Characteristics of patients with violent recidivism in the forensic mental health system in Japan. Issue 4 (4th July 2022)

• Record Type: Journal Article
• Authors: Koike, Junko; Ikeda, Tomohiro; Kuroda, Osamu; Koike, Osamu; Tsuneoka, Toshiaki; Harima, Hirohiko; Inamoto, Atsuko; Nakatani, Yoji
• Is Part Of: Journal of forensic psychiatry & psychology. Volume 33:Issue 4(2022)
• Page Start: 508
• Page End: 527
• Publication Date: 2022-07-04
• Subjects: Repeated harm -- substance abuse -- forensic psychiatry -- Japan; Forensic psychiatry -- Periodicals; Forensic psychology -- Periodicals; 614.1
• DOI: 10.1080/14789949.2022.2085147
• Languages: English
• ISSNs: 1478-9949

Abstract

ABSTRACT: Methods: A retrospective study was conducted with patients involuntarily admitted to psychiatric hospitals. Patients were divided into the following two groups based on whether they had a history of legal proceedings before committing the act that subjected them to their current sentence: those who repeatedly harmed others (RHO) and those who did not (NRHO). We compared their characteristics and performed a two-variable logistic regression analysis. Results: The total number of patients was 210. The RHO and NRHO groups included 51(24.3%) and 159(75.7%) patients. A comparison between the two groups revealed that patients in the RHO group were overwhelming male, with substance use and intellectual problems. The two-variable logistic regression analysis results indicated that the variables associated with RHO were "F1" and "a history of involuntary admission" in order of high odds ratios. Conclusion: The essential points regarding support for the RHO group were as follows: (1) intervention at the stages of initial criminal proceedings and involuntary admission, and (2) collaborative support between penal codes and the public health, medical, and welfare systems.