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題名:物質使用疾患與精神疾病對殺人、重傷害及無差別殺傷人犯罪影響之研究
作者:廖育瑋
作者(外文):LIAO,YU-WEI
校院名稱:國立中正大學
系所名稱:犯罪防治研究所
指導教授:楊士隆 博士
學位類別:博士
出版日期:2022
主題關鍵詞:物質使用疾患精神疾病殺人重傷害無差別殺傷人Substance Use DisorderMental IllnessHomicideAggravated AssaultIndiscriminate Murder
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殺人和重傷害及近10年來變本加厲的無差別殺/傷人,嚴重侵害人民的生命權與健康權,是最讓人民聞風喪膽的暴力犯罪型態,不只令人害怕更讓整個社會陷入恐慌。而這幾則無差別殺/傷人的重大刑事案件其加害人似乎都指向具有精神疾病或物質成癮,惟國內目前並無實證研究來證實精神疾患、毒癮、酒癮對殺人、重傷害及無差別殺傷人犯罪影響之研究模型,故有其獨立分類研究之必要。
本研究採用橫斷式隨機抽樣調查法,針對台灣中南部四所監獄之殺人或重傷害包含無差別殺/傷人之受刑人進行問卷調查,共發出400份問卷,回收有效問卷359份,有效回收率為89.75%。問卷共分為兩大部分,第一部份為基本資料和一般問項,採用SPSS 24.0進行描述性統計分析,第二部份為研究模式檢定,採用Smart PLS 3.2.2來進行路徑分析。
研究發現被害人為陌生人占44%,受試者有89%在犯案前沒有事先計畫,24%自陳有精神疾患;36%自陳有施用毒品;28%已達問題性飲酒情況。另本研究建立的研究模型整體預測力可達65.7%,代表毒品前科、酒精成癮、精神疾病和毒品施用共病下,造成無差別殺傷人暴力犯罪的可能性高達65.7%。毒品施用的行為受到毒品前科、酒精成癮和精神疾患共同作用下,發生的機率可達65%。另毒品施用者犯下殺人、重傷害和殺人重傷害可能的發生機率分別為33.2%、45.4%和11.9%。更值得吾人注意的是,毒品施用者若有殺人前科,則更容易發生無差別殺傷人暴力犯罪行為,以上均具有統計上的顯著意義。
本問卷採用自陳式回溯性調查,內容如涉及疾病診斷之專業判斷,因非醫師親自診斷,故無法評估調查結果與事實之間兩者是否一致,是為本研究之限制。基於實證研究之結果,建議未來應加強精神疾患、毒癮、酒癮共病者之處遇。
Homicide and aggravated assault, as well as indiscriminate killing/injuring of people that have intensified in our society in the past 10 years. These major criminal cases all seem to point to the perpetrator's mental illness or substance addiction, but there is currently no empirical research in Taiwan to prove the effect of mental illness, drug addiction, and alcohol addiction on homicide, serious injury, and indiscriminate homicide. Therefore, it is necessary to conduct the critical study to explore the findings.
In this study, a cross-sectional random sampling survey method was used to conduct a questionnaire survey on homicide or serious injury inmates in 4 prisons in Taiwan. A total of 400 questionnaires were administered, and 359 valid questionnaires were responded, with an effective response rate of 89.75%. The questionnaire is divided into two parts, the first part is basic information and general questions, using SPSS 24.0 for descriptive statistical analysis, the second part is research mode verification, using Smart PLS 3.2.2 for path analysis.
The study found that 44% of the victims were strangers, 89% of the subjects had no prior plan before committing the crime, 24% self-reported mental illness, 36% self-reported drug use, and 28% had problem with drinking. In addition, the overall variance explained of the research model can reach 65.7%, representing a 65.7% probability of indiscriminately killing violent crimes under the comorbidity of drug history, alcohol addiction, mental illness and drug use. The behavior of drug use is affected by the combination of drug history, alcohol addiction and mental illness, and the probability of occurrence can reach more than 65%. In addition, the probability of homicide, serious injury and homicide serious injury committed by drug users were 33.2%, 45.4% and 11.9%, respectively. What is more worthy of our attention is that if drug users have a history of homicide, they are more likely to commit violent crimes of indiscriminate killing and injuring others, all of which are statistically significant.
Since this questionnaire adopts a self-reported retrospective survey. If the content involves professional judgment of disease diagnosis, it is not possible to assess whether the two are consistent because it is not diagnosed by a physician, which is a limitation of this research. Moreover, based on the results of empirical research, it is suggested that the treatment of persons with mental disorders, drug addiction and alcohol addiction should be encouraged and strengthened in the future.
參考文獻
中文文獻
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四、研討會
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三、網頁資料
1.The European Monitoring Centre for Drugs and Drug Addiction, http://www.emcdda.europa. eu /publications/drug-profiles/ synthetic-cathinones.
四、日文文獻
1.中田修(1979),精神病質犯罪者とそ對策のについて,犯罪學年報Ⅲ:98。
2.中田修(1980),犯罪與精神醫學,21。

 
 
 
 
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