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Introduction <p>People with schizophrenic disorders commit serious violent crimes and homicides significantly more often; nevertheless, systematic data from German-speaking countries are limited. The aim of the study was to comprehensively characterize homicide offenders with schizophrenia in Berlin’s forensic psychiatric hospital in terms of biographical characteristics, course of illness, psychopathology and crime constellation.</p> Methods <p>A&#xa0;retrospective, file-based cross-sectional study was conducted of all homicide offenders with schizophrenic disorders who were detained in Berlin’s forensic hospital on 31&#xa0;December 2014 (<i>N</i> = 78). A&#xa0;total of 87 variables from the areas of sociodemographics, biography, criminal history, course of illness, psychopathology and characteristics of the offence were collected and descriptively evaluated.</p> Results <p>The sample was predominantly male (88.5 %), socially disadvantaged and frequently showed signs of abuse in the family of origin (79.5 %) and substance use at the time of the offence (64.1 %). Despite previous psychiatric treatment (82.1 %), two thirds of the subjects rejected therapeutic offers shortly before the offence. The offences were predominantly directed against known victims (75.6 %) and were mostly committed with knives or other sharp/pointed objects (73.1 %). At the time of the offence, the entire sample exhibited pronounced psychotic symptoms, including systematized delusions (73.1 %), hostile-destructive delusions (70.5 %) and imperative acoustic hallucinations (39.7 %). The complete threat/control override complex was present in 50 % of the subjects.</p> Discussion <p>The findings confirm international findings and underscore the central importance of schizophrenic psychopathological syndromes, social stress factors and lack of treatment continuity in the run-up to the offence. The results highlight the need for early intervention, improved risk detection and further comparative studies, particularly on gender-specific risk profiles.</p>

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Patienten mit schizophrenen Erkrankungen und Tötungsdelikten im Maßregelvollzug

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月5日

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  • Hannelore Findeis,
  • Hans-Ludwig Kröber

摘要

Introduction

People with schizophrenic disorders commit serious violent crimes and homicides significantly more often; nevertheless, systematic data from German-speaking countries are limited. The aim of the study was to comprehensively characterize homicide offenders with schizophrenia in Berlin’s forensic psychiatric hospital in terms of biographical characteristics, course of illness, psychopathology and crime constellation.

Methods

A retrospective, file-based cross-sectional study was conducted of all homicide offenders with schizophrenic disorders who were detained in Berlin’s forensic hospital on 31 December 2014 (N = 78). A total of 87 variables from the areas of sociodemographics, biography, criminal history, course of illness, psychopathology and characteristics of the offence were collected and descriptively evaluated.

Results

The sample was predominantly male (88.5 %), socially disadvantaged and frequently showed signs of abuse in the family of origin (79.5 %) and substance use at the time of the offence (64.1 %). Despite previous psychiatric treatment (82.1 %), two thirds of the subjects rejected therapeutic offers shortly before the offence. The offences were predominantly directed against known victims (75.6 %) and were mostly committed with knives or other sharp/pointed objects (73.1 %). At the time of the offence, the entire sample exhibited pronounced psychotic symptoms, including systematized delusions (73.1 %), hostile-destructive delusions (70.5 %) and imperative acoustic hallucinations (39.7 %). The complete threat/control override complex was present in 50 % of the subjects.

Discussion

The findings confirm international findings and underscore the central importance of schizophrenic psychopathological syndromes, social stress factors and lack of treatment continuity in the run-up to the offence. The results highlight the need for early intervention, improved risk detection and further comparative studies, particularly on gender-specific risk profiles.