Crimes and sentences in individuals with intellectual disability in a forensic psychiatric context: a register-based study

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Edberg, H.Karolinska Institutet (författare)

Crimes and sentences in individuals with intellectual disability in a forensic psychiatric context : a register-based study

Artikel/kapitelEngelska2022

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Cambridge University Press,2022
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Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:oru-96510
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-96510URI
https://doi.org/10.1017/S2045796021000718DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:148543588URI

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Språk:engelska
Sammanfattning på:engelska

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Funding agencies:Savstaholm Foundation ST 2020-001Thuring Foundation 2020-00570Swedish Mental Health Fund
Aims: To study associations between intellectual disability (ID) and sexual and violent offending among individuals subject to pre-trial forensic psychiatric assessment. To investigate sentences following pre-trial forensic psychiatric assessment in offenders with and without ID.Methods: A population-based observational study using data from pre-trial forensic psychiatric assessments in Sweden (1997-2013), the Swedish National Crime Register and several other Swedish national registers. The study population consisted of 7450 offenders (87% men, 13% women) who were subject to forensic psychiatric assessment in 1997-2013, of whom 481 (6.5%) were clinically assessed as having ID.Results: ID offenders were more likely than non-ID offenders to have a sexual crime as an index crime [26.2 v. 11.5%, adjusted odds ratio (OR) 2.7, 95% confidence interval (CI) 2.02-3.58] as well as previous convictions regarding sexual offending (10.4 v. 5.6%, adj OR 2.3, 95% CI 1.70-3.12). These associations were restricted to male offenders; sexual offending was uncommon among women. Comorbid attention-deficit hyperactivity disorder reduced the association between ID and sexual offending (adj OR 2.7 v. 3.1, p = 0.017), while comorbid autism spectrum disorder had no significant influence on the association (adj OR 2.7 v. 3.0, p = 0.059). Violent crime was equally common among ID and non-ID offenders. Offenders with ID were more likely than non-ID offenders to be sentenced to forensic psychiatric care or community sanctions and measures (such as probation, conditional sentences or fines) than to prison; however, 15% of individuals who received an ID diagnosis during the forensic psychiatric assessment were sentenced to prison. Previous criminal convictions, concurrent antisocial personality disorders and substance use disorders were associated with a higher probability of a prison sentence among offenders with ID.Conclusions: Sexual crime is overrepresented among offenders with ID compared to offenders with other mental disorders than ID in forensic psychiatric contexts. ID offenders become subject to forensic psychiatric care and forensic psychiatric services need evidence-based treatment programmes for offenders with ID. In addition, there is a need for early intervention strategies suitable for disability services and special education schools, in order to address the complex needs of individuals with ID and prevent sexual and violent offending.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
Intellectual disability
offender
crime
sentence
mental disorder

Biuppslag (personer, institutioner, konferenser, titlar ...)

Chen, Q.Karolinska Institutet (författare)
Andine, P.Department of Psychiatry and Neurochemistry, Centre for Ethics, Law and Mental Health (CELAM), Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Forensic Psychiatric Clinic, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Forensic Psychiatry, National Board of Forensic Medicine, Gothenburg, Sweden (författare)
Larsson, Henrik,1975-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden(Swepub:oru)hiln (författare)
Hirvikoski, T.Karolinska Institutet (författare)
Karolinska InstitutetDepartment of Psychiatry and Neurochemistry, Centre for Ethics, Law and Mental Health (CELAM), Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Forensic Psychiatric Clinic, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Forensic Psychiatry, National Board of Forensic Medicine, Gothenburg, Sweden (creator_code:org_t)

Sammanhörande titlar

Ingår i:Epidemiology and Psychiatric Sciences: Cambridge University Press312045-79602045-7979

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Av författaren/redakt...: Edberg, H.; Chen, Q.; Andine, P.; Larsson, Henrik, ...; Hirvikoski, T.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

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