Relação entre homicídio e transtornos mentais

Abstract

Relationship between homicide and mental disordersRelação entre homicídio e transtornos mentais A b s t r a c t Objective: Several studies have found a relationship between severe mental disorders and violence. One of the approaches to study this theme are investigations with homicide offenders. The aim of the present article was to investigate the association between homicide and mental disorders. Method: A review of the literature was made through the following databases: Medline, Scientific Eletronic Library Online and Lilacs. In the Medline system, it was also searched the related articles section. Results: Although there is an association between mental disorders and homicide, it is not clear why some patients behave violently and others do not. Comorbid alcohol/drugs disorders and personality disorders and lack of adherence to treatment may increase this risk. Conclusions: Identifying people with risk of violence and offering them mental health treatment services is warranted. These services should prevent the loss of contact and non-compliance with treatment that frequently precede homicide committed by people with severe mental disorders. It is of utmost importance that society and governmental authorities decrease the barriers that limit access to psychiatric and psychosocial treatment.

Cessation of dangerousness status: an analysis of 224 reports from the Instituto de Perícias Heitor Carrilho, Rio de Janeiro, Brazil

“…Impulsive behavior and anger management issues, as well as a lack of social abilities, were also cited as important factors by Valenc¸a et al 22,33,34 This is in agreement with our findings, particularly in regard to the risk of new violent behavior, and might warrant the adoption of widespread strategies to reduce this risk factor. Social and environmental factors were also found to have a strong correlation, particularly drug addiction, a personal history of abuse, and lack of family support.…”

“…These data corroborate previous findings. [20][21][22]24,26,30,33,34 Mecler 1,2 found similar results in an analysis of dangerousness cessation examinations. As was the case in our study, that investigator found that important factors had been left out of a large number of dangerousness cessation reports, such as personal history and criminal background, as well as the nature of the offenses.…”

“…The items that stood out were clinical (lack of insight, negative attitudes, signs of active mental illness, and unresponsiveness to treatment), behavioral (impulsiveness, plans that lack feasibility), and social (exposure to destabilizing factors, lack of personal support, and presence of stress). Studies conducted by Valenc¸a et al 22,33,34 focused on the relationship between sets of factors and violent behavior. Their findings concur with ours in that there is an important relationship between clinical factors and violent behavior, especially the following: presence of productive symptoms, relapses, lack of insight, and cognitive distortions.…”

Crime e doença psiquiátrica: perfil da população de um hospital de custódia no Rio de Janeiro

“…Estudos recentes têm demonstrado que existe associação entre violência e doença mental [8][9][10][11][12][13][14][15] . As evidências apontam que portadores de transtornos psiquiátricos -particularmente os transtornos: orgânico cerebral, de personalidade, por causa de uso de substâncias psicoativas e esquizofrenia -são mais propensos a cometerem crimes violentos do que a população geral.…”

“…Os portadores de doenças mentais constituem população com maior tendência a comportamento criminoso [8][9][10][11][12][13][14][15] . Os psiquiatras são freqüentemente solicitados a avaliar o risco relacionado a estas populações.…”