Our knowledge of the severity and reoffending is limited for mentally disordered offenders, and studies generally evaluate without separation between different diagnostic groups. It was aimed to determine the general profile of mentally disordered offenders who are inpatients in a high secure psychiatry unit from Turkiye and to evaluate the factors associated with violence profiles among different diagnostic groups. According to the results the schizophrenia patients committed the most severe crimes, and intellectual disability patients had some different features from schizophrenia and bipolar disorder patients. History of substance misuse in the intellectual disability group ( = 0,045) and comorbid antisocial personality disorder in the bipolar disorder group (p = 0,015) were associated with increased crime severity. Substance misuse history, history of substance use during the crime, and the existence of comorbid antisocial personality disorder were associated with increased offenses in each of the three diagnosis groups. Living alone ( = 0,004) and having a suicide history (p= 0,052) were associated with the high number of offenses in the schizophrenia group. This study is the first study that compares three diagnostic groups to involve a large patient group. We believe that clinicians must evaluate these parameters for the violence risk assessment of patients.

中文翻译：

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土耳其一个高度安全的单位中男性精神障碍罪犯的暴力概况

我们对精神障碍罪犯的严重程度和再犯罪的了解有限，并且研究通常在不区分不同诊断组的情况下进行评估。其目的是确定土耳其高度安全的精神病科住院患者的精神障碍罪犯的总体概况，并评估与不同诊断组中的暴力概况相关的因素。结果显示，精神分裂症患者犯罪最严重，智力障碍患者与精神分裂症和双相情感障碍患者有一些不同的特征。智力障碍组的药物滥用史 (= 0,045) 和双相情感障碍组的共病反社会人格障碍 (p = 0,015) 与犯罪严重程度的增加有关。在三个诊断组中，药物滥用史、犯罪期间药物使用史以及共病反社会人格障碍的存在与犯罪增加有关。独居 (= 0,004) 和有自杀史 (p= 0,052) 与精神分裂症组的高犯罪率有关。这项研究是第一项比较三个诊断组并涉及大量患者群体的研究。我们认为临床医生必须评估这些参数来评估患者的暴力风险。