Aims:To define treatment adherence and criminal history before and after the mandatory treatment of homicidal patients and_correlation of these variables with the severity of the criminal act.Method:160 of the 197 cases, we could be able to contact and who were released from the forensic psychiatry clinic of the Bakirkoy Training and Research Hospital for Psychiatric and Neurological Diseases after mandatory inpatient treatment in 2006 were investigated for treatment adherence and criminal history for five years after release. Criminal Violence Rating Scale is used.Results:30% of the 48 patients who committed homicidal acts, had criminal history prior to the mandatory treatment and these were usually severe violent criminal offenses targeting directly at the victim's life and 14,5 % of them committed more than a criminal act before the homicidal act. After the mandatory inpatient treatment, the homicidal offenders were more likely to be kept in the mandatory outpatient treatment programme in comparison to the non-homicidal patients (87,6 % and 64,3 % respectively). 41,7 % of the homicidal offenders had been rehospitalized. Mean duration of mandatory treatment was 510 days and 148 days for the homicidal and non-homicidal patients respectively.Conclusion:The number of criminal offences and number of re-hospitalizations were not significantly different between the homicidal and nonhomicidal patient groups. As a consequence of risk reduction strategies the homicidal patients were internalized longer in terms of mandatory treatment and after the release, their control assessments were done at shorter intervals.

Aims:Patients with criminal history and without criminal responsibility under compulsory treatment at the forensic psychiatry unit of Bakirköy Research and Training Hospital for Psychiatric and Neurological Diseases are included in the study and the relationship of various parameters like sociodemographic and clinic features and forensic histories are compared with the duration of the hospitalization (1,2).Method:One-hundred five schizophrenic patients are included to the study. Patients were divided into three different groups according to the duration of hospitalization. Each group included 35 patients: 1. Group: 2–6 months, 2. Group: 1–3 years, 3. Group: more than 3 years of time. An Interview Form of the Unit Identifying Sociodemographic Properties, Disease and Criminal Characteristics of the Patients, Positive and Negative Syndrome Scale (PANSS), Scale for Assessment of Three Components of Insight, Calgary Depression Scale for Schizophrenia and the Perceived Social Support Scale of the Family were applied.Results:Our data indicated that to be convicted before, to be under compulsory treatment before, severity of the criminal act and the level of insight seem to associate with duration of hospitalization of schizophrenic subjects under compulsory treatment. Besides parameters like the age of onset of schizophrenia, being under guardianship and the frequency of visitors were statistically different among the groups.Conclusion:Our data underlines the importance of the level of insight, which plays a crucial role at the length of hospitalization for patients with schizophrenia in forensic units.

Aims:We investigated clinical and sociodemografic features of mentally ill homicidal offenders without criminal responsibility to find out the predictors of homicidal criminal acts(1).Method:160 of the 197 cases, we could be able to contact and who were released from the forensic psychiatry clinic of the Bakirkoy Training and Research Hospital for Psychiatric and Neurological Diseases after mandatory inpatient treatment in 2006 were investigated with the treatment history for five years after release. 48 of the 160 cases, who were qualified for insanity defense had committed a homicidal crime. Sociodemgraphic variables and variables associated with disease are documented.Results:All of the homicidal offenders were male, they were more likely to be single or divorced, unemployed, were living in metropolitan areas and 83,3 % had a diagnosis of psychotic disorder, 14.6 % had a diagnosis of mood disorder. They usually had a legal guardian and had social insurance. Almost none of them had a history of regular psychiatric treatment before the criminal act.Conclusion:At the homicidal offenders group, schizophrenia and other psychotic disorders were more prevelant, comorbidity was rare.