Factors Influencing the Initiation Time of Forensic Psychiatric Assessment of Criminal Cases in Hunan Province.

Abstract: Objective To discuss the related factors influencing the initiation time of forensic psychiatric assessment by analysis of the initiation time of forensic psychiatric assessment of criminal cases in Hunan Province. Methods Related data in assessment files of criminal cases accepted by 8 forensic psychiatric assessment institutions in Hunan Province from January 1, 2011 to December 31, 2016 were extracted. The Logistic regression analysis was used to explore the factors influencing the initiation time of forensic psychiatric assessment. After using property score matching （PSM） to control the influence of confounding factors, the efficiency of public security organs to initiate assessments of suspects with （without） mental disorders and with （without） responsibilities were compared. Results A total of 4 346 cases were included. The Logistic regression analysis suggested that the factors independently related to the initiation time of assessment include： cause of assessment, nationality of the assessed, history of diagnosis and treatment of mental illnesses, history of crimes, history of drug abuse, and status of alcohol consumption before the crime （all P<0.05）. The initiation time of assessment of suspects diagnosed with mental disorder was shorter than those with none （P<0.05）; the initiation time of assessment of suspects without criminal responsibility was shorter than those with responsibility （P<0.05）. After using PSM to control confounding factors, the differences above still existed. Conclusion The cause of assessment, nationality of the assessed, history of diagnosis and treatment of mental illnesses, history of crimes, history of drug abuse, and status of alcohol consumption before the crime are factors that influence the efficiency of public security organs to initiate forensic psychiatric assessments. Under the current assessment initiation mode, forensic psychiatric assessment of suspects who have mental disorders, especially those with no responsibility may be given priority to initiate. 摘要: 目的 通过对湖南省刑事案件司法精神病学鉴定启动的时间进行分析，探讨影响司法精神病学鉴定启动时间的相关因素。 方法 提取2011年1月1日至2016年12月31日期间湖南省8家司法精神病学鉴定机构受理的刑事案件的鉴定档案中的相关资料，以Logistic回归分析探索鉴定启动时间的影响因素，并在使用倾向性评分匹配（property score matching，PSM）控制混杂因素影响后，比较公安机关对有（无）精神障碍和有（无）责任能力嫌犯启动鉴定的效率。 结果 共纳入4 346例案件，Logistic回归分析提示与鉴定启动时间独立相关的因素包括鉴定案由、被鉴定人民族、既往精神病诊治史、犯罪史、吸毒史、案发前饮酒情况（均P<0.05）。精神障碍嫌犯的鉴定启动时间短于无精神障碍者（P<0.05），无刑事责任能力嫌犯的鉴定启动时间短于有责任能力者（P<0.05），且经PSM控制混杂因素后上述差异仍然存在。 结论 鉴定案由、被鉴定人民族、既往精神病诊治史、犯罪史、吸毒史、案发前饮酒情况可能是公安机关司法精神病学鉴定启动效率的影响因素；在现有鉴定启动模式下，精神障碍嫌犯，特别是无责任能力者的司法精神病学鉴定可能优先获得了启动。. 关键词: 司法精神病学；启动时间；刑事案件；影响因素；湖南省.