触法精神障害者の長期入院例—社会復帰阻害要因に焦点をあてて

Cases of Long-term Hospitalization Among Patients with Mental Disorders Having a Criminal Record: A focus on factors hindering social reintegration

抄録

　触法精神障害者の社会復帰阻害要因を探る目的で，長期入院例を対象に調査を行った。一自治体病院に，10年以上入院している触法精神障害者13名の入院経過から，入院後に引き続き繰り返される問題行動と現在の精神症状に着目した分析を行った。その結果，患者はそれぞれ，精神症状は強くないが問題行動が多い（1名），精神症状が重篤である（9名），他害行為や症状の重篤さよりも社会復帰支援体制の不十分である（3名）という特徴を有することが示された。精神症状が重篤である場合，陽性症状が再燃する患者（5名）と，陰性症状が前景にある患者（4名）に分けられ，全体に占める割合が最も多い特徴は，精神症状が重篤であることであった。

　We investigated cases of long-term hospitalization among patients with mental disorders and criminal records with the objective of identifying factors hindering the reintegration of these patients into society. Our analysis focused on persistent problematic behavior and the current symptoms of 13 psychiatric patients with criminal records who had been hospitalized for ≥10 years. Based on the results, the patients were characterized as either having many problematic behaviors without severe psychiatric symptoms (n＝1), with serious psychiatric symptoms (n＝9), and those whose reintegration was hindered because of inadequate support systems for social reintegration, rather than harmful behaviors towards others or symptom severity (n＝3). Patients with serious psychiatric symptoms were classified as having recurrences of positive symptoms (n＝5) amidst prevailing negative symptoms (n＝4), and the presence of serious psychiatric symptoms was the most common characteristic in the present patients.