| Abstract |
【Abstract】Objective To analyze the risk factors of impulsive violent crime in patients with acute schizophrenia.Method The clinical data of 120 patients with acute schizophrenia who received treatment in our hospital from June 2019 to January 2022 were retrospectively analyzed. They were divided into crime group (n=32) and non-crime group (n=88) according to the 1-year follow-up of impulsive violent crimes. Baseline data, Explicit Aggressive Behavior Scale (MOAS) and Concise Psychiatric Rating Scale (BPRS) scores were compared between the two groups, ROC and multivariate logistic regression were used to analyze the risk factors of impulsive and violent crimes in patients with acute schizophrenia.Result The number of persons with education level of junior high school or below, unemployed, previous history of impulsive violence and MOAS and BPRS scores in the criminal group were higher than those in the non-criminal group (P < 0.05). ROC analysis proved that MOAS and BPRS scores could be used to predict impulsive violent crimes in patients with acute schizophrenia, and the areas under the curve were 0.868 and 0.812, respectively, with P < 0.05. Multivariate Logistic regression analysis showed that education level of junior high school or below, unemployment, previous history of impulsive violent behavior, MOAS≥5.26 points, BPRS≥69.43 points were all risk factors for impulsive violent crime in patients with acute schizophrenia (P < 0.05).Conclusion Education level of junior high school or below, unemployed, previous history of impulsive and violent behavior, MOAS ≥ 5.26 points, and BPRS ≥ 69.43 points are all risk factors for impulsive and violent crimes in patients with acute schizophrenia. Clinical screening should focus on patients who meet the above factors, actively prevent and control, and reduce the occurrence of dangerous criminal behaviors.
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