DOI: 10.21045/2071-5021-2016-51-5-6
Svalkovskiy A.V., Sannikov A.G.
Tyumen State Medical University, Ministry of Health of the Russian Federation, Tyumen
Contacts: Alexander V. Svalkovskiy, e-mail:
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Abstract. Significance. In Russia,
morbidity and incidence of mental disorders grows annually. At the same
time the number of socially dangerous actions committed by the mentally
sick increases as well. According to a number of authors, patients with
organic brain lesion constitute the main part of offenders.
Purpose: to study and analyze socially dangerous
actions committed by patients with organic brain lesion to further
distinguish risk factors of delictual behavior.
Materials and methods: Conclusions of outpatient
forensic-psychiatric commission of experts of the Tyumen region in
"Conclusion of the forensic-psychiatric expert (the commission of
experts)" Form No. 100/u-03 for 2005 - 2014 were taken as study material
and grouped into annual databases of the "Forensic-psychiatric
Examination" automated information system. Methods of descriptive and
comparative statistics – Z-criterion, correlation analysis of K.
Pearson, nonparametric criterion for evaluation of reliability of
difference of Mann-Whitney were used for statistical verification of the
data obtained.
Conclusions. Socially dangerous actions of patients
with organic brain lesion have been studied. The study identified the
following factors that affect socially dangerous actions: male gender,
under 30 years, mental retardation. It is statistically proven that
presence of the identified factors leads to commission of socially
dangerous action of the Against Property group, most often such action
falls under articles 158 and 161 of the Criminal Code of the Russian
Federation. Analysis of the study data will allow for distinguishing
risk factors to develop a system of primary prevention of socially
dangerous actions. However, because of the age of offenders, this
contingent of patients is most often out of sight of psychiatrists until
they commit a socially dangerous action. This imposes certain
difficulties in carrying out primary prevention in view of Art. 4
"Voluntary application for mental health services" of the Russian Law
"On mental health services and guarantees of the rights of citizens at
their rendering" as of 02.07.1992 N 3185-1 (revised 28.11.2015).
The authors believe that measures aimed at early detection of people
with the identified risk factors can improve quality of primary
prevention of socially dangerous actions.
Conclusions. Socially dangerous actions committed by
patients with organic brain lesions have been studied. Male gender,
diagnosis of mental retardation, and age under 30 as risk factors of
socially dangerous actions are of particular interest for further study
Scope of application. The study materials can be used
to explore risk factors enabling patients with organic brain lesion to
commit a socially dangerous action.
Keywords: socially dangerous actions, risk factors, organic brain lesion, prevention.
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