Stéphane Richard-Devantoy1, Anne-Isabelle Bouyer-Richard2, Cédric Annweiler3, Raphaël Gourevitch4, Fabrice Jollant5, Jean-Pierre Olie4, Marie-Chantal Bourdel4, Jean-Paul Lhuillier6, Olivier Beauchet7. 1. McGill University, Department of Psychiatry & Douglas Mental Health University Institute, McGill Group for Suicide Studies, Montréal, Québec, Canada; UPRES EA 2646, University of Angers, UNAM, France. Electronic address: richarddevantoy@orange.fr. 2. Institut Philippe-Pinel de Montréal, Montréal, Québec, Canada. 3. UPRES EA 2646, University of Angers, UNAM, France; Department of Neuroscience, Division of Geriatric Medicine, University Memory Center, Angers University Hospital, Angers, France; Department of Medicine, Division of Geriatric Medicine, Parkwood Hospital, St. Joseph's Health Care London, Gait and Brain Lab, Lawson Health Research Institute, The University of Western Ontario, London, Ontario, Canada. 4. INSERM, Université Paris Descartes, Sorbonne Paris Cité, Laboratoire de "Physiopathologie des Maladies Psychiatriques", Centre de Psychiatrie et Neurosciences U894, Centre Hospitalier Sainte-Anne, Paris, France. 5. McGill University, Department of Psychiatry & Douglas Mental Health University Institute, McGill Group for Suicide Studies, Montréal, Québec, Canada. 6. Psychiatric Hospital, Sainte-Gemmes sur Loire, France. 7. UPRES EA 2646, University of Angers, UNAM, France; Department of Neuroscience, Division of Geriatric Medicine, University Memory Center, Angers University Hospital, Angers, France.
Abstract
OBJECTIVE: To examine the criminological circumstances of homicide in a group of French murderers with and without major mental disorders (MMD) stratified by the perpetrator's gender. METHODS: Sociodemographic, clinical, and criminological variables were collected from the psychiatric expert reports of 210 cases of homicide heard at the High Court of Angers, France. Murderers were categorized according to MMD diagnosis and gender. RESULTS: Among 210 murderers, 17.6% (n = 37) had a MMD (20% of the female perpetrators). Logistic regression models showed that being a murderer with a MMD was associated with younger age (adjusted Odds Ratio OR = 1.03, P = 0.034), high school education (OR = 2.48, P = 0.036), previous use of psychiatric services (OR = 4.75, P = 0.003), alcohol intoxication (OR = 2.71, P = 0.027), and delusional state (OR = 3.96, P = 0.002) at the time of the homicide. Multiple correspondence analyses showed that female murderers with a MMD were more prone to have depression and to use drowning as a method than those without a MMD, and that male murderers with a MMD more often had a high school education and delusional beliefs at the time of the homicide than those without a MMD. CONCLUSION: Specific profiles of criminological circumstances of homicide could help to explore the risk of homicide in female and male patients with a MMD.
OBJECTIVE: To examine the criminological circumstances of homicide in a group of French murderers with and without major mental disorders (MMD) stratified by the perpetrator's gender. METHODS: Sociodemographic, clinical, and criminological variables were collected from the psychiatric expert reports of 210 cases of homicide heard at the High Court of Angers, France. Murderers were categorized according to MMD diagnosis and gender. RESULTS: Among 210 murderers, 17.6% (n = 37) had a MMD (20% of the female perpetrators). Logistic regression models showed that being a murderer with a MMD was associated with younger age (adjusted Odds Ratio OR = 1.03, P = 0.034), high school education (OR = 2.48, P = 0.036), previous use of psychiatric services (OR = 4.75, P = 0.003), alcohol intoxication (OR = 2.71, P = 0.027), and delusional state (OR = 3.96, P = 0.002) at the time of the homicide. Multiple correspondence analyses showed that female murderers with a MMD were more prone to have depression and to use drowning as a method than those without a MMD, and that male murderers with a MMD more often had a high school education and delusional beliefs at the time of the homicide than those without a MMD. CONCLUSION: Specific profiles of criminological circumstances of homicide could help to explore the risk of homicide in female and male patients with a MMD.
Authors: María Del Mar Pecino-Latorre; María Del Carmen Pérez-Fuentes; Rosa María Patró-Hernández; Jorge Santos-Hermoso Journal: Int J Environ Res Public Health Date: 2019-11-15 Impact factor: 3.390