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A Twin Study of Psychosis and Criminality

Published online by Cambridge University Press:  03 January 2018

B. Coid ,
S. W. Lewis  and
A. M. Reveley
B. Coid*
Affiliation:
Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
S. W. Lewis
Affiliation:
Charing Cross and Westminster Medical School, St Dunstan's Road, London W6 8RP
A. M. Reveley
Affiliation:
Denmark Hill, London SE5 8AZ
*
∗Correspondence
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Abstract

Lifetime criminal and psychiatric histories were examined in a consecutive series of 280 individuals of twin birth with a diagnosis of major functional psychosis who were seen and followed up at the Maudsley Hospital between 1948 and 1988. Their 210 co-twins, 35% of whom had a similar diagnosis, were ascertained and followed up over the same period. In the absence of reliable general-population estimates for lifetime conviction rates, co-twins were used as case controls. Among the 220 complete pairs, significantly more probands (25.7%) than co-twins (14.0%) were convicted, although there was no evidence for an independent genetic basis for criminal behaviour. Criminal conviction was significantly related to psychiatric diagnosis. There were specific patterns of offending, particularly among the schizophrenic men, who were also significantly more often convicted (48.6%) than the men with affective psychosis (19.4%), and more likely to receive a prison sentence. The schizophrenic patients were younger at their first conviction (mean age 22.6 years v. 30.8 years) and they had committed more violent offences than the affective group. In both diagnostic groups, ages at first psychiatric contact and first conviction were highly correlated.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 162 , Issue 1 , January 1993 , pp. 87 - 92
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Ashley, M. (1922) Outcome of 1,000 cases paroled from the Middletown State Hospital. State Hospital Quarterly, 8, 64–70.Google Scholar
Bertelsen, A., Harvald, B. & Hauge, M. (1977) A Danish twin study of manic-depressive disorders. British Journal of Psychiatry, 130, 330–351.Google Scholar
Cohen, L. & Freeman, H. (1945) How dangerous to the community are state hospital patients? Connecticut State Medical Journal, 9, 697–700.Google Scholar
Coid, J. W. (1988) Mentally abnormal prisoners on remand: I. Rejected or accepted by the NHS? British Medical Journal, 296, 1777–1782.CrossRefGoogle ScholarPubMed
Cook, D. A. G. (1983) A study of criminal behaviour in discharged male psychiatric patients. Medicine Science and Law, 23, 279–282.Google Scholar
Endicott, J. & Spitzer, R. C. (1978) A diagnostic interview – the Schedule for Affective Disorders and Schizophrenia. Archives of General Psychiatry, 35, 837–844.CrossRefGoogle ScholarPubMed
Gibbens, T. C. N. & Robertson, G. (1983a) A survey of the criminal careers of restriction order patients. British Journal of Psychiatry, 143, 370–375.CrossRefGoogle ScholarPubMed
Gibbens, T. C. N. & Robertson, G. (1983b) A survey of the criminal careers of hospital order patients. British Journal of Psychiatry, 143, 362–369.Google Scholar
Hafner, H. & Boker, W. (1973) Crimes of Violence by Mentally Abnormal Offenders. A Psychiatric and Epidemiological Study in the Federal German Republic. Cambridge: Cambridge University Press.Google Scholar
Kendler, K. S., Gruenberg, A. M. & Tsuang, M. T. (1985) Psychiatric illness in first-degree relatives of schizophrenic and surgical control patients. Archives of General Psychiatry, 42, 770–779.Google Scholar
Lindqvist, P. & Allebeck, P. (1990) Schizophrenia and crime. A longitudinal follow-up of 644 schizophrenics in Stockholm. British Journal of Psychiatry, 157, 345–350.Google Scholar
McCullagh, P. & Nelder, J. A. (1989) Generalized Linear Models (2nd edn). London: Chapman & Hall.Google Scholar
Melick, M., Steadman, H. & Cocozza, J. (1979) The medicalisation of criminal behaviour among mental patients. Journal of Health and Social Behaviour, 20, 228–237 Google Scholar
Pollock, H. H. (1938) Is the paroled patient a threat to the community? Psychiatric Quarterly, 12, 236–244.CrossRefGoogle Scholar
Robertson, G. (1982) The 1959 Mental Health Act of England and Wales: Changes in the use of its criminal provisions. In Abnormal Offenders, Delinquency and the Criminal Justice System (eds Gunn, J. & Farrington, D. P.), pp. 245–268. Chichester: Wiley.Google Scholar
Robertson, G. (1990) Correlates of crime among women offenders. Medicine, Science and Law, 30, 165–174.CrossRefGoogle ScholarPubMed
Sartorius, N., Jablensky, A., Korten, A., et al. (1986) Early manifestations and first-contact incidence of schizophrenia in different cultures. Psychological Medicine, 16, 909–928.Google Scholar
Schuerman, L. A. & Kobrin, S. (1984) Exposure of community mental health clients to the criminal justice system. In Mental Health and Criminal Justice (ed. Teplin, L. A.), pp. 87–118. Beverley Hills, CA: Sage.Google Scholar
Smith, C. (1974) Concordance in twins: methods and interpretation. American Journal of Human Genetics, 26, 454–466.Google ScholarPubMed
Sosowsky, L. (1978) Crime and violence among mental patients reconsidered in view of the new legal relationship between the state and the mentally ill. American Journal of Psychiatry, 135, 33–42.Google Scholar
Sosowsky, L. (1980) Explaining the increased arrest rate among mental patients: A cautionary note. American Journal of Psychiatry, 137, 1602–1605.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria (RDC) for a Selected Group of Functional Disorders (3rd edn). New York: New York State Psychiatric Institute.Google Scholar
Steadman, H. J., Cocozza, J. J. & Melick, M. E. (1978) Explaining the increased arrest rate among mental patients: the changing clientele of state hospitals. American Journal of Psychiatry, 7, 816–820.Google Scholar
Teplin, L. A. (1984) Criminalizing mental disorder. American Psychologist, 39, 794–803.CrossRefGoogle ScholarPubMed
Torgersen, S. (1979) The determination of twin zygosity by means of a mailed questionnaire. Acta Geneticae Medicae et Gemellologiae/Twin Research, 28, 225–236.Google Scholar
Walker, N. & McCabe, S. (1973) Crime and Insanity in England. Vol. 2 New Solutions and New Problems. Edinburgh: Edinburgh University Press.Google Scholar
Zitrin, A., Hardesty, A., Burdock, E., et al (1976) Crime and violence among mental patients. American Journal of Psychiatry, 133, 142–149.Google Scholar
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