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Criminality Associated With Mental Disorders and Intellectual Deficiency

Jari Tiihonen, MD, PhD; Markku Eronen, MD; Panu Hakola, MD, PhD
Arch Gen Psychiatry. 1993;50(11):917-918. doi:10.1001/archpsyc.1993.01820230087010
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Studies of different risk factors in prediction of criminal behavior have neglected an epidemiologic approach using large samples of patients with different mental disorders to calculate odds ratios concerning their forthcoming criminal behavior. We were pleased to read the article by Hodgins1 on the relationship between crime, mental disorder, and intellectual handicap. The results of this study showed that male patients with a major mental disorder were four times more likely to commit a violent offense than men with no disorder, and female patients with major mental disorder were 27 times more likely to do so. Corresponding numbers were 15 for male substance abusers and 55 for female substance abusers. Patients with intellectual handicap and other mental disorders were also at greater risk for criminal behavior. However, those results do not give information about the risk for criminality associated with specifically defined disorders due to the heterogeneity of the

REFERENCES

Hodgins S.  Mental disorder, intellectual deficiency, and crime: evidence from a birth cohort . Arch Gen Psychiatry . 1992;;49:476-483.
Regier DA, Boyd JH, Burke JD, Rae DS, Myers JK, Kramer M, Robins LN, George LK, Karno M, Locke BZ.  One-month prevalence of mental disorders in the United States: based on five epidemiologic catchment area sites . Arch Gen Psychiatry . 1988;;45:977-986.
Ross HE, Glaser FB, Germanson T.  The prevalence of psychiatric disorders in patients with alcohol and other drug problems . Arch Gen Psychiatry . 1988;;45:1023-1031.
Cloninger CR.  Neurogenetic adaptive mechanisms in alcoholism . Science . 1987;;236:410-416.
Virkkunen M, DeJong J, Bartko J, Goodwin FK, Linnoila M.  Relationship of psychobiological variables to recidivism in violent offenders and impulsive fire setters . Arch Gen Psychiatry . 1989;;46:600-603.
Irwin M, Suckit M, Smith TL.  Clinical importance of age at onset in type 1 and type 2 primary alcoholics . Arch Gen Psychiatry . 1990;;47:320-324.
Coccaro EF, Siever LJ, Klar HM, Maurer G, Cochrane K, Cooper TB, Mohs RC, Davis KL.  Serotonergic studies in patients with affective and personality disorders: correlates with suicidal and impulsive aggressive behavior . Arch Gen Psychiatry . 1989;;46:587-599.

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Hodgins S.  Mental disorder, intellectual deficiency, and crime: evidence from a birth cohort . Arch Gen Psychiatry . 1992;;49:476-483.
Regier DA, Boyd JH, Burke JD, Rae DS, Myers JK, Kramer M, Robins LN, George LK, Karno M, Locke BZ.  One-month prevalence of mental disorders in the United States: based on five epidemiologic catchment area sites . Arch Gen Psychiatry . 1988;;45:977-986.
Ross HE, Glaser FB, Germanson T.  The prevalence of psychiatric disorders in patients with alcohol and other drug problems . Arch Gen Psychiatry . 1988;;45:1023-1031.
Cloninger CR.  Neurogenetic adaptive mechanisms in alcoholism . Science . 1987;;236:410-416.
Virkkunen M, DeJong J, Bartko J, Goodwin FK, Linnoila M.  Relationship of psychobiological variables to recidivism in violent offenders and impulsive fire setters . Arch Gen Psychiatry . 1989;;46:600-603.
Irwin M, Suckit M, Smith TL.  Clinical importance of age at onset in type 1 and type 2 primary alcoholics . Arch Gen Psychiatry . 1990;;47:320-324.
Coccaro EF, Siever LJ, Klar HM, Maurer G, Cochrane K, Cooper TB, Mohs RC, Davis KL.  Serotonergic studies in patients with affective and personality disorders: correlates with suicidal and impulsive aggressive behavior . Arch Gen Psychiatry . 1989;;46:587-599.

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