摘要
目的了解监狱服刑人员中各类精神疾病患病率及治疗、控制状况，为制定医治管控措施，有效开展监狱精神疾病防治工作提供依据。方法由经过培训的调查人员采用白拟服刑人员精神疾病筛查提纲及服刑人员精神疾病普查径记表对江苏某监狱的3217名服刑人员进行调查，并由参加普查的精神病医院医务人员对可疑人员逐一进行精神检查，明确诊断。结果服刑人员各类精神疾病患病率21．45‰（69／3217）．依次为精神分裂症（10．26‰）、情感性精神障碍（4．66‰）、人格障碍（3．42‰）、心因性精神障碍（1．5‰）、精神发育迟滞（0．62‰）、神经症（0．31‰）、脑器质性精神障碍（0．31‰）。其中30．43％曾有过自杀行为或自杀观念，50．72％曾与周围其他服刑人员有过激烈的争吵或肢体冲突。仅31．88％的患者接受住院治疗。结论监狱服刑人员中精神疾病患病率较高，罹患各类精神疾病人员的行为控制或辨别能力均有不同程度的减弱或消失，存在诸多的监管安全隐患问题，职能部门应根据其特征制定有效防范措施。
Objective To understand the prevalences of various mental disorders, treatment and control status to provide bases for enacting cure, management and control measures and developing prevention and cure of jail mental disorders. Methods Surveys were conducted with the Self-made Screening Program for Termers Mental Disorders（SSPTMD） and the Screening Registration Form for Termers Mental Disorders （SRFTMD） by trained investigators in 3217 termers and mental examinations in sequence carried out on suspected subjects by medical staff of mental hospital attending screening to make a correct diagnosis. Results The prevalences of various mental disorders among termers were 21.45‰, in turn schizophrenia 10. 26‰, affective disorder 4.66‰, personality disorder 3.42‰, psychogenic mental disorder 1.5‰, mental retardation 0.62‰, neurosis 0.31‰, and brain organic mental disorder 0.31‰. 30.43% of them once had suicidal behavior or suicidal idea, 50. 72% once did impetuous quarrels or limbs conflict with other termers; only 31.88% received hospitalization. Conclusion Prevalences of mental disorders among termers are higher, behavior control and discrimination ability of the termers suffered from various mental disorders weakened or disappeared in different degree, there are many hidden dangers of security, and functional department should enact effective preventive measures according to their features.
出处
《临床心身疾病杂志》
CAS
2009年第6期508-509,共2页
Journal of Clinical Psychosomatic Diseases
