Psychiatric evaluations in offenders with mental illness: A case series

Background: The relation between mental illness and criminal offenses is controversial. In Taiwan, offenders with mental illness may be sentenced to custodial protection. Nevertheless, the recidivism rates remain high in such populations. Factors associated with recidivism among those offenders warr...

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Main Authors: Chia- Heng Lin, Wen- Ching Hsieh, Heng- Wei Liu, Chia- Hsiang Chan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Taiwanese Journal of Psychiatry
Subjects:
Online Access:http://www.e-tjp.org/article.asp?issn=1028-3684;year=2022;volume=36;issue=1;spage=39;epage=43;aulast=Lin
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author Chia- Heng Lin
Wen- Ching Hsieh
Heng- Wei Liu
Chia- Hsiang Chan
author_facet Chia- Heng Lin
Wen- Ching Hsieh
Heng- Wei Liu
Chia- Hsiang Chan
author_sort Chia- Heng Lin
collection DOAJ
description Background: The relation between mental illness and criminal offenses is controversial. In Taiwan, offenders with mental illness may be sentenced to custodial protection. Nevertheless, the recidivism rates remain high in such populations. Factors associated with recidivism among those offenders warrant further exploration. Methods: We retrospectively identified five persons with mental illness who had repeated forensic psychiatric evaluation for at least three times through reviewing forensic psychiatry records over the past decade at a psychiatric center. The related sociodemographic characteristics and psychiatric profiles in the 22 offenses were also collected and correlated with verdicts. Results: Those five offenders had family and personal histories of mental illnesses. They were relatively young at the first offense and unemployed, unmarried during the period of committing the offenses. Some offenders had a history of substance use, self-harm attempts, other criminal behaviors, and poor adherence to treatments before the offense. All the concluded characteristics of forensic psychiatric evaluations were consistent with the court judgments. Conclusion: Social dysfunction, poor adherence to treatments, history of substance use, and previous criminal records were prominent among those five repeated offenders.
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spelling doaj.art-e11389f53837442c8d20a4abf7eada092022-12-21T18:59:57ZengWolters Kluwer Medknow PublicationsTaiwanese Journal of Psychiatry1028-36842666-20782022-01-01361394310.4103/TPSY.TPSY_5_22Psychiatric evaluations in offenders with mental illness: A case seriesChia- Heng LinWen- Ching HsiehHeng- Wei LiuChia- Hsiang ChanBackground: The relation between mental illness and criminal offenses is controversial. In Taiwan, offenders with mental illness may be sentenced to custodial protection. Nevertheless, the recidivism rates remain high in such populations. Factors associated with recidivism among those offenders warrant further exploration. Methods: We retrospectively identified five persons with mental illness who had repeated forensic psychiatric evaluation for at least three times through reviewing forensic psychiatry records over the past decade at a psychiatric center. The related sociodemographic characteristics and psychiatric profiles in the 22 offenses were also collected and correlated with verdicts. Results: Those five offenders had family and personal histories of mental illnesses. They were relatively young at the first offense and unemployed, unmarried during the period of committing the offenses. Some offenders had a history of substance use, self-harm attempts, other criminal behaviors, and poor adherence to treatments before the offense. All the concluded characteristics of forensic psychiatric evaluations were consistent with the court judgments. Conclusion: Social dysfunction, poor adherence to treatments, history of substance use, and previous criminal records were prominent among those five repeated offenders.http://www.e-tjp.org/article.asp?issn=1028-3684;year=2022;volume=36;issue=1;spage=39;epage=43;aulast=Lincriminal offensecustodial protectionmental illnessrecidivism
spellingShingle Chia- Heng Lin
Wen- Ching Hsieh
Heng- Wei Liu
Chia- Hsiang Chan
Psychiatric evaluations in offenders with mental illness: A case series
Taiwanese Journal of Psychiatry
criminal offense
custodial protection
mental illness
recidivism
title Psychiatric evaluations in offenders with mental illness: A case series
title_full Psychiatric evaluations in offenders with mental illness: A case series
title_fullStr Psychiatric evaluations in offenders with mental illness: A case series
title_full_unstemmed Psychiatric evaluations in offenders with mental illness: A case series
title_short Psychiatric evaluations in offenders with mental illness: A case series
title_sort psychiatric evaluations in offenders with mental illness a case series
topic criminal offense
custodial protection
mental illness
recidivism
url http://www.e-tjp.org/article.asp?issn=1028-3684;year=2022;volume=36;issue=1;spage=39;epage=43;aulast=Lin
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AT hengweiliu psychiatricevaluationsinoffenderswithmentalillnessacaseseries
AT chiahsiangchan psychiatricevaluationsinoffenderswithmentalillnessacaseseries