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目的探讨重庆地区司法精神医学鉴定案例的特点。方法回顾性分析我院司法精神医学鉴定560例案例的一般人口学资料、案件资料、医学诊断及鉴定结论。结果①本研究560例中,以男性378/560(67.5%)、青壮年(35.07±12.88)岁,农民、无业人员474/560(84.64%),未婚279/560(49.82%)、偏低文化程度(初中以下文化程度)475/560(84.82%)为主要特点;②肇事案件:性伤害案120/560(21.43%)女性明显高于男性存在显著差异(χ2=173.80,P<0.001)、而致人死亡案100/560(17.86%)、造成他(她)人身体伤害案96/560(17.14%)男性明显高于女性有显著差异分别为(χ2=7.34,P<0.05)、(χ2=23.38,P<0.001);③肇事精神疾病患者中以精神分裂症出现频率最高为189/560(33.75%),男女性别无差异(χ2=1.07,P>0.05),其次为精神发育迟滞130/560(23.21%),女性明显高于男性有显著差异(χ2=117.62,P<0.001)。结论肇事精神疾病患者以男性、青壮年、低文化程度的重性精神病为主,而性伤害案以女性、精神发育迟滞为主,加强对这类病人的治疗和管理是降低精神疾病患者肇事肇祸,维护社会治安的重要环节之一。
Objective To explore the characteristics of judicial psychiatry in Chongqing. Methods A retrospective analysis of our hospital psycho-medical identification of 560 cases of general demographic data, case information, medical diagnosis and identification conclusion. Results Among the 560 cases, 474/560 (84.64%) and 279/560 (49.82%) were farmers and unemployed, 378/560 (67.5%) were male and 35.07 ± 12.88 (84.82%) with educational level (junior high school education) as the main characteristic; (2) the accident cases: 120/560 (21.43%) cases of sexual injury were significantly higher than those of men (χ2 = 173.80, P <0.001) (Χ2 = 7.34, P <0.05), while the number of fatal cases was 100/560 (17.86%), causing 96/560 (17.14%) cases of bodily injury to him (χ2 = 7.34, P <0.05) (χ2 = 23.38, P <0.001). ③The highest frequency of schizophrenia was 189/560 (33.75%) in patients with mental disorders, there was no difference between male and female (χ2 = 1.07, P> 0.05) Hysteresis 130/560 (23.21%), women were significantly higher than men (χ2 = 117.62, P <0.001). Conclusions The patients with mental illnesses are mainly male, young adults with severe mental illnesses of low educational level. Sexual injury cases are mainly female and mental retardation. To strengthen the treatment and management of these patients is to reduce the incidence of mental illness , One of the important aspects of maintaining public order.