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Forensic psychiatric expertise of patients with anti-social personality

Published online by Cambridge University Press:  23 March 2020

N. Charfi
Affiliation:
Hedi Chaker university hospital, psychiatry “C” department, Sfax, Tunisia
M. Maalej Bouali
Affiliation:
Hedi Chaker university hospital, psychiatry “C” department, Sfax, Tunisia
J. Ben Thabet
Affiliation:
Hedi Chaker university hospital, psychiatry “C” department, Sfax, Tunisia
N. Zouari
Affiliation:
Hedi Chaker university hospital, psychiatry “C” department, Sfax, Tunisia
L. Zouari
Affiliation:
Hedi Chaker university hospital, psychiatry “C” department, Sfax, Tunisia
M. Maalej
Affiliation:
Hedi Chaker university hospital, psychiatry “C” department, Sfax, Tunisia

Abstract

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Introduction

Epidemiological studies in the general population confirm the indisputable link between criminological dangerousness and mental disorders especially anti-social personality, which increase clearly the prevalence of violent behavior.

Aim

To dress socio-demographic, clinical and medico-legal profile of offenders, with anti-social personality, in forensic psychiatric examination.

Methods

It was a retrospective study of a series of 195 patients with antisocial personality (DSM-IV). They were examined, during the period, from 2009 to 2013, on the occasion of a penal expertise in the department of psychiatry C in the Hedi Chaker university hospital, Sfax, Tunisia.

Results

The mean age of patients at the offense moment, was 29.58 years, with a sex ratio of 26.85. Among them, 66.2% were single, 49.2% had a primary school level and 41% had no profession. Between the patients, 58.5% lived in urban area and 38.5% in a high crime area. Addictive behaviors were reported in 80% of cases. Self-injury behaviors were noted in 33.8% of offenders. Psychiatric histories were reported in 66.2%, and 25.6% of patients have been already hospitalized in psychiatry department. 64.1% had already committed forensic acts, and 36% had been imprisoned at least once. The current offense was: homicide 16.9%; sexual offense 9.2%; violence 18.5%; theft 30.2%. The offense was related to impulsivity (40%) or utilitarian purpose (39%).

Conclusion

A young single man with no profession, a limited educational attainment and a history of impulsive behaviors, such is the profile most frequently encountered among offenders with anti-social personality. Interventions for reducing forensic behavior should focus on those social and clinical characteristics.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Forensic psychiatry
Copyright
Copyright © European Psychiatric Association 2017
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