfection of diagnostics, forensic-psychiatric estimation and preventive maintenance of patients with both forms of disorders.

Material and methods:

We studied the cohort of 97 men at the age from 19 till 63 years old, divided into 2 groups. the first (basic) groop is 54 patients of a schizophrenia committed auto - And heteroaggressive actions and second (control) 43 patients commited only heteroaggressive actions.

Results:

Autoaggressiveness in a cases of schizophrenia is important for:

  • 1) Diagnostic process,

  • 2) Forensic-psychiatric asessment,

  • 3) Clinical and social prevention of autoaggression in future. This clinical disorders defines by two mechanism - psychotic or non-psychotic (mostly pdeudopsychopatic).

The correlation is revealed between following signs:the first severe autoaggressive episode and subsequent crime with heteroaggression. Dominating situational factors of autoaggression and direction of crime on relatives. A leading syndrome (the psychotic and not psychotic register) and situative provocation of autoaggression, and also exogenic factors like alcohol intoxication; Episodes of autoaggression and severe aggressive crimes which often reflect stability of mechanisms and motives of behavioral disorders.

Thus, the forensic estimation of schizophreniс patients who committed crimes has to consider all clinical, social, situational factors also datas about heteroaggression in the past.

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Abstract
Copyright
Copyright © European Psychiatric Association 2012
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